NNP Certification Intensive Review Book
Practice Questions
The most common complication in pregnancy is gestational: - correct Answer-
hypertension
Changes to the maternal pulmonary system during pregnancy include a decrease in the
woman's: - correct Answer-functional residual capacity
Administration of the varicella vaccine within 3 months of conception has been
associated with a/an: - correct Answer-increased risk of birth defects
Pregnant women should be cautioned in allowing infections with N. gonorrhoeae to go
untreated due to effects on the fetus, including the: - correct Answer-complications of
chorioamnionitis
The biophysical profile (BPP) antenatal screening combines a non stress test (NST)
with measurements of amniotic fluid volume, fetal breathing movements, fetal
musculoskeletal tone, and fetal: - correct Answer-motor activity
With a maternal diagnosis of polyhydramnios, the NNP prepares for a neonate with a
possible diagnosis of neonatal: - correct Answer-duodenal atresia
A velamentous insertion of the umbilical cord is associated with: - correct Answer-vasa
previa
The main contributor to fluid dynamics in early pregnancy is the fetal: - correct Answer-
integumentary system
The etiology of increased amniotic fluid may be due to decreased absorption, to
overproduction, or is: - correct Answer-idopathic and unknown
The NNP is called to attend a delivery of a mother who is 30 weeks +4 days gestation
and reported to have oligohydramnios since 18 weeks of gestation. The NNP knows to
prepare for an infant who will likely be in: - correct Answer-respiratory distress
After a prolonged labor and vaginal delivery, the nurse notes the infant has a large
ecchymotic swelling over the presenting portion of the scalp that crosses suture lines,
and identifies this as a: - correct Answer-Caput succedaneum
, A pregnant woman is preparing to deliver vaginally an infant at 40 5/7 weeks' gestation
who is large for gestational age (LGA). This infant is identified as at high risk for
intrapartum: - correct Answer-Severe shoulder dystocia
Postmenstrual age (PMA) is defined as the age from first day of last menstrual period
(LMP) to the day of: - correct Answer-Assessment
The majority of notable, visible anomalies discovered on physical examination of a
newborn infant are found in the: - correct Answer-Head
The Neonatal Nurse Practitioner (NNP) recognizes a neonatal presentation suggestive
of congenital heart disease is one in which the already-present cyanosis increases with
an infant's: - correct Answer-Crying
Therapeutic drug monitoring (TDM) uses plasma medication concentrations to: - correct
Answer-Optimize medication therapy
Calculate the I/T ratio using the following laboratory values: WBC = 9 cells/μL, Hgb = 13
g/dL, Hct = 40%, Plts = 127,000, neutrophils = 32%, bands = 0%, lymphs = 34%, monos
= 18%, eosinophils = 5%, metas = 8%, myelos = 6%, promyelos = 4 - correct Answer-
0.36
Calculate the absolute neutrophil count (ANC) using the following laboratory values:
WBC = 3 cells/μL, Hgb = 14 g/dL, Hct = 42%, Plts = 143,000, neutrophils = 4%, bands =
2%, lymphs = 23%, monos = 18%, eosinophils = 4%, metas = 2%, myelos = 9% -
correct Answer-240
When obtaining a left lateral decubitus x-ray to evaluate for free air in the abdomen, the
infant should be positioned with the: - correct Answer-Left side down
The interpretation of an electroencephalogram (EEG) is based on three factors: the
appearance and disappearance of waveforms, the synchrony of waveforms, and the: -
correct Answer-Continuity of background activity
A medical problem with or malformation of an infant can lead the parents to have
overwhelming feelings of: - correct Answer-Guilt
An abnormal accumulation of fluid in the interstitial space (IS) caused by increased
capillary hydrostatic pressure and increased capillary wall permeability is termed: -
correct Answer-edema
Calculate the insensible water loss (IWL) for a 1.5 kg infant with a total fluid intake of
150 mL/kg/day, a urine output of 3 mL/kg/hr., and a weight loss of 200 g. - correct
