Moving Exam NCM 109 Lecture

Answer Key

1. A. You are taking care of a newborn infant born at 29 weeks AOG with a tentative diagnosis of
respiratory distress syndrome. What medication is necessary for the mother to receive
beforehand to increase the lung maturity of the baby?
Answer: corticosteroids

B. Lung surfactant starts to be produced by the body at around how many weeks AOG?
Answer: 32 weeks

2. A. What government mandate promotes health care providers to perform newborn screening to
newborn babies to diagnose congenital metabolic disorders?
Answer: RA 9288

B. In patients having phenylketonuria, what amino acid is not readily absorbed by the body?
Answer: phenylalanine

3. A. In patients with phenylketonuria, what formula is recommended to prevent icteric crisis?

Answer: Lofenalac

B. In order to diagnose phenylketonuria, what diagnostic test is expected to be performed

specific for the disease?
Answer: Guthrie Test

4. A. When underoing Ramstedt operation, what is the expected position of the baby post-
operative?
Answer: Prone with head of bed elevated

B. What acid-base imbalance is seen in patients with pyloric stenosis

 Answer: metabolic alkalosis
5. A. Babies with Hirschsprung disease are expected to have enemas to remove feces in the colon.
What specific enema solution is recommended for these patients?
Answer: Saline enema

B. Due to the aganglionic portion of the colon, patients with Hirschsprung disease will exhibit
what quality of stool?
Answer: Ribbon-like stool

6. A. What is the most common type of EA/TEA?

Answer: Type C (Esophageal atresia with distal tracheoesophageal fistula)

B. EA/TEF is thought to cause what specific maternal condition?

Answer: polyhydramnios

7. A. Where is the common site of intussusception?

Answer: Distal ileum to proximal colon

B. Describe the stool present in patients with intussusception?

Answer: Mucobloody stool (current-jelly stool)

8. A. In VACTERL association, E stands for:

Answer: Esophageal atresia

B. Most common alveolar complication to EA/TEF?

Answer: Acute Respiratory Distress Syndrome

9. A. WHAT STRUCTURE IN THE BODY IN NEWBORN BABIES IS RESPONSIBLE FOR HEAT LOSS
PREVENTION?
ANSWER: BROWN FATS

B. WHERE IS THE THERMOREGULATING CENTER IN THE BODY?

ANSWER: HYPOTHALAMUS
10. A. RESPIRATORY DISTRTESS SYNDROME IS OFTEN FATAL TO NEWBORN BABIES AND CAN CAUSE
MULTIPLE SYSTEMIC MANIFESTIONS. WHEN THE ALVEOLI IN THE LUNGS COLLAPSED DUE TO
ABSENCE OF SURFACTANT, THIS DEVELOPS WHAT SPECIFIC COMPLICATION?
ANSWER: ATELECTASIS

B. To manage symptoms of left sided congestive heart failure, medications are necessary. One of
which is digoxin. When taking care of a patient with digoxin as part of the treatment, you as the
nurse knows that the earliest sign of digoxin toxicity in infants is:
Answer: Bradycardia

11. A. Overoxygenation in patients with respiratory distress syndrome can develop what
complication?
Answer: retinopathy of prematurity

B. This medication is necessary to rest the cardiopulmonary system for patients with respiratory
distress syndrome.
Answer: Sedatives

12. A. It is expected that the amniotic fluid in patients who are born with meconium aspiration
syndrome is of what color?
Answer: greenish/green-streaked amniotic fluid

B. The release of meconium intrauterine is generally caused by:

Answer: Anal sphincter relaxation

13. A. What sleeping position should be avoided to reduce incidence of SIDS?

Answer: Prone

B. In general, the cause of SIDS is:

Answer: Unknown
14. A. What specific stool change is present in patients with celiac disease?
Answer: Fatty stools/Steatorrhea

B. What vitamin is necessary for the absorption of calcium in the body?

Answer: Vitamin D/Calciferol

15. A. You are taking care of an infant with Wilm’s tumor. The infant is to be scheduled for DD-4A
therapy. List the medications under DD-4A (All of them)
Answer: Vincristine, actinomycin and doxorubicin

B. What specific health assessment activity should be avoided in patients with Wilm’s tumor?
Answer: Abdominal palpation

16. A. Vital sign changes expected in babies with increased intracranial pressure?
Answer: Bradycardia. Bradypnea, hypertension

B. What is the only corticosteroid that can pass through the blood-brain barrier, and is necessary
for patients with cerebral edema in hydrocephalus patients?
Answer: dexamethasone

17. A. What nutrient is necessary for a healthy development of the nervous system of fetus during
pregnancy?
Answer: Folic Acid

B. For patients with meningocele and myelomeningocele, what position is contraindicated pre-
operatively?
Answer: Supine

18. A. Cerebral palsy is thought to be caused by:

Answer: cerebral anoxia

B. Muscle relaxants are necessary to relax muscles in patients with cerebral palsy. Among the 3
medications listed, which one is a muscle relaxant?
Succinylcholine Baclofen Ketorolac
 Answer: baclofen
19. A. G6PD is common among what gender?
Answer: Male

B. The abnormal RBC present in G6PD when exposed to specific triggers is known as:
Answer: Spherocytes

20. A. What food is a trigger for G6PD?

Answer: Fava beans

B. What reflex is absent in maple syrup urine disease?

Answer: Moro reflex

21. A. What enzyme is absent in patients with galactosemia?

Answer: GALT (Galactose 1-phosphate uridyl transferase)

B. What eye complication is present in galactosemia?

Answer: cataracts

22. A. Patients with cystic fibrosis often die due to:

Answer: respiratory failure

B. What medication should you give prior to meals to patients with cystic fibrosis?
Answer: Pancrealipase

23. A. For relapsed acute lymphocytic/lymphoblastic leukemia, list all the medications to be
administered:
Answer: bleomycin, 6-mercaptopurine, l-asparaginase, prednisone, vincristine

B. If there is massive RBC destruction, what expected complication occurs as a result of this
process?
Answer: Splenomegaly
24. A. For patients with major thalassemia, what medication is necessary to manage iron overload?
Answer: deferoxamine

B. For patients with sickle cell disease, what hemoglobin is present that causes sickling of the
RBC?
Answer: Hemoglobin S

25. A. This medication is necessary to stimulate RBC production in the body.

Answer: Erythropoietin

B. If you’re a student from Section A, write the full name of your NCM 109 instructor. If you’re
from Section B, write the full name of your NCM 109 instructor.
Answer: Moneto Casagan (Sec A)
Marian Sherleen Jam Baisac (Sec B)