NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. The nurse is caring for a preterm formula fed infant. What finding would be most important to report to the healthcare provider?
      A)
      No bowel movement within 12 hours.
      B)
      Small regurgitation of undigested formula after feedings.
      C)
      Abdominal distension.
      D)
      Uncoordinated suck.
    2. A 2-day old newborn is observed to be restless, irritable, sucking on its fist, and crying. What action should the nurse take first?
      A)
      Feed the infant at least 1 ounce of formula.
      B)
      Collect a sterile urine specimen to evaluate for drugs of abuse.
      C)
      Swaddle the infant with hands near its mouth.
      D)
      Move the infant into a brightly lit area for further assessment.
    3. A nurse is caring for a newborn who was born at 38 weeks of gestation. Exhibits A nurse is initiating the newborn's plan of care. Complete he following sentence by using the list of options. The nurse should first address the client's ▾ Respiratory status followed by the client's ▾ Temperature
      Dropdown 1:
      Option 1: Temperature
      Option 2: Respiratory status
      Option 3: Heart rate
      Option 4: Blood pressure
      Dropdown 2:
      Option 1: Temperature
      Option 2: Respiratory status
      Option 3: Heart rate
      Option 4: Blood pressure
    4. A 1-day old newborn was born to a mother who had positive vaginal cultures for Group Beta Strep. The mother was only in labor for 1 hour prior to birth. What findings would indicate possible neonatal sepsis?
      A)
      Elevated hemoglobin and bilirubin.
      B)
      Acrocyanosis and unstable thermoregulation.
      C)
      Generalized mottling and uncoordinated suck.
      D)
      Lethargy and pallor.
    Page 1 of 11

    Exam Review

    1. Complete the following sentence by using the list of options There are two main hormones that have a significant role in lactation. ▾ Prolactin is responsible for the stimulation of breastmilk production and ▾ Oxytocin triggers the let-down reflex.
      Dropdown 1:
      Option 1: Progesterone
      Option 2: Prolactin
      Option 3: Oxytocin
      Option 4: Estrogen
      Dropdown 2:
      Option 1: Progesterone
      Option 2: Prolactin
      Option 3: Oxytocin
      Option 4: Estrogen
    2. A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?
      A)
      "I will apply ice packs to my breasts after feeding."
      B)
      "I should apply hot packs to my breasts during feeding."
      C)
      "I should crush cabbage leaves and place them on my breasts."
      D)
      "I will breastfeed every 2 hours."
    3. A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)
      (SATA)
      A)
      Tachycardia
      B)
      Shivering
      C)
      Hypoglycemia
      D)
      Lethargy
      E)
      Hypertonia
    4. The nurse completing a gestational exam using the Ballard assessment tool understands that this assesses which two maturity components?
      A)
      Physical and Behavioral.
      B)
      Behavioral and Reflexive.
      C)
      Neuromuscular and Physical.
      D)
      Reflexive and Neuromuscular.
    Page 2 of 11

    Exam Review

    1. The nurse is providing care for a neonate during the 3rd stage of labor. Which action does the nurse take during this stage?
      A)
      Dry the neonate immediately.
      B)
      Perform APGAR screening every 30 minutes until scores are 27.
      C)
      Complete neonatal assessment prior to allowing the baby to feed.
      D)
      Obtain blood sample to test for blood type.
    2. A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?
      A)
      Basal metabolic rate reduction
      B)
      Cold stress
      C)
      Shivering
      D)
      Brown fat production
    3. A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?
      A)
      Neonates will hemorrhage without vitamin K.
      B)
      Breastfeeding is an excellent source of vitamin K.
      C)
      Vitamin K is needed to activate clotting factors.
      D)
      Mothers are unable to supply vitamin K to the fetus.
    4. Newborn heat loss through evaporation can be reduced by:
      A)
      Closing the door to the room.
      B)
      Placing crib near a warm wall.
      C)
      Warming equipment used on the neonate.
      D)
      Drying the neonate.
    Page 3 of 11

