CCPR Exam Questions

CCPR Exam Questions A major characteristic of autosomal recessive disorder is - ✔✔Possible consanguinity A 2100 gram IUGR infant born at 38 weeks has an enlarged liver and spleen. Jaundice is present. To confirm cytom ...

CCPR Exam Questions A major characteristic of autosomal recessive disorder is - ✔✔Possible consanguinity A 2100 gram IUGR infant born at 38 weeks has an enlarged liver and spleen. Jaundice is present. To confirm cytomegalovirus infection, a culture should be obtained from the neonate's blood, spinal fluid, or urine within ______ - ✔✔2-4 weeks of birth Neonates with linear skull fractures commonly ______ - ✔✔require follow up but complete recovery is typical A decision to provide morphine to a dying infant is framed by the principle of ______ - ✔✔Nonmaleficence Absence of the ileocecal valve in the neonate with short bowel syndrome can lead to _______ - ✔✔Bacterial overgrowth in the small bowel Which type of heat loss is minimized by using hats on infants in cribs? - ✔✔Convection What medication may be prescribed for a newborn with mild to moderate ebstein's anomaly to help reduce right ventricular afterload and improve blood flow across the pulmonary valve - ✔✔Sildenafil A 10 day old small for gestational age infant presents with abdominal distension, diarrhea, nonbilious emesis. A palpable mass is noted on physical examination. The most likely diagnosis is ______ - ✔✔Lactobezoar A 2500 gram neonate with birth asphyxia develops hypocalemia. This is most likely the result of increased ____ - ✔✔Calcitonin Orotracheal intubation is preferable to nasotracheal intubation during acute neonatal resuscitation because ______ - ✔✔It can be performed without additional equipment Anemia of prematurity is characterized by a low reticulocyte count and _____ - ✔✔Inadequate response to erythropoietin A neonate is born with bilateral dorsiflexion of the feet with limited plantar flexion and inversion. Exam reveals free mobility of the foot to passive manipulation. The nurse practitioner should recognize that ____ - ✔✔the neonate should be evaluated for hip dysplasia A differentiating characteristic for gastroschisis from omphalocele is _____ - ✔✔Thickened, inflamed intestine Increased bowel sounds are indicative of ____ - ✔✔Malrotation A neonate born at 36 weeks gestation weighing 3000 grams is at increased risk for - ✔✔Jaundice Preauricular ear tags are - ✔✔Associated with brachial arch abnormalities What condition in term and near term infants should have a trial of inhaled nitric oxide - ✔✔Hypoxic respiratory failure When caring for an infant on total parenteral nutrition, the nurse practitioner should recognize that ____ - ✔✔Caloric intakes for parenteral nutrition are about 20% less than those for enteral nutrition The most common factor associated with increased mortality for neonates with disseminated herpes simplex virus is - ✔✔Pneumonitis Neonatal tubular acidosis is a disorder that - ✔✔develops secondary to medications or obstructive uropathy Hyperkalemia in the very low birth weight neonate with normal urine output during the first few hours of life is mainly due to ___ - ✔✔High efflux of potassium from the intracellular compartment The increased glucose utilization in asphyxiated infants is complicated by - ✔✔Hypoxic ischemic damage to the liver The finding of a third fontanelle along the sagittal suture suggests _____ - ✔✔a congenital anomaly Surfactant replacement therapy has been demonstrated to reduce _____ - ✔✔pneumothorax The major predisposing factor for the development of subarachnoid hemorrhage in the preterm infant is ____ - ✔✔A hypoxic event Phototherapy is contraindicated with the following condition - ✔✔Congenital erythropoietic porphyria Subarachnoid hemorrhages are often described as - ✔✔Well baby with seizures A clinical indicator of the neonatal response to pain or stress is - ✔✔Release of growth hormone Definitive diagnosis of HIV infection in a neonate born to an HIV positive mother requires - ✔✔detection of HIV specific RNA Common behavioral manifestations of neonates who were exposed to cocaine in utero include - ✔✔Difficulty alternating between alert and drowsy states A term neonate is found to have ambiguous genitalia. The anticipated immediate action would include obtaining ____ - ✔✔blood electrolytes Most research studies regarding the use of soaps, lubricants and antimicrobial skin solutions in premature infants conclude - ✔✔The use of emollient creams may be of benefit