Question 1

The neonatal nurse on duty is examining baby Mark. Why should the neonatal nurse be very gentle with baby Mark's neck?

Accepted Answer

The neonatal nurse should be very gentle with baby Mark's neck because baby Mark's neck is weak, he can't support his neck and he can't rotate his head freely. This is very common for neonates as the neonatal nurse can cause permanent damage to the neck if they are not careful and gentle.

Question 2

The neonatal nurse is called to baby Jack's incubator by his mother because baby Jack is acting 'funny'. The neonatal nurse finds baby Jack to be jittery and having a high pitched cry. What is the most crucial immediate action the neonatal nurse needs to take?

Accepted Answer

In the case of finding a neonate jittery with a high pitched cry, the most crucial immediate action the neonatal nurse needs to take is to check baby Jack's blood glucose level. Being jittery and having a high pitched cry for a baby could indicate a hypoglycemic episode in which case immediate intervention needs to be initiated with glucose.

Question 3

On initial morning rounds, the neonatal nurse discovers baby Sean has blood glucose of 35 mg/dl. What immediate course of action should be taken?

Accepted Answer

The immediate course of action that should be taken when the neonatal nurse discovers baby Sean has a blood glucose level of 35 mg/dl should be to feed him immediately. This will increase the blood glucose level, and his blood glucose level should be checked in 1 hour time after feeding to ensure it is within the normal range.

Question 4

In the neonatal intensive care Nurse George is teaching baby Derek's mother about his taste behaviors. Which statement of the following should Nurse George teach to baby Derek's mother?

Accepted Answer

The statement which Nurse George should teach to baby Derek's mother when teaching about taste behaviors is "He prefers sweet tastes". This is because as a newborn sweet taste is the first learned taste sensation.

Question 5

Baby Devon is in the neonatal intensive care until after being delivered prematurely. He is about to be discharged and on discharge planning Nurse Bill is taking the opportunity to teach some nursing students about neonates tactile behaviors. Of the following which are correct?

Accepted Answer

When Nurse Bill teaches his students about baby Devon's tactile behaviors, all of the above are correct. As the neonate's lips are hypersensitive, the neonate is especially sensitive to being cuddled and touched, and the neonate's skin on his thighs, forearms, and trunk are hyposensitive. These are initial tactile responses in a neonate that will change.

Question 6

You are training to be a neonatal nurse practitioner, which of the following nurseries are you permitted to work in as a Neonatal Nurse Practitioner?

Accepted Answer

As a Neonatal Nurse Practitioner, you can work in nurseries at level 1, 2 and 3. This is in accordance with state and regulatory guidelines.

Question 7

The neonatal intensive care unit nurse is teaching baby Kevin's mother how not to startle him. Which of the following actions should be avoided?

Accepted Answer

The following actions loud noises and hand clapping should be avoided when teaching baby Kevin's mother how not to startle him. Startling a baby can cause distress upon not only the neonate but also upon others within the neonatal intensive care unit as well as the parents.

Question 8

A 25 year old mother just gave birth to baby Louise 2 hour ago, however, now baby Louise is requiring immediate intervention because she is displaying which of the following sign(s)?

Accepted Answer

Baby Louise requires immediate attention 2 hours post delivery because she is demonstrating nasal flaring. This is an ominous sign of pulmonary difficulties and can also have signs of subcostal indrawing and retractions.

Question 9

The attending neonatologist has ordered intravenous fluid for baby Joseph. The neonatal nurse has appropriately decided to use an umbilical venous line. What should the neonatal nurse assess for before beginning the intravenous fluid?

Accepted Answer

The neonatal nurse should assess for blanching on the lower extremities, blanching on the buttocks and blue discoloration before administering the intravenous fluid. Since the intravenous fluid is being administered through an umbilical venous line it is important to note these signs before intravenous fluid administration to document any changes within these areas.

Question 10

Nurse Ellen finds baby Alexandre with which of the following findings that indicates he is in respiratory distress?

