QUIZ 1 NNP 2
QUESTIONS WITH
COMPLETE
SOLUTIONS.
35-week GA infant is born to a mother who has been receiving magnesium
sulfate for hypertension. What should the nurse watch for in the infant? -
ANS/Lethargy and apnea
The XX virilization of the neonate, the most common cause of ambiguous
genitalia, is a result of which of the following: - ANS/Congenital adrenal
hyperplasia
Which of the following findings on assessment of external genitalia should
prompt further investigation for possible ambiguous genitalia? -
ANS/Inguinal hernia in a female
The parents of a baby born with ambiguous genitalia are still awaiting test
results to determine the sex of their infant. Which of the following
interventions by the nurse would be most helpful during this time? -
ANS/Arranging a meeting with a knowledgeable mental health professional
One of the most important physiologic effects of thyroid hormones is: -
ANS/Support during critical periods of brain development
,When providing discharge education to parents of an infant who will
continue receiving levothyroxine at home, the nurse should include which
of these instructions: - ANS/Laboratory samples are expected to be drawn
at frequent intervals
Maternal graves disease, particularly if inadequately treated, places the
neonate at risk for which of the following: - ANS/Hyperthyroidism
A nurse is caring for a newborn with a birth weight of 4.2 kg and breech
presentation at delivery. On the sixth day of life the infant is noted to have
a fever, pallor and jaundice, lethargy with periods of irritability, poor
feeding and vomiting. Upon notifying the physician the nurse should first
prepare for: - ANS/ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. The mother
reports the diaper smells sweet. Laboratory results include increased
levels of plasma branched chain amino acids, metabolic acidosis and
ketonuria. What disease process is likely occurring? - ANS/Maple syrup
urine disease
Which of the following is the best explanation for how hyperglycemia is
treated in extremely low birth weight infant? - ANS/Maximize IV fluid
volume and adjust IV dextrose concentration based on blood glucose
levels; administer insulin for blood glucose levels greater than 200 mg/dl
Which of the following infants is at lowest risk for hypoglycemia: - ANS/41-
week infant with club foot deformity
What is the presumed cause of macrosomia in the infant of a diabetic
mother? - ANS/Maternal hyperglycemia and hyperaminoacidemia, resulting
in fetal hyperinsulinemia
,An extremely premature infant nearing discharge has an elevated alkaline
phosphatase level. What should the nurse include in discharge education?
- ANS/Handle the infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed
to have which condition until proven otherwise? - ANS/Congenital
hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What
physiologic consequence should the nurse be concerned about? -
ANS/Osmotic diuresis
The signs and symptoms of an inborn error of metabolism in a newborn
infant are most likely to be mistaken for what other neonatal disorder? -
ANS/SEPSIS
A term infant is born with a large goiter. What nursing intervention is
indicated: - ANS/Position the infant with head elevated and slightly
extended
The primary purpose why every state in the united states has mandated
newborn screening is to: - ANS/Identify and initiate early treatment of
potentially devastating medical conditions
Gene mutation which causes an absent or defective enzyme, or over or
underproduction of hormones, with life threatening physiological or
biochemical system regulation dysfunction are termed: -
ANS/Endocrine/metabolic Disorders
Phenylketonuria (PKU) is the most common inborn error of amino acid
metabolism and is treated with: - ANS/Dietary therapy
The NNP is caring for a term newborn who was transferred from a
postpartum unit with vomiting and poor feeding lethargy and petechiae.
The infant had been breastfeeding well and voiding and stooling for 2 days
, prior to transfer. The most recent laboratory findings are notable for
hyperbili, coagulopathy and blood culture positive for e coli. Lactate levels
are normal. The most likely cause is? - ANS/Galactosemia
A possible symptom of metabolic/endocrine disorder is unresponsive
intractable: - ANS/Hypoglycemia
After feedings have been established in a neonate who had an initial
normal examination, a common presenting symptom of an organic
acidemia metabolic disorder is? - ANS/Drowsiness
Symptoms of hypoglycemia do not include which of the following: -
ANS/Diarrhea
The parathyroid hormone does which of the following: - ANS/Mobilizes
calcium and phosphorus from bone
Adrenal insufficiency in the VLBW infant does not result in which of the
following: - ANS/Hypernatremia (it decreases Na)
Which of the following is true of hypothyroxinemia of prematurity? -
ANS/Associated with a normal TSH value
Which of the following are potential clues to the presence of an inborn
error of metabolism? - ANS/Rapid progression of symptoms
Most infants with inborn errors of metabolism will present with ________ at
birth. - ANS/Normal appearance; In most cases, newborn infants with
inborn errors of metabolism do not have physical abnormalities
identifiable by physical examination; that is, they do not have a
characteristic pattern of dysmorphism or identifiable congenital
malformations. They appear essentially normal at birth with no history of
antepartum or intrapartum complications due to placental protection of
the fetus from toxins.
