Question 1

Baby Randy has just been born to parents Paul and Carla. The neonatal nurse is asked by Paul when baby Randy will be able to distinguish his father's voice. What should the neonatal nurse reply?

Accepted Answer

The neonatal nurse should reply to Paul that baby Randy will begin to distinguish his father's voice at approximately 2 weeks of age. This is the appropriate time frame for most neonates for voice and speech recognition of their parents. If it is noticed that baby Randy is still not distinguishing his father's voice after 4 weeks of age, then prompt attention must be arranged.

Question 2

The mother of a newborn male neonate is in the neonatal intensive care unit and his mother is questioning the neonatal care nurse appropriate time frame that she should let her newborn sleep for. What should the neonatal care nurse tell the mother?

Accepted Answer

The neonatal care nurse should explain to the mother that her newborn is not sleep for more than 4 hours at a time. This is because newborns require frequent feedings and nutrition to stay healthy and ensure proper growth and development milestones are met.

Question 3

A mother rushes her newborn male baby into the emergency department stating that he keeps on 'wet burping' and thinks he must be choking. What should the triage nurse do immediately?

Accepted Answer

The triage nurse should immediately burp the newborn, evaluate the feeding techniques and reassure the mother that the condition will improve with time. Frequently burping the newborn along with evaluating the feeding technique to ensure the newborn is not aspirating will assist in reassuring the mother that regurgitation is normal for a newborn and many newborns have it in their first few months of life.

Question 4

A 2-weeks post delivery baby Darren is brought into the emergency department by his mother as she noticed that he has a natal tooth. What should the emergency room nurse do in this situation?

Accepted Answer

The emergency room nurse should first check baby Darren to ensure his tooth is not loose and then if that is the case no intervention is required. A natal tooth is a common occurrence in neonates and no intervention is usually required.

Question 5

When is a child in Erik Erikson's trust versus mistrust stage?

Accepted Answer

A child is in Erik Erikson's trust versus mistrust stage from birth to 1 years of age. This is consistent with the current theories on child development.

Question 6

A mother of a newborn baby Roger is asking the neonatal care nurse at what stage of development is normal for when baby Roger is 2 months of age?

Accepted Answer

The neonatal care nurse should inform the stage of development that is normal for baby Roger when he is 2 months of age is oral. This is the first stage of development and can last up to 1 year after birth.

Question 7

Baby Alexandre is diagnosed with Tay-Sachs disease at birth. In what populations is this disease most commonly seen?

Accepted Answer

Tay-Sachs disease is most commonly seen in French Canadian and Eastern European Jewish populations. Tay-Sachs is an autosomal recessive genetic disease disorder that is common in certain populations.

Question 8

A newborn Baby Alex is 1 week old and his mother brings him to the emergency room because she says he is not sleeping enough. How many hours of sleep per day does he need to sleep?

Accepted Answer

Newborn baby Alex is 1 week old and needs to sleep 16 hours a day. This is in accordance with normal growth and development guidelines.

Question 9

Prior to discharging baby Leo home from the neonatal intensive care unit, he is left on the changing table alone while his mother is taking a shower. What should the neonatal care nurse do?

Accepted Answer

The neonatal nurse in this case should explain to the mother baby Leo should not be left alone as he could easily fall off the changing table. Placing him on the floor is not a good option either as he could easily be stepped on or bang into things.

Question 10

Prior to baby Adam's discharge home from a long stay in the neonatal intensive care unit, he should receive which vaccination?

Accepted Answer

Prior to baby Adam's discharge from the neonatal intensive care unit, he should receive his hepatitis B vaccination. This is standard protocol according to immunization guidelines from the Center for Disease Control for prevention of sexually transmitted diseases.

Question 11

A frantic mother phones emergency medical services after she discovers her newborn is crying and turning more and bluer. A neonatal nurse is dispatched to the scene and on the way is asked by the paramedic what body system these signs and symptoms are most likely due to?

Accepted Answer

The organ system most responsible for these signs and symptoms is the cardiac system. Cyanosis that worsens when crying is likely associated with cardiac disease.

Question 12

Shortly after birth a male neonate is diagnosed with a hip dislocation. As the nurse what device would you use to correct this?

Accepted Answer

The nurse should use a Pavlik harness and a Spica Cast to correct this neonate's hip dislocation. This is the treatment defined as needed for correction for the neonate's age.

Question 13

While in the neonatal intensive care unit, the neonatologist has order for accurate 'ins and outs' to be recorded on a neonate. What is the urine output a neonate should be making for a 24 hour period?

Accepted Answer

The urine output a neonate should be making for a 24 hour period is 50 -300 mL/day. This is the norm and anything less than this would indicate a pathological process.

Question 14

Baby Louise is diagnosed with clubfoot and her mother inquires as to when should treatment begin?

Accepted Answer

Baby Louise is diagnosed with a clubfoot and should begin treatment in the neonatal nursery. This is implemented early on for prevention of chronic impairment.

Question 15

Baby Andrew is admitted with pyloric stenosis. He has been projectile vomiting for the last 24 hours. What is he most at risk for?

Accepted Answer

Baby Andrew is admitted with pyloric stenosis and has been projectile vomiting for the last 24 hours; he is most at risk for metabolic alkalosis. This is because the pH level in his blood has been altered due to all his vomiting and loss of fluids and electrolytes.

Question 16

A mother brings her child with a fever for the past 24 hours into the emergency department. After a full work up it is determined the child with require a lumbar puncture. Which position should the emergency nurse place the child in?

Accepted Answer

A child who requires a neonate should be in the side lying positioned so as to appropriately control jerking movements and give the emergency room physician the best position for the procedure. Additionally, a child should not be put in the sitting position for risk of respiratory compromise.

Question 17

What method is used for a neonate who requires intra-cranial pressure (ICP) monitoring?

Accepted Answer

The method used for a neonate who requires ICP monitoring is the external method. This method is restricted to neonates because pressure readings can be obtained only at the fontanels, which are not fully closed in neonates.

Question 18

Baby Desmond is diagnosed with ventricular septal defect (VSD) upon echocardiogram shortly after birth. What signs and symptoms would he most likely be displaying?

Accepted Answer

Baby Desmond is suffering from a VSD and is most likely displaying signs of a palpable thrill, and a loud hard systolic murmur best heard along the left sterna border at the 3rd or 4th intercostals space and symptom of feeding difficulties. A VSD is an urgent condition that should be repaired promptly.

Question 19

Baby David is placed in an oxygen tent. What should nurse Ellen check for frequently and perform?

Accepted Answer

Nurse Ellen should check clothes and bed linens for moisture and keep flaps of tent closed. All are needed to be safe and dry with oxygen in tent.

Question 20

Baby Louis has a diagnosis of Trisomy 21. What are some symptoms?

Accepted Answer

Protruding tongue, small genatalia and flat facial profile are all characteristics of Down's syndrome.

Quiz 2: Neonatal