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Nursing Neonatal Nurse Practitioner Sample Questions:

1. A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a

A) intermediate anomaly with a perineal fistula
B) high anomaly with rectovaginal fistula
C) low anomaly with rectourethral fistula

2. A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is

A) phenobarbital
B) fluid resuscitation
C) therapeutic hypothermia

3. A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include

A) phototherapy
B) exchange transfusion
C) continued observation and jaundice assessment

4. In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?

A) Emergency thoracentesis, cutting of the umbilical cord, then resuscitative measures
B) Cutting of the umbilical cord, resuscitative measures, then emergency thoracentesis
C) Cutting of the umbilical cord, emergency thoracentesis, then resuscitative measures

5. When administering blood or blood products

A) a patient with A- blood can receive blood from a donor who is O- or 0+
B) a patient with A+ blood can receive blood from a donor who is AB+
C) a patient with AB+ blood can receive blood from a donor of any blood type

Solutions: