Free Neonatal Nurse Practitioner for Professional Questions and Answers

Question 1

Neonatal hypoxia resulted in neurological impairment and mild hypoxic ischemic encephalopathy (HIE). The method of treatment LESS likely to be used for this ailment is

Accepted Answer

Fluid resuscitation

Answer

Therapeutic hypothermia

Answer

Phenobarbital

Question 2

Frequent blood tests were performed on a baby to check his electrolyte and glucose levels. Despite the fact that the newborn is not acutely hypoxemic, this phlebotomy has resulted in anemia of prematurity (AOP). The first course of action is

Accepted Answer

Recombinant human erythropoietin (rHuEPO)

Answer

Fresh frozen platelets (FFP)

Answer

Platelets

Question 3

Neonatal early-onset sepsis (72 hours) typically manifests as

Accepted Answer

Pneumonia

Answer

Bacteremia

Answer

Meningitis

Question 4

Two weeks after giving birth, a mother brings her term baby—her first child—in for a checkup. The infant's skin turgor is weak, his or her face is drawn, and he or she hasn't gained any weight since birth. The woman is nursing her baby. The best course of action to take is

Accepted Answer

Question mother about nursing technique and frequency, and observe the infant nursing

Answer

Report the mother to child protective services for neglect

Answer

Advise the mother to stop breastfeeding and switch to formula

Question 5

The following action should be taken if a patient's membranes burst and meconium-tinted amniotic fluid is discovered.

Accepted Answer

Increased fetal monitoring

Answer

Fetal scalp blood sampling

Answer

Cesarean

Question 6

An osteogenesis imperfecta (OI) type 1 diagnosis is made at delivery for a term newborn. Before bringing their child home, parents should be given the following information.

Accepted Answer

Correct methods of handling, bathing, and placing their child in the crib

Answer

Correct methods for feeding to prevent aspiration

Answer

Close monitoring for breathing problems common to this defect

Question 7

Due to the father's recent diagnosis of Huntington's disease, the parents of a newborn are thinking about genetic testing for their kid. They seek advice from the NP. The best course of action is

Accepted Answer

“The information can’t be used for health purposes now, and your child may want to make this decision himself when he is older.”

Answer

“Testing is available for individuals older than ten years of age.”

Answer

“Testing the infant now may help relieve your anxiety, but will not change the outcome.”