Answer-−83 mL
Practice Questions
The most common complication in pregnancy is gestational: - correct Answer-
hypertension
Changes to the maternal pulmonary system during pregnancy include a decrease in the
woman's: - correct Answer-functional residual capacity
Administration of the varicella vaccine within 3 months of conception has been
associated with a/an: - correct Answer-increased risk of birth defects
Pregnant women should be cautioned in allowing infections with N. gonorrhoeae to go
untreated due to effects on the fetus, including the: - correct Answer-complications of
chorioamnionitis
The biophysical profile (BPP) antenatal screening combines a non stress test (NST)
with measurements of amniotic fluid volume, fetal breathing movements, fetal
musculoskeletal tone, and fetal: - correct Answer-motor activity
With a maternal diagnosis of polyhydramnios, the NNP prepares for a neonate with a
possible diagnosis of neonatal: - correct Answer-duodenal atresia
A velamentous insertion of the umbilical cord is associated with: - correct Answer-vasa
previa
The main contributor to fluid dynamics in early pregnancy is the fetal: - correct Answer-
integumentary system
The etiology of increased amniotic fluid may be due to decreased absorption, to
overproduction, or is: - correct Answer-idopathic and unknown
The NNP is called to attend a delivery of a mother who is 30 weeks +4 days gestation
and reported to have oligohydramnios since 18 weeks of gestation. The NNP knows to
prepare for an infant who will likely be in: - correct Answer-respiratory distress
After a prolonged labor and vaginal delivery, the nurse notes the infant has a large
ecchymotic swelling over the presenting portion of the scalp that crosses suture lines,
and identifies this as a: - correct Answer-Caput succedaneum
, A pregnant woman is preparing to deliver vaginally an infant at 40 5/7 weeks' gestation
who is large for gestational age (LGA). This infant is identified as at high risk for
intrapartum: - correct Answer-Severe shoulder dystocia
Postmenstrual age (PMA) is defined as the age from first day of last menstrual period
(LMP) to the day of: - correct Answer-Assessment
The majority of notable, visible anomalies discovered on physical examination of a
newborn infant are found in the: - correct Answer-Head
The Neonatal Nurse Practitioner (NNP) recognizes a neonatal presentation suggestive
of congenital heart disease is one in which the already-present cyanosis increases with
an infant's: - correct Answer-Crying
Therapeutic drug monitoring (TDM) uses plasma medication concentrations to: - correct
Answer-Optimize medication therapy
Calculate the I/T ratio using the following laboratory values: WBC = 9 cells/μL, Hgb = 13
g/dL, Hct = 40%, Plts = 127,000, neutrophils = 32%, bands = 0%, lymphs = 34%, monos
= 18%, eosinophils = 5%, metas = 8%, myelos = 6%, promyelos = 4 - correct Answer-
0.36
Calculate the absolute neutrophil count (ANC) using the following laboratory values:
WBC = 3 cells/μL, Hgb = 14 g/dL, Hct = 42%, Plts = 143,000, neutrophils = 4%, bands =
2%, lymphs = 23%, monos = 18%, eosinophils = 4%, metas = 2%, myelos = 9% -
correct Answer-240
When obtaining a left lateral decubitus x-ray to evaluate for free air in the abdomen, the
infant should be positioned with the: - correct Answer-Left side down
The interpretation of an electroencephalogram (EEG) is based on three factors: the
appearance and disappearance of waveforms, the synchrony of waveforms, and the: -
correct Answer-Continuity of background activity
A medical problem with or malformation of an infant can lead the parents to have
overwhelming feelings of: - correct Answer-Guilt
An abnormal accumulation of fluid in the interstitial space (IS) caused by increased
capillary hydrostatic pressure and increased capillary wall permeability is termed: -
correct Answer-edema
Calculate the insensible water loss (IWL) for a 1.5 kg infant with a total fluid intake of
150 mL/kg/day, a urine output of 3 mL/kg/hr., and a weight loss of 200 g. - correct
Answer-−83 mL