QUESTIONS WITH
COMPLETE
SOLUTIONS.
35-week GA infant is born to a mother who has been receiving magnesium
sulfate for hypertension. What should the nurse watch for in the infant? -
ANS/Lethargy and apnea
The XX virilization of the neonate, the most common cause of ambiguous
genitalia, is a result of which of the following: - ANS/Congenital adrenal
hyperplasia
Which of the following findings on assessment of external genitalia should
prompt further investigation for possible ambiguous genitalia? -
ANS/Inguinal hernia in a female
The parents of a baby born with ambiguous genitalia are still awaiting test
results to determine the sex of their infant. Which of the following
interventions by the nurse would be most helpful during this time? -
ANS/Arranging a meeting with a knowledgeable mental health professional
One of the most important physiologic effects of thyroid hormones is: -
ANS/Support during critical periods of brain development
,When providing discharge education to parents of an infant who will
continue receiving levothyroxine at home, the nurse should include which
of these instructions: - ANS/Laboratory samples are expected to be drawn
at frequent intervals
Maternal graves disease, particularly if inadequately treated, places the
neonate at risk for which of the following: - ANS/Hyperthyroidism
A nurse is caring for a newborn with a birth weight of 4.2 kg and breech
presentation at delivery. On the sixth day of life the infant is noted to have
a fever, pallor and jaundice, lethargy with periods of irritability, poor
feeding and vomiting. Upon notifying the physician the nurse should first
prepare for: - ANS/ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. The mother
reports the diaper smells sweet. Laboratory results include increased
levels of plasma branched chain amino acids, metabolic acidosis and
ketonuria. What disease process is likely occurring? - ANS/Maple syrup
urine disease
Which of the following is the best explanation for how hyperglycemia is
treated in extremely low birth weight infant? - ANS/Maximize IV fluid
volume and adjust IV dextrose concentration based on blood glucose
levels; administer insulin for blood glucose levels greater than 200 mg/dl
Which of the following infants is at lowest risk for hypoglycemia: - ANS/41-
week infant with club foot deformity
What is the presumed cause of macrosomia in the infant of a diabetic
mother? - ANS/Maternal hyperglycemia and hyperaminoacidemia, resulting
in fetal hyperinsulinemia
,An extremely premature infant nearing discharge has an elevated alkaline
phosphatase level. What should the nurse include in discharge education?
- ANS/Handle the infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed
to have which condition until proven otherwise? - ANS/Congenital
hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What
physiologic consequence should the nurse be concerned about? -
ANS/Osmotic diuresis
The signs and symptoms of an inborn error of metabolism in a newborn
infant are most likely to be mistaken for what other neonatal disorder? -
ANS/SEPSIS
A term infant is born with a large goiter. What nursing intervention is
indicated: - ANS/Position the infant with head elevated and slightly
extended
The primary purpose why every state in the united states has mandated
newborn screening is to: - ANS/Identify and initiate early treatment of
potentially devastating medical conditions
Gene mutation which causes an absent or defective enzyme, or over or
underproduction of hormones, with life threatening physiological or
biochemical system regulation dysfunction are termed: -
ANS/Endocrine/metabolic Disorders
Phenylketonuria (PKU) is the most common inborn error of amino acid
metabolism and is treated with: - ANS/Dietary therapy
The NNP is caring for a term newborn who was transferred from a
postpartum unit with vomiting and poor feeding lethargy and petechiae.
The infant had been breastfeeding well and voiding and stooling for 2 days
, prior to transfer. The most recent laboratory findings are notable for
hyperbili, coagulopathy and blood culture positive for e coli. Lactate levels
are normal. The most likely cause is? - ANS/Galactosemia
A possible symptom of metabolic/endocrine disorder is unresponsive
intractable: - ANS/Hypoglycemia
After feedings have been established in a neonate who had an initial
normal examination, a common presenting symptom of an organic
acidemia metabolic disorder is? - ANS/Drowsiness
Symptoms of hypoglycemia do not include which of the following: -
ANS/Diarrhea
The parathyroid hormone does which of the following: - ANS/Mobilizes
calcium and phosphorus from bone
Adrenal insufficiency in the VLBW infant does not result in which of the
following: - ANS/Hypernatremia (it decreases Na)
Which of the following is true of hypothyroxinemia of prematurity? -
ANS/Associated with a normal TSH value
Which of the following are potential clues to the presence of an inborn
error of metabolism? - ANS/Rapid progression of symptoms
Most infants with inborn errors of metabolism will present with ________ at
birth. - ANS/Normal appearance; In most cases, newborn infants with
inborn errors of metabolism do not have physical abnormalities
identifiable by physical examination; that is, they do not have a
characteristic pattern of dysmorphism or identifiable congenital
malformations. They appear essentially normal at birth with no history of
antepartum or intrapartum complications due to placental protection of
the fetus from toxins.