Accepted Answer

Nurse Ellen can conclude that the baby is in respiratory distress by observing all of the above including a PCO2 greater than 60mg/hg, expiratory grunting, nasal flaring and Tachypnea.

Question 11

Nurse David receives baby Gil and is informed that the parents have to go home to care for their other children. What is the best gift she can give them for bonding?

Accepted Answer

The best gift Nurse David can give the parents is a picture of baby Gil to develop bonding between them. A picture is a constant reminder of their newborn child and is shown to increase bonding and caring for parents and their new born.

Question 12

Which assessment findings should Nurse Ursala find on baby Linda indicating Erb-Duchenne paralysis?

Accepted Answer

Nurse Ursula should find both grasp reflexes intact and flaccid arm with elbow extended and hand rotated inward to conclude Erb-Duchenne paralysis. This is a common complication of delivery when the fetuses arm is Hyperextended during delivery.

Question 13

A baby is just born at term to a G1P1 mother with an uneventful spontaneous vaginal delivery. Which of the following findings are expected when the neonatal nurse performs her newborn assessment?

Accepted Answer

The finding that should be expected when the neonatal nurse performs her newborn assessment is caput succedenum. Caput succedenum is used to check for swelling of soft tissue under the scalp.

Question 14

Baby Christopher is born at term to a 25 year old mother. What are the normal ranges of vitals when the neonatal nurse performs her new born assessment?

Accepted Answer

The normal ranges of vital signs when the neonatal nurse performs her newborn assessment is temperature 97.5 to 98.6 Fahrenheit, Heart Rate of 120-160 beats per minute and Respirations of 30-60 per minute.

Question 15

Baby Daniel us 36 hours old and has been brought into the Emergency Department with a temperature of 97.0 F. What immediate action should triage nurse?

Accepted Answer

The immediate action the triage nurse should do for baby Daniel, who is 36 hours old with a temperature of 97.0 F, is to wrap him up in 3 warm blankets and place a cap on his head. This is to prevent hypothermia which is a severe consequence of a low temperature in newborns. A cap on the head is necessary as much thermal heat is lost from the head more than any other body part.

Question 16

A newborn mother urgent alerts the neonatal intensive care nurse that her neonate is grunting, nasal flaring and subcostal indrawing. The neonatalologist on call is called and diagnosis the neonate as in respiratory distress and orders blood gases to be obtained every 30 minutes. What type of access line should be inserted into this neonate in this situation?

Accepted Answer

The access line that needs to be inserted into this neonate in this situation is an arterial line. For the most accurate measurement of saturation of oxygen, arterial blood is required and thus an arterial line is required to be inserted for constant monitoring of arterial blood gases.

Question 17

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

Accepted Answer

The arterial oxygen sensor should be placed on the sole of the foot. This is because this is the most likely place for the sensor to stay on while still providing an accurate oxygen saturation reading.

Question 18

A baby Irfran is admitted to the neonatal intensive care unit with respiratory depression after a difficult labour and delivery. How often should the neonatal intensive care nurse rotate the oxygen sensor site on baby Irfran?

Accepted Answer

The neonatal intensive care nurse should rotate the oxygen sensor site on baby Irfran every 12 hours. This is the time frame designated according to hospital and nursing protocol to ensure the oxygen sensor is correct and accurate.

Question 19

A baby is born to as mother who is a smoker and has suffered intrauterine growth restriction with a birth weight of 3.7 lbs. When a neonate has a low birth weight what are some of the finding(s)?

Accepted Answer

When a neonate has a low birth weight common findings include hypoglycemia and little scalp hair. These finding are in line with disproportional growth and indicative on low birth weight.

Question 20

After baby Dawn's mother visits, the neonatal nurse finds her in animal print cotton blanket and cyanotic. What should she do?

Accepted Answer

The neonatal nurse finding baby Dawn wrapped in an animal print cotton blanket and cyanotic should immediately check baby Dawn's temperature. The reason for this is neonates are highly susceptible to hypothermia and a cotton blanket is likely insufficient to keep baby Dawn appropriately heated this early in life.

Quiz 2: Neonatal