NNP 1 Quiz 2 Questions With 100% Correct Answers 2024

NNP 1 Quiz 2 Questions With 100% Correct Answers 2024 Medical treatment of post Renal failure? - answerfluid boluses blood products vasopressors minimize fluid overload/assess for surgical correctable anomalies adjust fluids and medications that worsen kidney failure foley catheter for I/Os Etiologies of Intrinsic ARF? - answerProlonged ischemia: Shock, hemorrhage, sepsis Vascular lesions: Thrombi Nephrotoxins: Indocin, ATBX, non steroidal anti-inflammatories Pigments: Myo- or hemoglobinemia A one week of age, 34 week neonate develops feeding intolerance, vomiting, diarrhea, fever irritability, rapid respirations, sweating, hyperactive reflexes. You suspect the infant is experiencing what? - answerNAS What is a sub acute sign of NAS that may persist for 4-6 months? - answerFeeding problems What combination of sedative have been shown to decrease the severity of narcotic withdrawl symptoms in the neonate? - answerPhenobarbital and clonidine In neonates, biotransformation or drug metabolism occurs most commonly in which organ? - answerLiver The primary mechanism for excretion of many drugs commonly used in the NICU are glomular filtration and what? - answerTubular Secretion Therapeautic drug monitoring is required for aminoglycoside use due to neonatal decreased what? - answerRenal tubular excretion capacity What is the diuretic that is most Calcium sparing? - answerDiuril What is the appropriate management for a neonatal serum trough level for vancomycin of 12mcg/ml? - answerMaintain What maternal factor lessens the severity of RDS? - answerMaternal heroin addiction The triad of bilateral cryptorchidism, abdominal wall flaccidity and urologic abnormalities is consistent with what condition? - answerPrune Belly Syndrome A common reason for the dilation of the renal pelvis in the newborn is what? - answerUreteropelvic junction obstruction What is a common cause of virilization in a female neonate? - answerCongenital adrenal hypoplasia What does care for a neonate born with hypospadias include? - answerWithholding circumcision What is an accurate statement about sodium regulation? - answerOncotic and hydrostatic pressure in the peri-tubular capillaries regulates sodium When does fetal urine production begin? - answer10 weeks-12 weeks What findings correlate with neonatal acute tubular necrosis (ATN)? - answerHyperglycemia, hyperkalemia, serum BUN 36mg/dl What are the 7 main kidney functions? - answer-maintain plasma osmolarity -electrolyte balance -excretes nitrogenous end products -produces erythropoietin -metabolizes Vit D -breaks down insulin -produces prostaglandin Abnormal ascent or rotation of the kidney in utero can lead to what? - answerHorseshoe kidney Pelvic kidneys What is the most important function of the fetal kidney? - answerFormation and excretion of urine to maintain adequate amniotic fluid How much fetal urine is normal to maintain amniotic fluid at 20, 30 and 40 weeks? - answer5ml/hr 10ml/hr 50ml/hr What are 4 important facts about glomerular filtration? - answer-increases with number and size of nephrons -doubles by 2 weeks of age -Adult levels at one year of age -serum creatinine is a reflection of GFR Where is filtrate collected? - answerin the bowmans space and enters the tubules where the composition is modified until it is excreted as urine Where is plasma filtered? - answerglomerular capillary walls What three primary functions determine GFR? - answer-Glomerular capillary hydrostatic pressur