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Nursing Neonatal Nurse Practitioner Sample Questions:

1. A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include

A) hepatitis B vaccine and hepatitis B immunoglobulin given within 12 hours of birth
B) hepatitis B immunoglobulin within 6 hours of birth and the hepatitis B vaccine at 5 years of
C) hepatitis B vaccine given within the first year of life

2. A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to

A) flush the tube with 5-10 ccwarm water and try aspirating and flushing if there is resistance
B) flush with an air bolus then aspirate to confirm placement
C) flush the tube with 20 cc of a carbonated soft drink

3. A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is

A) contrast enema
B) MRI
C) colonoscopy

4. During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

A) 32 cm
B) 34 cm
C) 36 cm

5. Which condition results in birth defects that are usually fatal before birth or within the first year of life?

A) Beckwith syndrome
B) Hydrocephalus
C) Edwards syndrome

Solutions: