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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q171-Q176):

NEW QUESTION # 171
A congenital diaphragmatic eventration is as associated finding with

A. meconium ileus
B. polycystic kidney disease
C. Horners syndrome

Answer: C

Explanation:
Congenital diaphragmatic eventration is associated with Horner's syndrome. It occurs as a result of a congenital thinning of the diaphragm or because of underdevelopment of the phrenic nerve. This results in an abnormally high portion of the diaphragm and causes dyspnea, cyanosis, and tachypnea. Surgical correction is usually necessary.

NEW QUESTION # 172
W'hen do symptoms of biliary atresia develop in the newborn?

A. Immediately after birth
B. 2-8 weeks after birth
C. Within 3-5 days after birth

Answer: B

Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.

NEW QUESTION # 173
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that

A. the peripheral veins are not yet mature enough to handle IV therapy
B. there are no mature nerve endings in the scalp and itis not painful for the infanttohavethe
C. the IV needs to be in an area with less fat so the vein can be clearly visualized

Answer: C

Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.

NEW QUESTION # 174
Early-onset sepsis (S72 hours) in the neonate most often presents as

A. meningitis
B. pneumonia
C. bacteremia

Answer: B

Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.

NEW QUESTION # 175
A condition that prevents a newborn from being able to pass air to breathe after birth is

A. pneumonia
B. meconium aspiration
C. bilateral choanal atresia

Answer: C

Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.

NEW QUESTION # 176
......

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Lily Harris Lily Harris

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