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Updated NCC-NNP - Reliable Neonatal Nurse Practitioner Exam Test Braindumps
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q154-Q159):
NEW QUESTION # 154
What is the most common cause of respiratory distress in the newborn?
- A. Forceps-assisted delivery
- B. Transient tachypnea of the newborn
- C. High birth weight
Answer: B
Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.
NEW QUESTION # 155
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
- A. kernicterus
- B. anemia
- C. congestive heart failure
Answer: B
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 156
The most common craniosynostosis syndrome is
- A. Apert syndrome
- B. Crouzon syndrome
- C. Pichvickian syndrome
Answer: B
Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.
NEW QUESTION # 157
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
- A. 'Testing the infant now may help relieve your anxiety, but will not change the outcome."
- B. "Testing is available for individuals older than ten years of age."
- C. "The information can't be used for health purposes now, and your child may wantto make
Answer: C
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 158
The four heart defects seen with Tetralogy of Fallot are
- A. a large ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, and an
- B. a patent ductus arteriosus, pulmonary hypertension, cor pulmonale, and aortic stenosis
- C. a thoracic aortic aneurysm, aortic stenosis, pulmonary stenosis, and a ventricular septal
Answer: A
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 159
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