Question 1

A nurse is educating a new mother about infant care. The mother asks when her baby should be seen for check up. The nurse informs the mother that the schedule of well-baby visits is done:

Accepted Answer

The recommended schedule of visits is set at 1, 2, 4, 6, and 9 months. This schedule follows the timing of the recommended immunizations.

Question 2

A 25-year-old mother with a 6-month-old baby asks the nurse if her son should receive the Hepatitis A vaccine. What is the best response of the nurse?

Accepted Answer

The Hepatitis A vaccine is recommended at 12 months of age or 24 months of age. It is also recommended for individuals who are travelling outside the country. The Hepatitis B vaccine is given to newborn babies during birth and to individuals who are working with contaminated specimens. Children receive the DTaP at 18 months.

Question 3

A 39 year old mom, named Sophia, arrives to the Emergency Department with her 2 month old girl, however, she only speaks French. What is the best method of communicating with her?

Accepted Answer

The best method to communicate with a French speaking 39 year old mom who arrives to the Emergency Department with her 2 month old baby would be to use a translation service. This is outlined in many hospitals and nursing professional associations as this is a legal matter and translation services are readily available and should be utilized.

Question 4

Baby Christopher is rushed to the Emergency Department with a nose bleed that is ceasing to stop, upon history the nurse finds that Christopher's parents are of Ashkenozic descent. What type hemophilia is baby Christopher most likely to have?

Accepted Answer

Baby Christopher is most likely to have Hemophilia C since his parents are of Ashkenozic descent. This is an X-linked genetic disorder common in those of Ashkenozic descent.

Question 5

David's mom demonstrates understanding of his proper care of bathing when she states which of the following as taught by nurse Ellen prior to her discharging them?

Accepted Answer

David's mom demonstrates understanding of his proper care of bathing when she states that she should use mild baby soap except on face and give him a sponge bath until the umbilical cord falls off. This is the safest for proper hygiene and prevention of infection.

Question 6

Nurse Lilian is teaching her students about post circumcision care of baby Steven. Which of the following show(s) they have understood?

Accepted Answer

Observing and recording the first void after circumcision shows that the students have understood about post circumcision care of baby. While inspecting the penis immediately after circumcision is important it does not show an understanding of the more important need to ensure the infant can properly urinate post-circumcision. The inspecting the penis is usually done by the physician for signs of bleeding and is not as critical for examining functioning post circumcision.

Question 7

What are important sign for the students to recognize as a positive Ortoloni's sign on baby George?

Accepted Answer

For the students to recognize as a positive Ortoloni's sign on baby George, they should observe all of the above including hip subluxation, clicking and clunking sounds. Ortoloni's test spund be performed within a few hours of birth especially to detect any congenital dysplasia of the hip which can be a life debilitating condition if not recognized immediately.

Question 8

Baby Allan has just been born and Nurse Wayne is checking him for appropriate sensory behavior. Which finding is true about baby Allan's sensory behaviors at birth?

Accepted Answer

In order to check baby Allan's sensory behaviors at birth, Nurse Wayne should stand between 7" to 12" away and wave. This is to ensure that baby Allan can utilize his sense of vision, including visual acuity and fields as well, his sense of detecting a being or object in his vicinity.

Question 9

A baby Darcy has just been born to mother Helen. A nurse is teaching Helen how to elicit an appropriate palmer reflex in baby Darcy. How should the nurse teach baby Darcy's mother Helen to elicit a good palmer reflex?

Accepted Answer

The nurse should teach baby Darcy's mother Helen to elicit a good palmer reflex by placing a finger in each of Darcy's hands to stimulate the grasp. This is vitally important to detect in the first few hours after birth as a defect could lead to a long term disability if not detected early for intervention.

Question 10

Nicole, a 29 year old mom, brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises. What should the triage nurse do in this situation?

Accepted Answer

In this case, Nicole, the 29 year old mom brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises, the triage should explain that these are Mongolian spots. Mongolian spots are common in neonates and infants and do not have any pathological basis and should not be a cause for alarm.

Question 11

Sylvia is a 30 year old pregnant mother with a known history of drug abuse including cocaine. During her prenatal visits, she is constantly reminded by the nursing staff not to use cocaine or any drugs during her pregnancy; however she doesn't listen and her baby is born with which possible complication(s)?

