NNP Practice Exam (CCPR 2017) Correct 100%

A 32 week gestation infant with decreased renal function develops systemic candidiasis. The best choice of antifungal therapy for this baby is a. amphotericin B lipid complex b. fluconazole c. flucytosine - ANSWER a. amphotericin B lipid complex amphotericin B is chosen for tx for all candida infections because of its efficacy, safety, decreased cost and better renal penetrance. This baby need ampho B with a lipid complex bc it is less nephrotoxic. fluconazole is used in many NICUs as candida prophylaxis and should not be used for systemic fungal infections Increased bowel sounds are indicative of a. Ileus b. Malrotation c. Starvation - ANSWER b. Malrotation Infants with Beckwith-Wiedemann syndrome have a high risk for which anomaly? a. Microglossia b. Omphalocele c. Volvulus - ANSWER b. Omphalocele A term neonate is found to have ambiguous genitalia. The anticipated immediate action would include obtaining a. blood electrolytes b. intravenous pyelogram c. pelvic ultrasound - ANSWER a. blood electrolytes CAH is most common cause of ambiguous genitalia and adrenal crisis, or insufficiency is a complication that can develop 4. Plethora can be seen in infants who are a. overfed b. overheated c. stimulated - ANSWER b. overheated