Neonatal manifestation of systemic lupus erythematosus is attributed to ___ - ✔✔Placental transfer of antibodies to the fetus When caring for the newborn of a mother with a history of methadone maintenance, the following can be anticipated - ✔✔Congenital infection Decreasing the amplitude on high frequency oscillators results in ______ - ✔✔Increased PCO2 The length of a drugs half life is inflenced by - ✔✔the volume of distribution Congenital cystic anomalies of the lung are associated with - ✔✔Fetal hydrops A neonate is born to a mother with active syphilis. The infant screening titers are lower than those of the mother, and the infant has no symptomatology. The next course of action would be to ___ - ✔✔No evaluation and no treatment is needed Parents of an infant with prune belly syndrome need to be advised about the future development of ___ - ✔✔Renal obstruction A gallop rhythm is associated with - ✔✔Congestive heart failure A plasma creatinine exceeding mg/dl in a week old infant indicates - ✔✔renal dysfunction Intrauterine growth restricted infants are at risk for decreased glycogen stores because of ____ - ✔✔Hypoxia induced increased catecholamine secretions A term neonate who was resuscited at birth, intubated, and placed on a ventilator in the NICU. An arterial blood as reveals a pH of 7.23, PCO2 of 49, PO2 36, and HCO3 19. Initial management of this neonate should incude increasing supplemental oxygen and - ✔✔inceasing the peak inspiratory pressure The best predictor of bilirubin toxicity is - ✔✔Hearing impairment Calcium is an essential component of the skeleton and plays an important role in - ✔✔bone mineralization Markers of impaired fatty acid oxidation in neonates include - ✔✔Cardiomyopathy the ability to habituate to sound is - ✔✔indicative of an intact CNS Of the following, the most common environmental triggers for patent ductus arteriosus are - ✔✔Amphetamines Neonatal Bartter Syndrome is an inherited disorder characterized by - ✔✔Electrolyte imbalance and dehydration Criteria for successful weaning from an incubator to an open crib include that the infant - ✔✔is medically stable The pattern of care provided to a neonate should be based on - ✔✔the infant's cues and needs so caregiving can be initiated when the infant can best tolerate it Heart sounds indicative of aortic stenosis include - ✔✔a harsh grade IV systolic murmur C reactive protein is believed to be - ✔✔a carrier protein involved in removing foreign materials from damaged tissues Fixed position of the eyes during rotation of the head indicates - ✔✔brain stem dysfunction On examination of the newborn head, the nurse practitioner palpates the margin of parietal and occipital regions along the lambdoidal suture. The area will collapse and recoil under gentle pressure. This finding is indicative of - ✔✔Craniotabes The most frequent cause of hematuria in the neonate - ✔✔Acute tubular necrosis Persistent massive proteinuria and edema noted in a neonate should prompt the consideration of - ✔✔Congenital nephrotic syndrome Classic triad of symptoms of renal vein thrombosis includes - ✔✔Flank mass, macroscopic hematuria, and Thrombocytopenia shunting with PPHN - ✔✔always right to left Epiphora (excessive tearing) especially in combination with photophobia (light sensitivity) should suggest the possibility of - ✔✔congenital glaucoma Neonatal cataracts are frequently associated with: A congenital hypoparathyroidism B downs syndrome C Turner syndrome - ✔✔Congenital hypoparathyroidism The most common cause of conjunctivitis in the newborn is - ✔✔Chlamydia trachomatis Which phase of retinopathy of prematurity is characterized by proliferation of blood vessels in response to markedly elevated increases in vascular endothelial growth factor and erythropoietin - ✔✔Phase 2 In a premature infant, pupillary light reaction is present at approximately - ✔✔30 weeks gestation Low set ears may be associated with what other anomaly - ✔✔Renal Charge syndrome includes - ✔✔coloboma or other opthalmic anomalies, heart defects, atresia Choanae, restriction growth and development, genital hypoplasia, and ear anomalies Approximately what percent of total serum calcium is protein bound and thus not biologically active? - ✔✔40% Characteristic features of beckwith Wiedemann syndrome includes - ✔✔macroglossia, omphalocele, hyperplastic visceromegaly (congenital overgrowth syndrome), hypoglycemia caused by hyperinsulinism Most infants affected by type II osteogenesis imperfecta - ✔✔Die perinatally