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Nursing Neonatal Nurse Practitioner Sample Questions:

1. What is the difference between measuring a total bilirubin and a direct bilirubin?

A) Total bilirubin is a measure of the bilirubin excreted through the urine, while direct
B) Total bilirubin is the amount of direct and indirect bilirubin, while direct bilirubin is the
C) Total bilirubin is the amount of bilirubin bound to albumin, while direct bilirubin is the total

2. An infant with fetal alcohol syndrome may also have a facial deformity known as

A) micrognathia
B) macrocephaly
C) macrognathia

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

4. A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is

A) swaddling and reduction in external stimuli
B) anticonvulsant
C) sedative

5. Five minutes after birth, a newborn infant is actively moving, crying, skin is pink all over, and heart rate is 132. Based on this information, you know this infant's Apgar score is

A) 9
B) 8
C) 10

Solutions: