Google Classroom

Newborn Transitioning

100

A nurse observes a 3-day-old term newborn who is starting to appear mildly jaundiced. What might explain this condition?

1. _{Physiologic jaundice secondary to breast-feeding}
2. _{Hemolytic disease of the newborn due to blood incompatibility}
3. _{Exposing the newborn to high levels of oxygen}
4. _{Overfeeding the newborn with too much glucose water}

Physiologic jaundice secondary to breast-feeding

200

After teaching a group of nursing students about thermoregulation and appropriate measures to prevent heat loss by evaporation, which student behavior indicates successful teaching?

1. _{Transporting the newborn in an isolette}
2. _{Maintaining a warm room temperature}
3. _{Placing the newborn on a warmed surface}
4. _{Drying the newborn immediately after birth}

Drying the newborn immediately after birth

300

After birth, the nurse would expect which fetal structure to close as a result of increases in the pressure gradients on the left side of the heart?

1. _{Foramen ovale}
2. _{Ductus arteriosus}
3. _{Ductus venosus}
4. _{Umbilical vein}

Foramen ovale

400

Which newborn could be described as breathing normally?

_{Newborn A is breathing deeply with a regular rhythm at a rate of 24 bpm.}

_{Newborn B is breathing diaphragmatically with sternal retractions at a rate of 55 bpm.}

_{Newborn C is breathing shallowly with 22-second periods of apnea and cyanosis.}

_{Newborn D is breathing shallowly at a rate of 36 bpm with short periods of apnea.}

Newborn D is breathing shallowly at a rate of 36 bpm with short periods of apnea.

500

When assessing the term newborn, the following are observed: newborn is alert, heart and respiratory rates have stabilized, and meconium has been passed. The nurse determines that the newborn is exhibiting behaviors indicating the: 

1. _{initial period of reactivity.}
2. _{second period of reactivity.}
3. _{decreased responsiveness period.}
4. _{sleep period.}

second period of reactivity.

Newborn Management

100

At birth, a newborn’s assessment reveals the following: heart rate of 140 bpm, loud crying, some flexion of extremities, crying when bulb syringe is introduced into the nares, and a pink body with blue extremities. The nurse would document the newborn’s Apgar score as:

1. _{5 points.}
2. _{6 points.}
3. _{7 points.}
4. _{8 points.}

8 points.

200

The nurse is explaining phototherapy to the parents of a newborn. The nurse would identify which as the purpose?

1. _{Increasing surfactant levels}
2. _{Stabilizing the newborn’s temperature}
3. _{Destroying Rh-negative antibodies}
4. _{Oxidizing bilirubin on the skin}

Oxidizing bilirubin on the skin

300

Which condition would be missed if a newborn was screened before tolerating protein feedings for at least 48 hours?  

1. _{Hypothyroidism}
2. _{Cystic fibrosis}
3. _{Phenylketonuria}
4. _{Sickle cell disease}

Phenylketonuria

400

A prophylactic agent is instilled in both eyes of all newborns to prevent which conditions?

1. _{Gonorrhea and chlamydia}
2. _{Thrush and enterobacter}
3. _{Staphylococcus and syphilis}
4. _{Hepatitis B and herpes}

Gonorrhea and chlamydia

500

Which finding in a newborn would be considered normal?

1. _{Passage of meconium within the first 24 hours}
2. _{Respiratory rate of 72 breaths/min}
3. _{Yellow skin tones at 10 hours after birth}
4. _{Bleeding from the umbilicus area}

Passage of meconium within the first 24 hours

High Risk Newborn

100

The nurse documents that a newborn is post-term based on the understanding that they were born after

1. _{38 weeks’ gestation.}
2. _{40 weeks’ gestation.}
3. _{42 weeks’ gestation.}
4. _{44 weeks’ gestation.}

 

42 weeks' gestation 

200

Because subcutaneous and brown fat stores were used for survival in utero, the nurse would assess an SGA newborn for which condition?

1. _{Hyperbilirubinemia}
2. _Hypothermia
3. _Polycythemia
4. _Hypoglycemia

 

Hypothermia

300

In dealing with parents experiencing a perinatal loss, which nursing intervention would be most appropriate?

1. _{Sheltering the parents from the bad news}
2. _{Making all the decisions regarding care}
3. _{Encouraging them to participate in the newborn’s care}
4. _{Leaving them by themselves to allow time to grieve}

 

Encouraging them to participate in the newborn’s care

400

A preterm infant is placed under the radiant heat warmer after birth. The nurse evaluates the temperature frequently to prevent which condition? 

1. _{Cold stress}
2. _{Respiratory depression}
3. _Tachycardia
4. _{Thermogenesis}

Cold stress

500

1. Which lab value needs to be monitored by the nurse when providing care for an LGA infant?
   1. _{White blood cell count}
   2. _{Direct Coombs test}
   3. _{Blood glucose}
   4. _{Potassium level}

Blood glucose

Newborn Congenital Conditions

100

1. Which finding would lead the nurse to suspect that a newborn is experiencing respiratory distress syndrome?
   1. _{Abdominal distention}
   2. _Acrocyanosis
   3. _{Depressed fontanelles}
   4. _{Nasal flaring}

^{Nasal flaring}

200

1. The nurse would be most alert for the development of transient tachypnea in a newborn who
   1. was born by cesarean birth.
   2. received no sedation.
   3. has a mother with heart disease.
   4. is small for gestational age.

was born by cesarean birth.

300

1. Which finding would the nurse expect to assess in an infant with developmental dysplasia of the hip?
   1. Symmetrical thigh folds
   2. Even knee height
   3. Full abduction of the hip
   4. Audible clunk on hip abduction

Audible clunk on hip abduction

400

1. A newborn suffering from respiratory distress syndrome is given supplemental oxygen. Which is a possible consequence of high dose oxygen therapy?
   1. Cardiac anomalies
   2. Blindness
   3. Anosmia
   4. Atelectasis

Blindness

500

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