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You are the team leader of a resuscitation team called to attend to a term infant delivered with gasping respirations, cyanosis and floppy tone.  The infant has been placed under the warmer after 30 seconds of delayed cord clamping, dryed, stimulated, and the wet blankets have been removed.  At 30 seconds of life the infant has floppy tone, cyanosis, and increasing respiratory effort.  Following the NRP algorithm your next actions should be:

 You are holding a preterm infant and performing a visual acuity test.  The infant begins to avert his gaze, starts sneezing and yawning.  You recognize these behaviors as signs of:

You are the NNP called to the bedside by the RN to assess a 3 day old, SGA infant with a moist umbilical cord.  Upon examination you note thin, light yellow drainage from the umbilical cord, skin surrounding the umbilical cord is normal in appearance, warm and dry.  You should add which of the following to your differential diagnosis list?

You are asked to evaluate a newborn in the nursery with 4-5 white macules that measure at least 3 mm with non-distinct borders.  These hypopigmented skin abnormalities can be associated with which disorder?

You are completing an admission in the NICU for an infant who is 32 weeks gestation and are verbally told that there is limited prenatal care and no maternal history provided.  The baby was delivered by paramedics on transit to your hospital.  It is a holiday night shift and you will not be able telephone the physician’s office to inquire about maternal labs/history.  The best strategy to complete the comprehensive history for this infant includes:

Scalp bruising or collection of blood that does not cross the skull suture lines is the definition for which of the following?

A male newborn infant is 4 hours of age and having periods of irregular respirations accompanied by apnea and reported cyanosis while rooming in with the mother.  Based upon your knowledge of normal transition for newborn infants, Which of the following is the best management strategy for this infant?

A mother in preterm labor was given magnesium sulfate and terbutaline, then delivered the infant at 33 weeks.  This infant should be closely monitored for?

A term male infant at 1 minute of life is apneic with central cyanosis, heart rate 80’s and lethargic.  What is the next resuscitation step if following the Neonatal Resuscitation Program algorithm?

What is the primary purpose of analyzing a karyotype?