Download NICU RN A v1 Test Questions with Accurate Answers Update 2023 and more Exams Nursing in PDF only on Docsity!
Answers Update 2023
The amount of air that moves into or out of the lungs with each single breath at rest is called - Exact Answer Tidal Volume Which of the following is a non-pharmacologic management technique to treat apnea in the preterm infant - Exact Answer Maintaining the head in neutral position which of the following respiratory disorders occur in term and near- term infants due to delayed clearance of fetal lung fluid? - Exact Answer Transient Tachypnea of the newborn (TTN) which of the following dextrose infusion rates would be appropriate for an infant with documented hypoglycemia? - Exact Answer 4- mg/kg/min While attempting to provide positive pressure ventilation per bag and mask to an apneic infant, you not there is no chest rise with bagging. what is the MOST appropriate step to take next? - Exact Answer reapply the mask , ensuring that a tight seal has been obtained.
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you are aske to place pulse ox probe preductally for an infant with suspected pulmonary hypertension. which of the following sites is a preductal site - Exact Answer right wrist An 800 gram infant has a UAC line NS at 1ml/hr. NS has 0.154 mEq/ml of NA. How many mEq of sodium does this infant receive in 24 hours from this infusion. - Exact Answer 0.369 mEq/kg/day normal serum potassium (K+) level is: - Exact Answer 3.5-5.5 mEq/L A healthy full term infant would require how many kcal/kg/day for adequate growth and development? - Exact Answer 150- 180 a term baby is delivered by emergency c-section for umbilical cord prolapse. Apgar's were 1,3,and 5. initial blood gas showed a PH 7.01, PCO2 39, PO2 180, HCO3 16, BE -19. What is the correct interpretation of the blood gas? - Exact Answer Metabolic Acidosis Which infant would have the greatest risk for evaporative heat loss? - Exact Answer 30 weeker
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intervention is to: - Exact Answer Have the mother hold the infant & explain signs and symptoms that demonstrate instability of the infant. which of the following findings suggest a surgical emergency? - Exact Answer Unilateral swollen scrotum that is bluish red What disease comprise TORCH syndrome? - Exact Answer Toxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex An acquired disease that is primarily seen in preterm infants, characterized by feeding intolerance, bowel wall edema, and pneumatosis intestinalis is called? - Exact Answer Necrotizing enterocolitis (NEC) Which of the following is a benign skin rash that may persist for several days, resolves spontaneously, and characterized by erythematous macules each containing a central yellow or white papule? - Exact Answer Erythema toxicum
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Herniation of abdominal contents through an abdominal wall, lateral to the umbilical ring is called: - Exact Answer gastroschisis The MOST effective way to reduce central line infections is - Exact Answer remove central line when no longer indicated you are called to the delivery of a 41- week gestation infant with thick meconium stained fluid. the infant is limp in the OB arms and is not crying. your first priority is to? - Exact Answer vigorously dry the infant to prevent cold stress TORCH is an acronym for toxoplasmosis, other infections (such as syphillis), rubella, CMV, and herpes simplex. Which statement is true regarding TORCH infections during pregnancy? - Exact Answer All of the infectious agents causing TORCH infections across the placenta to the fetus A life-threating complication of UVC us is - Exact Answer Cardiac Tamponade
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Scalp swelling that is present at birth , crosses suture lines, and disappears within 24 to 48 hours is most consistent with which potential birth trauma? - Exact Answer Caput Succedaneum Which mechanical ventilation parameter aids in maintain functional residual capacity, thus stabilizing and recruiting atelectatic areas for gas exchange? - Exact Answer Positive end-expiratory pressure (PEEP) During the newborn nursery admission of a term infant, you note that the systolic blood pressure of the upper extremities are 20 mmHg higher than that of the lower extremities. This finding is an indication of
- Exact Answer Coarctation of aorta which of the following nursing interventions facilitate developmentally supportive care? - Exact Answer decrease noise and lighting A nurse is explaining the difference between foremilk and hindmilk to a breast pumping mother. which of the following statements by the nurse BEST describes the difference? - Exact Answer The fat content is up to 3x greater in hindmilk than foremilk
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on day 2 of life, the 25 week gestation infant you are caring for has 45 ml of urine output in 24 hrs. weight is 0.6 kg. how many ml/kg/hr did this infant void. - Exact Answer 3. RSV is transmitted by exposure to large particle droplets or contaminated surfaces. which statement is true regarding RSV - Exact Answer the virus can survive several hours on an environmental surfaces. Ballard exam shows the following physical finding: Skin that is red and translucent, sparse lanugo, no plantar creases, barely perceptible breast buds, fused eyelids. these findings are most consistent with which gestational age range? - Exact Answer 23-24 weeks Blank are ultimately responsible for deciding what is in the best interest of a baby - Exact Answer parents infant delivered at 28 weeks gestation by c-section is diagnosed with nonimmune hydrops fetalis. which of the following intervention should
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the most common inborn error of amino acid metabolism that may result in mental retardation is: - Exact Answer Phenylketonuria (PKU) EPI to be given via ETT. what is the correct concentration of epi to be administered - Exact Answer 1:10, Delivery room preparation includes which of the following? - Exact Answer prewarm resuscitation room, bed, and linens to minimize thermal losses Endotracheal intubation attempts should be limited to how many seconds to decrease the risk of complications. - Exact Answer 30 seconds Which of the following is included in the initial treatment of septic shock - Exact Answer blood pressure support including dopamine, epi, and hydrocortisone.
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the parents of a 24 weeker want aggressive care for their infant, even though a grim prognosis is present. this is an example of which ethical principle? - Exact Answer respect for auntonmy 36 week infant is unexpectedly admitted to the nicu for hypoglycemia. the best method to assist a Spanish speaking mother in making informed decisions is to: - Exact Answer use a certified language interpreter you've just admitted an infant who has increased work of breathing and appears to have a small lower jaw. what position should this infant be placed to decrease airway distress? - Exact Answer Prone which of the following is a component of the Apgar score? - Exact Answer muscle tone most common broad spectrum antimicrobial therapy indicated on admission includes: - Exact Answer Amp and Gent
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which of the following is an appropriate isolation precautions for infants who tested positive for MRSA - Exact Answer place infant on contact isolation Sustained supraventricular tachycardia (SVT) can cause which form of shock in the newborn - Exact Answer Cardiogenic Total body cooling or selective head cooling is a management option that has shown to improve neurodevelopment outcomes for infants with: - Exact Answer Hypoxic-Ischemic encephalopathy (HIE) term infant delivered to a mother whose membranes where ruptured for 26 hrs. the infant has been breastfeeding well and is preparing to room in. on day of life 3, the RN's assessment reveals weak central pulse, HR 200 , RR 85. the RN can anticipate which of the following orders? - Exact Answer CBC with diff, c-reactive protein, and blood culture. an infant is delivered by c-section and is noted to have gastroschisis. what would be the MOST appropriate measure to prevent evaporative
Answers Update 2023
heat loss from the exposed instestines. - Exact Answer place infant in a sterile bowel bag.
