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Nursing Neonatal Nurse Practitioner Sample Questions:

1. The NP is caring for a newborn with spina bifid
a. The mother expresses concerns that a
fall she had 2 weeks before delivery could have caused the birth defect. The best response is

A) spina bifida occurs during the last month of pregnancy due to a congenital condition, not
B) there is a chance that trauma during pregnancy may have caused the abnormality
C) spina bifida occurs during the first month of pregnancy and her fall did not cause this

2. A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is

A) meconium aspiration syndrome (MAS)
B) birth asphyxia
C) transient tachypnea of newborn (TTN)

3. The purpose of quality improvement is to

A) improve employee satisfaction
B) implement specific changes, which have a measurable improvement for a group of patients
C) monitor the leadership skills of the administration of a healthcare facility

4. A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate

A) respiratory acidosis from hypoventilation
B) respiratory alkalosis from hyperventilation
C) metabolic acidosis from decreased tissue perfusion

5. The most common craniosynostosis syndrome is

A) Pichvickian syndrome
B) Apert syndrome
C) Crouzon syndrome

Solutions: