Question 1

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?
A)0-2 months
B)2-4 months
C)4-6 months
D)6-8 months

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 2

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:
A)Warming the crib
B)Turning on the overhead radiant warmer
C)Closing the doors to the room
D)Drying the infant with a warm blanket

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 3

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?
A)Document findings
B)Contact the physician
C)Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D)Reinforce the dressing

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 4

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?
A)Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
B)Stop the breast feedings and switch to bottle feeding permanently
C)Provide bottled water feedings between the breastfeeding sessions
D)Continue to breastfeed every 2 to 4 hours

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 5

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?
A)To increase the number of times that the cord is cleansed per day
B)To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues
C)To bring the infant to the clinic
D)That this is normal occurrence

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 6

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?
A)Instruct the breastfeeding mother regarding the treatment of the nipples with nystatin ointment
B)Monitor the newborn infant's vital signs routinely
C)Maintain standard (universal) precautions at all times while caring for the newborn
D)Initiate referral to evaluate for blindness, deafness, learning, or behavioral problems

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 7

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. The nurse's highest priority should be to:
A)Connect the resuscitation bag to the oxygen outlet
B)Turn on the apnea and cardiorespiratory monitors
C)Set up the intravenous line with 5% dextrose in water
D)Set the radiant warmer control temperature at 36.5° C (97.6° F)

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 8

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:
A)Start with the dirtiest area first
B)Begin with the eyes and face
C)Begin with the feet and work upward
D)Only wash the diaper area, since this is the only part of the infant that gets soiled.

Accepted Answer

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

Question 9

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?
A)"I need to retract the foreskin and clean the penis every time I give my infant a bath."
B)"I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning."
C)"I should retract the foreskin and clean the penis every time I changed the diaper."
D)"I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions."

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 10

A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents, the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:
A)Above average intellectual functioning with deficits in adaptive behavior
B)Average intellectual functioning and the absence of deficits in adaptive behavior
C)Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G
D)Subaverage intellectual functioning with the absence of deficits in adaptive behavior

Accepted Answer

Down syndrome is a form of mental retardation. It is a congenital condition that results in moderate to severe mental retardation. A high percentage of cases are attributable to an extra chromosome (Group G); hence the name trisomy 21.

Question 11

A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The maternity nurse prepares for the arrival of the newborn and places which of the following priority items at the newborn's bedside?
A)A blood pressure cuff
B)A rectal thermometer
C)A specific gravity urinometer
D)A bottle of sterile normal saline

Accepted Answer

The newborn with spina bifida is at risk for infection before the closure of the sac. A sterile normal saline dressing is placed over the sac to maintain moisture of the sac and its contents. This prevents tearing or breakdown of the skin integrity at the site.

Question 12

A senior staff nurse takes the pulse of 6 months old sleeping child during her routine monitoring of vitals, what is the normal range of pulse rate/minute of 6 months old healthy sleeping child?
A)70-120
B)70-150
C)80-150
D)80-200

Accepted Answer

The normal range of pulse rate/minute of 6 months old healthy sleeping child is
70-120, while the normal range of pulse rate of such a child is 80-150 at rest and is usually
<200 if child is active/sick.

Question 13

An 18-year-old client is 10 weeks pregnant and comes to the prenatal clinic for a check-up. The client has a history of anorexia. Because of her age and condition, the client is at nutritional risk. Which of the following questions asked by the nurse is most appropriate to assess the client's nutritional status?
A)"Tell me more about your plans for your baby."
B)"How do you feel about this pregnancy?"
C)"Do you have someone in your home to cook for you?"
D)"Are there some recent changes in your eating patterns?"

Accepted Answer

Asking the client about changes in her patterns can give the nurse a better idea on her nutritional status. Women below the age of 18 who are pregnant are more vulnerable to nutritional deficiencies and complications.

Question 14

The nurse provides home instructions to a postpartum client. Which of the following statements, if made by the client, indicates that further teaching is necessary?
A)It is normal to have strong, menstrual-like cramps during the first few days to weeks when nursing my baby."
B)"Breast tenderness and redness and easy fatigability should alert me to call my physician."
C)"I will call my physician if my vaginal discharge becomes brownish to pink in color."
D)"A rise of body temperature up to 102° is normal."

Accepted Answer

A slight increase of temperature may occur after childbirth, but a temperature of more than 100OF suggests puerperal fever, which is possibly caused by infection within the placenta site. If left untreated, it can result in sepsis, or infection of the blood, a life-threatening condition. Brownish vaginal discharge is lochia serosa, which occurs within a week after birth. Menstrual-like cramps during the first weeks, and breast tenderness and easy fatigability are expected findings during the postpartum period.

