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Nursing Neonatal Nurse Practitioner Sample Questions:

1. A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is

A) question mother about nursing technique and frequency, and observe the infant nursing
B) advise the mother to stop breastfeeding and switch to formula
C) report the mother to child protective services for neglect

2. The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is

A) neonatal sepsis
B) meconium aspiration syndrome
C) cyanotic congestive heart failure

3. The NP has an order to give dobutamine intravenously. She knows that

A) this should be given through a central line
B) this should be given through a peripheral IV site
C) this should be given in oral form

4. What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?

A) Within 1 hour of birth
B) At 12 hours of birth
C) At least 24 hours after birth

5. An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is

A) lower than another infant requiring resuscitation without a diaphragmatic hernia
B) higher than another infant requiring resuscitation without a diaphragmatic hernia
C) equal to that of another infant requiring resuscitation without a diaphragmatic hernia

Solutions: