CCRN Neonatal 323 Comprehensive Review Questions With Complete Answers |Test Your Skills |42 Pages
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Course
CCRN
Institution
CCRN
Which types of shock are commonly seen in the infant who is septic? - ️️Distributive and hypovolemic
The late preterm newborn is at risk of developing hypothermia because of - ️️decreased ability to flex extremities
The major structural anomaly associated with total anomalous pulmonary ve...
CCRN Neonatal
Which types of shock are commonly seen in the infant who is
septic? - ✔ ✔ Distributive and hypovolemic
The late preterm newborn is at risk of developing
hypothermia because of - ✔ ✔ decreased ability to flex
extremities
The major structural anomaly associated with total
anomalous pulmonary venous return (TAPVR) includes
pulmonary - ✔ ✔ veins failing to be incorporated in the
left atrium.
The MOST accurate predictor of infection when analyzing
white blood count is - ✔ ✔ neutropenia.
The MOST common cause of hyperbilirubinemia in the
newborn is - ✔ ✔ hemolytic disease.
The most common finding when a neonate presents with
gastroschisis is a(n) - ✔ ✔ intestinal malrotation.
The MOST common screening tests for Down Syndrome
offered to parents in the first trimester - ✔ ✔ maternal
serum alpha fetoprotein.
The MOST common signs of pyloric stenosis include - ✔ ✔
non-bilious emesis that becomes frequent and projectile.
,The most significant role of surfactant in neonatal lung
development is to - ✔ ✔ maintain alveolar stability by
decreasing surface tension.
The neonate born to a mother with uncontrolled diabetes
mellitus should be evaluated for - ✔ ✔ congenital
malformations.
The neonate displaying a marbling or mottling effect of the
skin would be exhibiting which of the following skin
conditions? - ✔ ✔ Cutis marmorata
The neonate has difficulty responding to large fluid loads
due to a(n) - ✔ ✔ decreased tubular sensitivity to
aldosterone.
The neonate with a complicated meconium ileus will MOST
often present with which of the following signs? - ✔ ✔
Respiratory distress and sepsis
The new classification for acute kidney injury (AKI) is based
on - ✔ ✔ urine output and change in serum creatinine
level.
Which white blood cell is MOST effective in the destruction
of parasites in neonates with a parasitic infection? - ✔ ✔
Eosinophil
Who should dictate the feeding experience in the NICU? - ✔
✔ NICU infant
With a complete endocardial cushion defect, blood will flow
- ✔ ✔ freely among all four chambers of the heart.
,Within hours of birth, the neonate signals to the mother that
they are hearing her voice by - ✔ ✔ sucking faster on a
pacifier. turn eyes and head toward the mothers voice and
sucking faster on a pacifier
You are the nurse caring for a 38 weeks gestation, female
infant, who was born one hour ago in the parking lot of the
emergency room. On admission to the nursery, the
neonate's rectal temperature was 95ºF (35ºC). You
recognize that cold stress may predispose the infant to - ✔
✔ increased oxygen consumption and hypoxia.
You have initiated phototherapy for a two day old preterm
newborn with hyperbilirubinemia. After six hours of
phototherapy, the total serum bilirubin level is unchanged.
What are your thoughts? - ✔ ✔ Irradiance level should be
checked and skin exposure maximized.
A full term neonate who presents at six hours of age with
increasingly labile oxygenation that appears
disproportionate to the pulmonary disease should be
evaluated for - ✔ ✔ pulmonary hypertension of the
newborn.
A GI series may reveal a "transition zone" in which of the
following clinical conditions? - ✔ ✔ Hirschprung's
disease
A hemorrhage associated with birth trauma that does NOT
cross suture lines is called a - ✔ ✔ cephalohematoma.
, A low birth weight infant's temperature increases during
skin-to-skin care. This is an example of heat transfer by - ✔
✔ conduction.
A meconium plug is associated with of the following
conditions? - ✔ ✔ Uncontrolled maternal diabetes
A mother is concerned regarding the safety of her
medications and breastfeeding. What is the best nursing
intervention to reassure and support the woman's
breastfeeding goals? - ✔ ✔ Find information on the safety
of the medications while breastfeeding to share with her.
A neonate at 10 hours of age is found to be cyanotic and
without respiratory distress symptoms. The EKG and chest
x-ray are normal. The administration of oxygen is not
relieving the cyanosis. The healthcare provider should have
a high index of suspicion for which of the following defects?
- ✔ ✔ Transposition of the great vessels
A neonate at 12 hours of life with meconium aspiration
syndrome who has been intubated since birth suddenly
develops severe respiratory distress, tachycardia, and
hypotension. Which diagnosis would be least likely to be in
the differential? - ✔ ✔ Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the
following? - ✔ ✔ Tachypnea, thrombocytopenia,
hypoglycemia
A newborn's maternal history includes oligohydramnios
sequence. What might be an expected finding on physical
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