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Exam (elaborations)

NNP Board Exam Tidbits Questions and Answers 100% Solved

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NNP Board Exam Tidbits Questions and Answers 100% Solved asphyxia (management) - fluid restriction; crystalloids over colloids (NS versus blood or albumin) crystalloids over colloids - decreased morbidity (NS versus blood or albumin) NS bolus - management of cord accidents (velamentous insert...

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  • November 1, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP Board Exam Tidbits Questions and

Answers 100% Solved


asphyxia (management) - ✔✔fluid restriction; crystalloids over colloids (NS

versus blood or albumin)

crystalloids over colloids - ✔✔decreased morbidity (NS versus blood or

albumin)

NS bolus - ✔✔management of cord accidents (velamentous insertion)

severe asphyxia - ✔✔preferential blood flow is diverted to the blood stem

APGAR - ✔✔appearance, pulse, grimace, activity, respiration

renal agenesis/lung hypoplasia - ✔✔oligohydramnios, Potter's facies, limb

deformities

apical pulse - ✔✔can be heard at the 5th ICS early in life because of right

ventricular dominance, slowly moves to 4th ICS, midclavicular line

liver - ✔✔can be palpated 1-2 cm below the R sternal border; should be

smooth

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
neck hyperextension - ✔✔flaccid upper arm and lower extremities can be

caused by...

Scalded Skin Syndrome (SSS) - ✔✔Staphylococcus aureus

hyper metabolic state - ✔✔increased heart rate, increase respiratory rate,

decreased oxygen saturation

Biophysical Profile (BPP) - ✔✔assessment of five variables in the fetus that

help to evaluate fetal risk: breathing movement, body movement, tone,

amniotic fluid volume, and fetal heart rate reactivity; best indicator of

asphyxia

5-10% - ✔✔expected term weight loss

10-15% - ✔✔expected preterm weight loss

acrocyanosis - ✔✔normal within first 48 hours related to immature

vascumotor tone

hard nodules/calcium deposits - ✔✔subcutaneous necrosis

Babinski reflex - ✔✔reflex in which a newborn fans out the toes when the

sole of the foot is touched; last reflex to disappear

Pull to sit - ✔✔normal for head to fall forward

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
cephalohematoma - ✔✔collection of blood between the periosteum and

skull bone; does not cross suture lines

caput succedaneum - ✔✔edematous swelling and ecchymosis of the

presenting part of the head caused by birth trauma (vaccum, etc); crosses

sutures lines

maternal sickle cell - ✔✔chronic hypoxia in baby and IUGR is related to...

decreased pulmonary markings on CXR - ✔✔pulmonary atresia and other

lesions with obstructive blood flow to the lungs (HLHS, PS, Tetrology,

Tricuspid Atresia)

PDA - ✔✔left to right shunt with white-out on CXR

right to left; left to right - ✔✔early in life, PDA is ________ until SVR

increases and PVR decreases, after that point it is ________

asphyxia/hypoxia - ✔✔can cause TR

long P - ✔✔right ventricular enlargement

prolonged PR, peaked T waves and wide QRS - ✔✔hyperkalemia

prolonged QT - ✔✔hypocalcemia

SVT - ✔✔adenosine is the drug of choice

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
coarctation - ✔✔constriction, stenosis, particularly of the aorta; R radial

pressure is > UAC pressure

PPS - ✔✔heart murmur heard in axilla and back

S1 - ✔✔the first heart sound, heard when the atrioventricular (mitral and

tricuspid) valves close

S2 - ✔✔the second heart sound, heard when the semilunar (aortic and

pulmonic) valves close

systolic click - ✔✔abnormal systolic sound created by aortic valve stenosis

VSD - ✔✔may be asymptomatic early in life, as PVR drops and SVR

increase, the L to R shunt increases and CHF develops

PDA murmur - ✔✔best auscultated in the LUSB (left upper sternal border)

acidemia - ✔✔most ominous ABG in infant with CHD

endocardial cushions - ✔✔neural crest ectoderm; involved in

atrioventricular separation

Tetrology of Fallot - ✔✔overriding aorta, VSD, right ventricular hypertrophy,

pulmonary stenosis (decreased pulmonary blood flow)

BPD - ✔✔causes signs and symptoms of right heart failure; right ventricle

pumping against increased resistance to lungs

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