Neonatal Nurse Practitioner Exam Neonatal Neurology and Developmental Care 2

Question 1

A premature infant in the NICU benefits most from which developmental care principle to reduce stress?

Accepted Answer

Clustering care activities and providing containment/nesting

Answer

Frequent bathing and stimulation

Answer

Bright overhead lighting 24 hours a day

Answer

Continuous auditory stimulation

Question 2

Kangaroo care (skin-to-skin holding) in the NICU has been shown to provide which benefit?

Accepted Answer

Stabilize temperature, heart rate, and improve breastfeeding outcomes

Answer

Increase infection risk

Answer

Delay weight gain

Answer

Increase oxygen requirements

Question 3

Which finding on neonatal MRI is most predictive of adverse neurodevelopmental outcomes after HIE?

Accepted Answer

Basal ganglia and thalamic injury on diffusion-weighted imaging

Answer

Mild cortical edema only

Answer

Isolated periventricular white matter signal change

Answer

Small germinal matrix cysts

Question 4

A neonate presents with jitteriness and irritability at 24 hours of age. Mother has a history of opioid use disorder. What condition is most likely?

Accepted Answer

Neonatal opioid withdrawal syndrome (NOWS)

Answer

Hypoglycemia

Answer

Neonatal meningitis

Answer

Hypocalcemia

Question 5

Which scoring tool is most commonly used to assess neonatal opioid withdrawal syndrome (NOWS) severity?

Accepted Answer

Finnegan Neonatal Abstinence Scoring Tool

Answer

Modified Sarnat score

Answer

Ballard Maturity Score

Answer

Thompson Score

Question 6

Periventricular leukomalacia (PVL) is associated with which long-term outcome?

Accepted Answer

Spastic diplegia and cerebral palsy

Answer

Congenital deafness

Answer

Congenital heart disease

Answer

Retinopathy of prematurity