Page | 1
NSNE 7200 FINAL 2026 LATEST
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
prenatally-acquired NAS - correct answer -result of abrupt d/c of
opioids @ birth as infant has become dependent in utero
iatrogenic NAS - correct answer -rapid d/c of opioids after given
as analgesic or sedative
common complications of multiple gestation - correct answer --
premature birth
- LBW
- twin-twin transfusion syndrome (TTTS): one twin gets too much
blood, other twin gets little
- preeclampsia
- GDM
dizygotic twins (fraternal) - correct answer -two separate eggs
fertilized by two separate sperm to form two separate embryo
, Page | 2
monozygotic twins (identical) - correct answer -one egg is
fertilized & splits into two embryos
monochorionic twins - correct answer -- fetuses share a single
placenta
- always identical
dichorionic twins - correct answer -- fetuses have their own
placenta each with its own chorion & amnion
- most are fraternal
what is the direction of blood flow through a PDA? - correct
answer -left to right (aorta into pulmonary artery) d/t decreased
pressure of pulmonary circulation & increased pressure of aorta
patent ductus arteriosus (PDA) - correct answer -vascular
connection that bypasses pulmonary vascular bed & directs blood
from pulmonary artery to aorta
, Page | 3
signs and symptoms of PDA - correct answer -- systolic murmur
- widening pulse pressure
- hypotension
- bounding peripheral pulses
- active precordium
- tachycardia
- CHF (late)
conservative management of PDA - correct answer -- fluid
restrict
- resp support
- indomethacin or ibuprofen
assessment data before giving indomethacin - correct answer --
renal: GFR, BUN, Cr, fluid balance, u/o, lytes
- plt count
- contraindicated with NEC, IVH
why are preterm infants @ risk for developing IVH? - correct
answer -- limited ability to regulate cerebral BP
- @ risk for hypoxia
, Page | 4
- BVs are thin & fragile
- periventricular region of brain is growing & developing @ a rapid
pace
- frequently stressed by painful, invasive, uncomfortable
procedures (hypoxia & elevated BP)
- frequently need hypertonic IV sol & meds which rapidly expand
intravascular space = increased intracranial blood volume &
pressure
monitoring for IVH - correct answer -- increased/decreased
muscle tone
- LOC
- apnea & bradycardia
- sudden drop in Hct
- pallor, mottling
- temp instability
- full or tense fontanelle
IVH prevention - correct answer -- maintain O2
- regulate A-B balance
- ensure IVF & meds are admin @ appropriate rate
- minimize stress w/ pain management & DSC
NSNE 7200 FINAL 2026 LATEST
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
prenatally-acquired NAS - correct answer -result of abrupt d/c of
opioids @ birth as infant has become dependent in utero
iatrogenic NAS - correct answer -rapid d/c of opioids after given
as analgesic or sedative
common complications of multiple gestation - correct answer --
premature birth
- LBW
- twin-twin transfusion syndrome (TTTS): one twin gets too much
blood, other twin gets little
- preeclampsia
- GDM
dizygotic twins (fraternal) - correct answer -two separate eggs
fertilized by two separate sperm to form two separate embryo
, Page | 2
monozygotic twins (identical) - correct answer -one egg is
fertilized & splits into two embryos
monochorionic twins - correct answer -- fetuses share a single
placenta
- always identical
dichorionic twins - correct answer -- fetuses have their own
placenta each with its own chorion & amnion
- most are fraternal
what is the direction of blood flow through a PDA? - correct
answer -left to right (aorta into pulmonary artery) d/t decreased
pressure of pulmonary circulation & increased pressure of aorta
patent ductus arteriosus (PDA) - correct answer -vascular
connection that bypasses pulmonary vascular bed & directs blood
from pulmonary artery to aorta
, Page | 3
signs and symptoms of PDA - correct answer -- systolic murmur
- widening pulse pressure
- hypotension
- bounding peripheral pulses
- active precordium
- tachycardia
- CHF (late)
conservative management of PDA - correct answer -- fluid
restrict
- resp support
- indomethacin or ibuprofen
assessment data before giving indomethacin - correct answer --
renal: GFR, BUN, Cr, fluid balance, u/o, lytes
- plt count
- contraindicated with NEC, IVH
why are preterm infants @ risk for developing IVH? - correct
answer -- limited ability to regulate cerebral BP
- @ risk for hypoxia
, Page | 4
- BVs are thin & fragile
- periventricular region of brain is growing & developing @ a rapid
pace
- frequently stressed by painful, invasive, uncomfortable
procedures (hypoxia & elevated BP)
- frequently need hypertonic IV sol & meds which rapidly expand
intravascular space = increased intracranial blood volume &
pressure
monitoring for IVH - correct answer -- increased/decreased
muscle tone
- LOC
- apnea & bradycardia
- sudden drop in Hct
- pallor, mottling
- temp instability
- full or tense fontanelle
IVH prevention - correct answer -- maintain O2
- regulate A-B balance
- ensure IVF & meds are admin @ appropriate rate
- minimize stress w/ pain management & DSC