Accepted Answer

The pre-natal nursing staff instructed Sylvia not to use cocaine or any drugs during her pregnancy however she did not listen and her baby is born with complication like vomiting, irritability and high pitched cry. This is unfortunate as these are just initial symptoms and longer term outcomes of Slyvia's baby are still to be revealed including not meeting developmental milestones in speech and language.

Question 12

A very anxious primigravida mother is being seen in the pre-natal clinic at 39 weeks and has indicated that she read that she was not to change the cat box filler but she did early in her pregnancy. She is worried about the possible consequences to her baby. Which of the following is the most common infectious disease for a child being born with whom a mother changed the cat filler box?

Accepted Answer

For a mother who changed the cat filler box, Toxoplasmosis is the most common infectious disease. Toxoplasmosis is found in the feces of cats and pregnant mothers are particular susceptible to passing the disease onto their child and so are readily advised during pre-natal visits not to change the cat box filler while pregnant.

Question 13

Baby Dwayne was born at 35 weeks premature and is the neonatal intensive care unit, the nurse taking care of him walks over to baby Dwayne's bassinet and finds him bradycardic and blue. What course of action should be taken take?

Accepted Answer

The course of action that should be taken when the neonatal intensive care until nurse notices baby Dwayne bradycardic and blue should provide respiratory support, tactile simulation and suction him. This can be an emergency but often times the neonate is just sleeping and is having an apnea episode which can often be resolved with the above maneuvers. If this becomes a frequent occurrence the attending physician should be notified.

Question 14

Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding technique. Which positions should Nicole NOT use to breast feed baby Alex?

Accepted Answer

The position Nicole should not use to breast feed baby Alex is front lying. This is dangerous as regurgitation as well as improper nutrition delivery can be consequences of this position.

Question 15

Nurse Diane has explained to baby Michael's parents the tips for ensuring safety and preventing possible illness. Which demonstrates comprehension of this?

Accepted Answer

The demonstration of comprehension by baby Michael's parents for ensuring safety and preventing possible illness for baby Michael include use of a proper care seat. This is important as many infants are not put in proper car seats and thus risk injury in the event of a motor vehicle collision. Infants should not be exposed to anyone with an illness and should be properly dressed and insulated to provide protection from cold weather and other possible pathogens while their immune system develops.

Question 16

The neonatal nurse assigned to baby Keith notices that his mother has left baby Keith alone with a bottle propped in his mouth. Why should the neonatal nurse be concerned about leaving baby Keith alone with his bottle propped in his mouth?

Accepted Answer

The neonatal nurse should be concerned about leaving baby Keith alone with his bottle propped in his mouth because he may aspirate formula or swallow air as well it is an increased risk for otitis media. This is a dangerous practice and neonatal nurses should be on the constant look out for this as well as instructing the parents not to do this.

Question 17

Baby Tyrone was just born at term and has been given to the neonatal nursing for APGAR scoring and initial management. What initial injection should Baby Tyrone receive?

Accepted Answer

The initial injection baby Tyrone should receive is Vitamin K 0.5-1 mg IM. Vitamin K is a coagulant made in the body into platelets that protects the neonate from bleeding.

Question 18

After being born and receiving initial care, the neonatal nurse is determining and infants physical maturity. Which tool is most appropriate to utilize?

Accepted Answer

The most appropriate tool to utilize in this situation is the Ballard gestational age assessment tool. This tool measures the physical maturity of the neonate by assessing different domains in gross motor function.

Question 19

Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the nurse on duty in the nursery when will baby Richard's permanent eye be established?

Accepted Answer

The nurse on duty should inform Lorraine that permanent eye color will be established in 3 to 12 months from birth. The range is due many factors and is dependent heavily upon genetics.

Question 20

Baby Amelia is admitted into the neonatal intensive care unit after being born prematurely. When the neonatal nurse rounds on baby Amelia, her mother is quite frightened because baby Amelia is having Doll's eye. How long can this usually go on for?

Accepted Answer

Doll's eye usually go on for 10 days and although may be frightening to the parents, are on no pathological or serious concern.

Quiz 2: Neonatal