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2026
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A neonate is on a ventilator for RDS. b. the neonate should be extubated to CPAP
settings are
PIP: 26
PEEP: 5
FiO2: 1.0
Rate: 20
SaO2 90
The neonate is given surfactant and
18 hours later the ventilator settings
are
PIP: 18
PEEP: 4
FiO2: 0.21
Rate: 20
SaO2 95
the NP should recognize that:
a. the FiO2 should be increased
b. the neonate should be extubated
to CPAP
c. the settings are appropriate and
will assist weaning
,Assessment of a term infant is as b. rubella
follows: IUGR, microcephaly,
congenital cataracts,
hepatosplenomegaly and jaundice.
Based on these findings, the most
likely diagnosis is congenital:
a. CMV
b. rubella
c. toxoplasmosis
A giant nevus is the most concerning b. of increased risk of malignant transformation
of the congenital pigment nevi
because:
a. it is often associated with hearing
loss
b. of increased risk of malignant
transformation
c. ulceration and bleeding are
common
Infants who "refer" on a second b. 3 months old
hearing screen should have a full
scale auditory diagnostic evaluation
at:
a. 2 months old
b. 3 months old
c. 6 months old
,A major characteristic of autosomal possible consanguinity
recessive disorders is:
a. 50% risk for each offspring
b. multiple generations are affected
c. possible consanguinity
Most safety initiatives are successful a. A change in the culture of the institution
when:
a. a change in the culture of the
institution
b. determination of individual
continuing education needs
c. identification of those who make
the most mistakes
A cranial suture line of a neonate b. increased intracranial pressure
reveals an immovable bony
prominence which is even and
smooth bilaterally. This neonate
should be evaluated for :
a. a linear skull fracture
b. increased intracranial pressure
c. seizure activity
Of the following, the most common a. amphetamines
environmental trigger for PDA is:
a. amphetamines
b. Phenytoin
c. Prozac
, A neonate is 48 hours old post- b. pain medication
surgery secondary to NEC and is on
a ventilator. The neonate is grimacing
and eyes are tightly shut. The heart
rate is increased and the neonate is
breathing over the ventilator. The
most appropriate intervention would
be to obtain an order for:
a. arterial blood gas
b. pain medication
c. sedation to calm the infant
Absence of the ileocecal valve in the b. nutritional deficiencies and cholestasis
neonate with SBS can lead to:
a. bacterial overgrowth in the small
intestine
b. nutritional deficiencies and
cholestasis
c. watery or fatty stools
Which type of heat loss is minimized b. convection
by using hats on infants in cribs?
a. conduction
b. convection
c. evaporation
A predisposing factor to osteopenia b. prolonged parenteral nutrition
of prematurity is:
a. diminished calcium absorption
b. prolonged parenteral nutrition
c. vitamin D deficiency