    Exam Review

    1. A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?
      A)
      "It is due to the newborn's loss of the influence of the maternal hormones."
      B)
      "The cause might be too short or infrequent feedings."
      C)
      "You might want to offer water supplements between feedings."
      D)
      "This might be related to your baby having 3 stools a day."
    2. The nurse is reinforcing education about circumcision care. Which statement by the parents demonstrates an understanding?
      A)
      "We will not wash the circumcision area until it is healed."
      B)
      "We will retract the remaining foreskin to clean around the shaft of the penis."
      C)
      "We will notify the pediatrician if we notice any bright red bleeding."
      D)
      "We will gently scrub off the yellow crusted area as it heals."
    3. A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?
      A)
      "Baby powder will help prevent a diaper rash."
      B)
      "I will use mild soap."
      C)
      "I will test the water on my wrist for temperature before bathing."
      D)
      "I will use a basin during bathing."
    4. A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?
      A)
      A newborn who is 24-hr post-delivery and has not passed meconium
      B)
      A newborn who is 24 hr post-delivery and has not voided
      C)
      A newborn who is 12 hr post-delivery and has a temperature of 37.5° C (99.5° F)
      D)
      A newborn who is 18 hr post-delivery and has acrocyanosis
    Page 4 of 11

    Exam Review

    1. You are providing nutritional education to a new mother. The client questions the benefits of each feeding method for her newborn. The nurse recognizes the advantages and disadvantages of each feeding method. What factors are considered disadvantages of bottle-feeding formula? (Select All that Apply.)
      A)
      Increases the risk of childhood obesity.
      B)
      Increased cost.
      C)
      Increases risk of infection.
      D)
      Decreases maternal-infant bonding.
      E)
      Anyone can perform the feeding.
    2. A nurse is caring for a preterm newborn who has a nasogastric tube and who recently began intermittent gavage feedings of formula. The nurse notes increased abdominal distention, lethargy, bloody stools, and increasing gastric residuals before feedings. The nurse should suspect which of the following?
      A)
      Intraventricular hemorrhage
      B)
      Need for placement of a gastrostomy tube
      C)
      Overstimulation
      D)
      Necrotizing enterocolitis
    3. The nurse is caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?
      A)
      Do not disturb the infant until the diaper is visibly soiled.
      B)
      Frequent repositioning and use of a musical mobile.
      C)
      Provide boundaries and dim the lights.
      D)
      Administer morphine sulfate and gradually increase the gavage feeding amount.
    4. The nurse knows that cardiopulmonary adaptation in the neonate involves five major changes; which includes the closure of which fetal cardiac structures?
      A)
      Foramen ovale, ductus arteriosus, and septum.
      B)
      Ductus arteriosus, ductus venosus, and pulmonary artery.
      C)
      Pulmonary vein, foramen ovale, and ductus venosus.
      D)
      Ductus venosus, ductus arteriosus, and foramen ovale.
    Page 5 of 11

    Exam Review

    1. A nurse admitted a neonate born less than 2 hours ago to a mother with gestational diabetes. The neonate weighs 4.5 kg. What is the priority nursing action for this neonate?
      A)
      Perform a gestational age assessment to confirm risk factors.
      B)
      Obtain a glucose level on the neonate via a heelstick.
      C)
      Perform assessment under a radiant warmer.
      D)
      Feed the neonate 30mL of formula or glucose water.
    2. Your newborn weighs 9 pounds 6 ounces. Convert this weight to grams. Do not round.
    3. The nurse is assessing a term newborn and finds a rash of firm pustules with a red base on the face and trunk. Based on the assessment findings, the nurse determines this about the rash:
      A)
      It is an abnormal finding called seborrheic dermatitis.
      B)
      It is a normal finding called Epstein pearls.
      C)
      It is an abnormal finding indicating congenital syphilis infection.
      D)
      It is a normal finding called erythema toxicum.
    4. A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?
      A)
      Oxygen administration and surfactant administration.
      B)
      Chest tube insertion and drainage.
      C)
      Frequent suctioning through an endotracheal tube.
      D)
      Partial exchange blood transfusion.
    Page 6 of 11