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N I C U Exam
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1. Physiologic jaundice is characterized by:
2. Pathologic jaundice within the first 36 hours of birth may be caused by:
3. Which type of bilirubin is lipid soluble and may cross the blood-brain barrier into the basal ganglia:
4. Treatment of hyper-bilirubinemia may include all of the following EXCEPT:
5.(a) CASE PROBLEM- Baby Stork is full term and Mrs Storks first baby. She is eager to breastfeed. The physician orders no supplemental oral feeding. At 24 hours of age the baby shows visible jaundice. At 48 hours total serum bilirubin is 13 mgs/100
5. What might be the cause of this jaundice:
6. How might this case be managed:
7. Nursing management of the infant under phototherapy lights includes all the following EXCEPT:
8. Baby Sara - full term infant - has a serum bilirubin level of 20 mg/ml. The neo-natologist orders an exchange transfusion. Throughout the procedure it is essential that metabolic acidosis and cardiac arrest be prevented. Of the following which is MO
9.(a) CASE PROBLEM 9 thru 13- Baby Wally is a 26 week gestation - 1100 gram infant on the ventilator in the special care nursery. Maternal labor and delivery records reveal Mom is an 18 year old primigravida who went into labor and delivered via C-sect
9. You expect a medical diagnosis of:
10. At 24 hours of age a head sonogram revealed a grade II Intraventricular hemorrhage. What pathophysiology is present:
11. What is the prognosis for this infant:
12(a). At 8 days of age-ventilator support increased-gastric residuals increased-abdominal distention occurred-blood pressure decreased 10 mm Hg and the baby appeared lethargic:
12. Nursing interventions might include all EXCEPT:
13. After careful consideration and further clinical evaluation-the physician ordered Baby Wally MPO - a repeat head sonogram- chest and abdominal X-rays- CBC and blood culture- electrolytes and glucose. Medical diagnoses he may be considering include:
14. The MOST FREQUENT indication for oxygen administration in the newborn is:
15. Of the following nursing responsibilities in the care of an infant receiving oxygen therapy - WHICH contributes MOST to prophylaxis of complications:
16. Respiratory distress is characterized by all of the following EXCEPT:
17. Signs and symptoms of respiratory distress may be caused by all of the following EXCEPT:
18. Condition characterized by cyanosis - tachypnea - grunting and nasal flaring often present sudden change in respiratory status - unequal breath sounds auscultated; shift of apical pulse and chest expansion is asymmetrical:
19. Condition in which an infant has expiratory grunting or whining when the infant is NOT crying; sternal and intercostal retractions - nasal flaring - cyanosis in room air; chest X-ray shows reticulogranular - ground glass appearance with air bronchogra
20. Disease caused by prolonged- high - oxygen therapy and mechanical ventilation with high pressure and an end tracheal tube thaqt disrupts normal mucociliary function- infant usually starts out with respiratory distress syndrome:
21. Cessation of breathing for 15-30 seconds; functional changes may occur such as cyanosis- hypotonia- or metabolic acidosis is:
22. Arterial blood gases reflect all of the following EXCEPT:
23. Petechiae and a severely depressed platelet count in an otherwise healthy appearing neonate is most likely due to:
24(a) CASE PROBLEM- Mrs. B- Gravida V- Para IV- delivered a term- 1 and one half pound male infant in her car on the way to the hospital. Ambulance attendants transported both of them to the hospital. In the nursery- because of the birth circumstance-
24. Other factors which may contribute to Vitamin K deficiency include all of the following EXCEPT:
25. Two of the MOST COMMON organisms causing neonatal septicemia are:
26. Clinical signs and symptoms of sepsis include all BUT WHICH of the following:
27. Risk factors for neonatal sepsis include ALL of the following EXCEPT:
28. Which of the following statements is NOT TRUE concerning neonatal meningitis:
29. A baby wet with amniotic fluid loses heat by:
30. An uncovered baby in an open crib loses heat by:
31. A baby weighed on a cold scale loses heat by:
32. A baby in an isolette placed directly under an air-conditioning vent loses heat by:
33. Clinical signs of hypothermia include all BUT which one of the following:
34. Consequences of hypothermia include:
35. The neutral thermal environment is one in which:
36. Infants can maintain their body temperature by all of the following EXCEPT:
37. What is the BEST method for preventing the spreading of infections among neonates:
38. Head circumference may be inaccurate when:
39. Bulging - tight fontanelles:
40. Which of these is NOT a symptom of hypoglycemia:
41. Bio-chemical resuscitation of the newborn may include all BUT which of the following:
42. Sarah is an infant with a congenital cardiac defect. Sarah's mother plans to come for the mid-morning feeding. When planning your teaching strategies for helping Sarah's mom - the BEST thing to tell her is:
43. Hypoglycemia in the pre-term infant is indicated by:
44. The MOST important steps in any resuscitation include:
45. An UNDESIRABLE side effect of Theophylline in neonates is:
46. Which of the following provides the BEST method for taking frequent neonates temperatures:
47. Which of the following contributes MOST to decreasing the incidence of neonatal apnea:
48. Intermittent gavage feedings are indicated for infants less than 32 weeks gestation. All of the following statements are TRUE concerning gavage feedings EXCEPT:
49. Which of the following BEST describes the etiology of enterocolitis:
50. Although definitive diagnosis is established by laboratory and X-ray examination - EARLY subtle signs which indicate possible sepsis in the neonate are: