NNP 2 Final Exam QUESTIONS AND
CORRECT ANSWERS
Phototherapy leads to - CORRECT ANSWER Movement of Bilirubin from extravascular space
to intravascular space
Bilirubin conjugation (direct bilirubin) - CORRECT ANSWER Creates a fat
Term, 5-day old presents with lethargy, hypotonia, and mother reports he is sleeping through the
night. - CORRECT ANSWER Bilirubin encephalopathy
Antibodies on infant platelets but not on mom's platelets - CORRECT ANSWER Isoimmune
thrombocytopenia
Why is a critically ill neonate at increased risk for DIC? - CORRECT ANSWER Decreased
amounts of antithrombin and protein C
Important factor in determining the cause of thrombocytopenia in an infant. - CORRECT
ANSWER Maternal low platelets
Appropriate intervention for an infant with oozing heel sticks, petechiae, bloody ET secretions, low
platelets (76), PT 22 PTT 65 - CORRECT ANSWER Give FFP **Normal Levels: PT= 10-15,
PTT= 30-55, Fibrinogen= 150-373mg/dl
Most common transfusion reaction in neonates - CORRECT ANSWER Volume overload
Cryoprecipitate is used to provide - CORRECT ANSWER Fibrinogen
Term neonate presents with plethora, jitteriness, and HCT >65%, what is the appropriate action -
CORRECT ANSWER Partial exchange transfusion with normal saline **HCT 65 or >=
exchange transfusion whether infant is symptomatic or not
, The following symptoms are consistent with what: malaise, irritability, poor weight gain, dribbling,
and malodorous urine - CORRECT ANSWER UTI
Perinatal history consistent with duodenal atresia - CORRECT ANSWER Polyhydramnios
Dehydration is a risk associated with omphalocele due to - CORRECT ANSWER Evaporative
losses
Term infant with cystic fibrosis presents with abdominal distension and metabolic acidosis, what do
you suspect? - CORRECT ANSWER Meconium ileus
Term infant comes in for 2 week check up and has not returned to birth weight, listless, poor skin
turgor, and mother reports strictly breastfeeding. What is your first action? - CORRECT
ANSWER Ask about breastfeeding techniques and observe her breastfeed
Long-term prognosis with short gut syndrome depends on - CORRECT ANSWER Presence of
ileocecal valve **ileocecal valve- sphincter that separates the small & large intestine; prevents
bacteria transfer from large to small bowel
Full term infant failed to pass meconium & has bilious vomiting; what will both diagnose and treat
meconium plug? - CORRECT ANSWER Contrast enema: Contrast pulls water from the
intestinal walls and helps make meconium softer
Microbial gut-brain axis has a - CORRECT ANSWER Reciprocal relationship
Radiographic findings consistent with Bells Stage 2 - CORRECT ANSWER Pneumatosis
**Bells Stage 1= symptoms of NEC, no xray findings **Bells Stage 2= pneumatosis on xray **Bells
Stage 3= pneumoperitoneum, free air, air in portal circulation
Leading factor for developing NEC - CORRECT ANSWER Prematurity
Definitive diagnosis of NEC with radiographic findings of - CORRECT ANSWER Pneumatosis
CORRECT ANSWERS
Phototherapy leads to - CORRECT ANSWER Movement of Bilirubin from extravascular space
to intravascular space
Bilirubin conjugation (direct bilirubin) - CORRECT ANSWER Creates a fat
Term, 5-day old presents with lethargy, hypotonia, and mother reports he is sleeping through the
night. - CORRECT ANSWER Bilirubin encephalopathy
Antibodies on infant platelets but not on mom's platelets - CORRECT ANSWER Isoimmune
thrombocytopenia
Why is a critically ill neonate at increased risk for DIC? - CORRECT ANSWER Decreased
amounts of antithrombin and protein C
Important factor in determining the cause of thrombocytopenia in an infant. - CORRECT
ANSWER Maternal low platelets
Appropriate intervention for an infant with oozing heel sticks, petechiae, bloody ET secretions, low
platelets (76), PT 22 PTT 65 - CORRECT ANSWER Give FFP **Normal Levels: PT= 10-15,
PTT= 30-55, Fibrinogen= 150-373mg/dl
Most common transfusion reaction in neonates - CORRECT ANSWER Volume overload
Cryoprecipitate is used to provide - CORRECT ANSWER Fibrinogen
Term neonate presents with plethora, jitteriness, and HCT >65%, what is the appropriate action -
CORRECT ANSWER Partial exchange transfusion with normal saline **HCT 65 or >=
exchange transfusion whether infant is symptomatic or not
, The following symptoms are consistent with what: malaise, irritability, poor weight gain, dribbling,
and malodorous urine - CORRECT ANSWER UTI
Perinatal history consistent with duodenal atresia - CORRECT ANSWER Polyhydramnios
Dehydration is a risk associated with omphalocele due to - CORRECT ANSWER Evaporative
losses
Term infant with cystic fibrosis presents with abdominal distension and metabolic acidosis, what do
you suspect? - CORRECT ANSWER Meconium ileus
Term infant comes in for 2 week check up and has not returned to birth weight, listless, poor skin
turgor, and mother reports strictly breastfeeding. What is your first action? - CORRECT
ANSWER Ask about breastfeeding techniques and observe her breastfeed
Long-term prognosis with short gut syndrome depends on - CORRECT ANSWER Presence of
ileocecal valve **ileocecal valve- sphincter that separates the small & large intestine; prevents
bacteria transfer from large to small bowel
Full term infant failed to pass meconium & has bilious vomiting; what will both diagnose and treat
meconium plug? - CORRECT ANSWER Contrast enema: Contrast pulls water from the
intestinal walls and helps make meconium softer
Microbial gut-brain axis has a - CORRECT ANSWER Reciprocal relationship
Radiographic findings consistent with Bells Stage 2 - CORRECT ANSWER Pneumatosis
**Bells Stage 1= symptoms of NEC, no xray findings **Bells Stage 2= pneumatosis on xray **Bells
Stage 3= pneumoperitoneum, free air, air in portal circulation
Leading factor for developing NEC - CORRECT ANSWER Prematurity
Definitive diagnosis of NEC with radiographic findings of - CORRECT ANSWER Pneumatosis
