Question 1

The neonatal nurse on duty finds that Baby Donald is demonstrating seesaw movements while resting. The neonatal nurse recognizes this as a sign of what?

Accepted Answer

The neonatal recognizes the seesaw movements while resting that baby Donald is doing is a sign of respiratory distress. This is an important sign for neonatal nurses to watch for as the seesaw movements indicate the neonate is struggling to breathe and is going to into respiratory distress.

Question 2

The neonatal nurse is examining baby Michael's mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?

Accepted Answer

In this situation, when a neonatal nurse finds that baby Michael has white patches on his tongue they should obtain an order for an antifungal medication such as Nystatin. Nystatin can be applied with a eye dropper directly onto the tongue, additionally, sterile water can be used to rinse out the milk the neonate is drinking and likely causing the fungus Canadia Albacains on baby Michael's tongue.

Question 3

A neonate, Timothy, is just admitted to the neonatal intensive care unit, and upon initial assessment by the neonatal nurse on duty, she find bay Tim with red brick dust and immediately informs the attending neonatologist. What is the finding of red brick dust in this neonate?

Accepted Answer

The finding of red brick dust in this neonate is uric acid crystals in the urine. This is usually found because of a build up on uric acid and a failure to excrete it appropriately.

Question 4

The assigned neonatal nurse to baby Latisha, Nurse Linda should care for baby Latisha by performing which of the following task(s)?

Accepted Answer

The assigned neonatal nurse Linda should care for baby Latisha by performing organizing care, minimizing interruptions and monitoring for stress. This is very important for a neonate as their immune system as well as stress response system is not fully developed these are ways to reduce stress on baby Latisha, reducing any chance of her not developing fully.

Question 5

Upon delivery the neonatal nurse on duty examines baby Erin and detects a heart murmur and informs the neonatologist who agrees with the finding and orders an urgent echocardiogram. Baby Erin is diagnosed with Tetralogy of Fallot. What are some of the clinical symptoms of Tetralogy of Fallot?

Accepted Answer

The clinical symptoms of Teralogy of Fallot in a neonate are cyanosis, rapid breathing and deep breathing (sometime referred to as tet spells). These symptoms occur because of right to left shunting of blood in the heart that causes an increase in systemic vascular resistance therefore decreasing pulmonary resistance.

Question 6

Baby Ryan after being admitted to the neonatal intensive care unit for prematurity is discharged 1 week later. However, he returns to the neonatal intensive care unit and is diagnosed with inborn metabolism. What are some of the clinical symptom(s) of inborn metabolism?

Accepted Answer

The clinical symptom of inborn metabolism is vomiting of small amounts of formula.

Question 7

While teaching baby Michelle's amount human development, neonatal nurse Slyvia, instructs baby Michelle's mother that baby Michelle will begin to acknowledge human voices at what age?

Accepted Answer

Neonatal nurse Slyvia instructs baby Michelle's mother that baby Michelle will begin to acknowledge human voices at the age of 0-2 months. This is a developmental milestone that is critically monitored for in the neonatal intensive care unit as it can be one of the first signs of developmental delay and an underlying pathological process.

Question 8

A nurse in a delivery room is assisting with the delivery of newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn infant resulting from evaporation by:

Accepted Answer

Evaporation of moisture from a wet body dissipates heat along with moisture. Keeping the newborn infants dry by drying the wet newborn infant at birth will prevent hypothermia via evaporation.

Question 9

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

Accepted Answer

The penis is normally red during the healing process. Yellow exudates may be noted in 24 hours, and this is part of normal healing. The nurse would expect that the area would be red with a small amount of bloody drainage.

Question 10

A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

Accepted Answer

The newborn infant with respiratory distress syndrome may present with clinical signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions, or audible grunts.

Question 11

A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?

Accepted Answer

Breastfeeding should be initiated within two hours after birth and every 2 to 4 hours thereafter. The infant should not be feed less frequently. It is not necessary to stop breast feeding for permanently.

Question 12

A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse not expect to note during the assessment of this newborn?

Accepted Answer

A newborn infant born to a woman using drugs is irritable. The infant is easily overloaded by sensory stimulation. The infant may cry incessantly and be difficult to console. The infant would hyperextend and posture rather than cuddle when being held.

Question 13

A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?

Accepted Answer

Assessing skin integrity and fluid and electrolyte status of the newborn infant is an essential component of phototherapy. Contact with the newborn infant is important.

Question 14

A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant upon admission to the nursery. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which of the following additional sign(s) would be consistent with FAS?

Accepted Answer

Features of newborn infants diagnosed with FAS include craniofacial abnormalities, intrauterine growth retardation (IUGR), cardiac abnormalities, abnormal palmar creases, and respiratory distress.

Question 15

The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing instruction to the mother is which of the following?

Accepted Answer

Symptoms of infection are moistness, oozing, discharge, a reddened base around the cord. If symptoms of infection occur, the mother should be instructed to notify a health care provider. If these symptoms occur, antibiotics are necessary.

Question 16

A nurse develops a plan of care for a human immunodeficiency virus (HIV)-infected mother and her newborn infant. The nurse includes which intervention in the plan of care?

Accepted Answer

The newborn infant born of an HIV-infected mother must be cared for with strict attention to standard (universal) precautions. This prevents the transmission of HIV from the newborn infant, if infected, to others, and prevents transmission of other infectious agents to the possibly immunocompromised newborn infant, HIV infected mothers should not breastfeed.

Question 17

In a newborn nursery, a nurse receives a telephone call to prepare for the prepare for the admission of a 43-week-gestation newborn infant with Apgar scores of 1 nurse's highest priority should be to:

Accepted Answer

The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which would involve preparing respiratory resuscitation equipment. The remaining options are also important, although they are of somewhat lower priority.

Question 18

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:

Accepted Answer

Bathing should start at the eyes and face, usually the cleanest area.

Question 19

A nurse has provided directions to a mother of a male newborn infant who is not circumcised about measures to clean the penis. Which statement if made by the mother indicates an understanding of how to clean the newborn infant's penis?

Accepted Answer

In male newborn infants, prepuce is continuous with the epidermis of the glans and is not retractable. If retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation to occur naturally, which usually occurs between 3 years and puberty. Most foreskins are retractable by 3 years of age and should be pushed back gently at this time of cleaning once a week.

Question 20

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

Accepted Answer

In infants with hydrocephalus, the head at an abnormal rate, and the first sign of the disorder may be bulging fontanels without head enlargement. A bulging, tense, and nonpulsatile anterior fontanel indicates an increase in cerebrospinal fluid collection in the cerebral ventricle. A method of assessing fluid collection in the cranial cavity is to palpate the anterior fontanel.

Quiz 2: Neonatal