Question 15

A mother is concerned that her neonate's eyes are crossed. Which of the following responses by nurse is considered accurate?
A)"It is possible that your baby has a congenital cataract."
B)"Your baby should be able to fixate on close objects for short periods at this time."
C)"The neonates normally lack eye muscle coordination."
D)"Your baby can blink their eyes in response to light."

Accepted Answer

Convergent strabismus is commonly observed in infants until 6 months of age due to poor oculomotor coordination. The baby can fixate on close objects and can respond to light; however, these findings are not associated with convergent strabismus.

Question 16

A nurse is assessing a 6-month-old infant during a routine well-baby check up. Observing which of the following symptoms should alert the nurse to refer the child for further evaluation?
A)Infant speaks single consonants
B)Present Moro's embrace reflex
C)Infant rolls from front to back and back to front
D)Absent tonic neck reflex

Accepted Answer

Moro's embrace reflex should not be observed at 6 months of age; therefore, further evaluation is necessary. A 6-month-old child can speak in single consonants and roll over both ways. Tonic neck reflex disappears at 4 months.

Question 17

A nurse performs cardiopulmonary resuscitation on an 11-month-old boy. When performing chest compressions, the nurse knows that the correct hand placement is located over the:
A)Lower half of the baby's sternum
B)One fingerbreadth below the horizontal line drawn between the baby's nipples
C)Upper half of the baby's sternum
D)Lower third of the baby's sternum

Accepted Answer

The area of compression for individuals under the age of 1 year is one finger breadth below the line connecting the nipples. An adult's or a child's area of compression is located on the lower half of the sternum.

Question 18

39 week pregnant mother is on the labour and delivery ward and is asking the nurse on duty to explain some things about fetal circulation. She specifically asks that if there is not any function in the fetus's lungs while in the womb where does the majority of the blood go? What should the nurse on duty respond?
A)It goes to the right ventricle then to the left ventricle
B)It shunt directly from the right to the left atrium through the foramen ovale
C)It goes to the left ventricle back to the right atrium
D)It goes from the right atrium then to the left atrium

Accepted Answer

With non-functioning lungs, most blood bypasses the right ventricle, and the blood shunts directly from the right to the left atrium through the foramen ovale, a small opening with a valve, the septum primum, to prevent backflow, and to the ascending aorta and cranial arteries.

Question 19

A 25 year old diabetic mother gives birth to a 9.5 lb. infant who after 3 hours of birth begins to exhibit symptoms of hypoglycemia and a blood glucose level is drawn that is 6.5 mg/dL. Which of the following is this infant at risk of developing?
A)Arthritis
B)Pneumonia
C)Cognitive development
D)Cardiovascular anomalies

Accepted Answer

An infant born to a diabetic mother who begins to exhibit symptoms of hypoglycaemia 3 hours after birth is at risk of developing cardiovascular anomalies. Statistics show that 30% of infants born of diabetic mothers can suffer from cardiac hypertrophy which is the most common cardiac anomaly.

Question 20

When teaching a mother how to prevent accidents while caring for her 6-month-old, the nurse should emphasize that this age child can usually:
A)Sit up
B)Roll over
C)Crawl lengthy distances
D)Stand while holding onto furniture

Accepted Answer

Muscular coordination and perception are developed enough at 6 months so that infant can roll over. If unaware of this ability of the infant, the mother could leave the child unattended for a moment to reach for something and the child could roll off the crib.

Quiz 2: Neonatal

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?

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:

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

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?

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?

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?

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. The nurse's highest priority should be to:

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

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?

A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents, the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

A senior staff nurse takes the pulse of 6 months old sleeping child during her routine monitoring of vitals, what is the normal range of pulse rate/minute of 6 months old healthy sleeping child?

The nurse provides home instructions to a postpartum client. Which of the following statements, if made by the client, indicates that further teaching is necessary?

A mother is concerned that her neonate's eyes are crossed. Which of the following responses by nurse is considered accurate?

A nurse is assessing a 6-month-old infant during a routine well-baby check up. Observing which of the following symptoms should alert the nurse to refer the child for further evaluation?

A nurse performs cardiopulmonary resuscitation on an 11-month-old boy. When performing chest compressions, the nurse knows that the correct hand placement is located over the:

A 25 year old diabetic mother gives birth to a 9.5 lb. infant who after 3 hours of birth begins to exhibit symptoms of hypoglycemia and a blood glucose level is drawn that is 6.5 mg/dL. Which of the following is this infant at risk of developing?

When teaching a mother how to prevent accidents while caring for her 6-month-old, the nurse should emphasize that this age child can usually: