Nclex-Rn Practice Questions-Maternal-Neonatal Care - Neonatal Care Part 1
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Question 1 |
A client has given birth to a preterm neonate. The client tells the nurse that she still wants to breastfeed her neonate. The nurse should explain to the mother that:
A | breast milk contains antibodies that help protect her neonate. |
B | commercial formula will provide better nutrition for the neonate. |
C | breastfeeding can be started when the neonate is ready for discharge. |
D | the neonate will be less likely to develop an infection on commercial formula. |
Question 2 |
A postpartum client expresses concern about the look of her baby’s first stool, which she describes as “dark and slimy.” Which is the best statement for the nurse to make for client education?
A | “These types of stools occur when the baby is dehydrated in utero.” |
B | “The physician will be notified about this abnormal occurrence when he examines the infant.” |
C | “This bowel movement is called meconium and is considered normal.” |
D | “The type of first stool for your baby is determined by your diet during pregnancy.” |
Question 3 |
A nursery nurse wraps a neonate in a blanket and keeps the nursery temperature warm. Which type of heat loss is she trying to prevent in the neonate?
A | Conduction |
B | Convection |
C | Evaporation |
D | Radiation |
Question 4 |
Which nursing intervention places a neonate at an increased risk for losing heat during the transition period?
A | Placing a cap on the neonate’s head immediately after delivery |
B | Preheating the radiant warmer prior to delivery |
C | Placing the thermometer on the shelf of the radiant warmer |
D | Wrapping the neonate in the same blankets used for drying |
Question 5 |
A neonate is diagnosed with hemorrhagic disease. Which medication should have been given to the neonate as a preventive measure?
A | Vitamin K |
B | Heparin |
C | Iron |
D | Warfarin |
Question 6 |
A client with gestational diabetes delivers a neonate. The nurse is aware that the neonate is at risk for developing which condition?
A | Atelectasis |
B | Microcephaly |
C | Pneumothorax |
D | Macrosomia |
Question 7 |
Which nursing intervention would be helpful for a neonate experiencing drug withdrawal?
A | Place the Isolette in a quiet area of the nursery. |
B | Withhold all medication to improve the liver’s metabolization of drugs. |
C | Dress the neonate in loose clothing so he won’t feel restricted. |
D | Place the Isolette near the nurses’ station for frequent contact with health care workers. |
Question 8 |
After reviewing the client’s maternal history of magnesium sulfate during labor, which condition should the nurse anticipate as a potential problem in the neonate?
A | Hypoglycemia |
B | Jitteriness |
C | Respiratory depression |
D | Tachycardia |
Question 9 |
The nurse is assessing a neonate with a suspected infection. Which finding would the nurse anticipate?
A | Flushed cheeks |
B | Increased appetite |
C | Decreased temperature |
D | Increased activity level |
Question 10 |
Two days after circumcision, a nurse notes a yellow-white exudate around the head of the neonate’s penis. What would be the most appropriate nursing intervention?
A | Leave the area alone. |
B | Report the findings to the physician. |
C | Take the neonate’s temperature. |
D | Remove the exudate with a warm washcloth. |
Question 11 |
A client delivers a small-for-gestation neonate. The nurse is aware that this neonate is most at risk for developing which of the following?
A | Anemia probably due to chronic fetal hypoxia |
B | Hyperthermia due to decreased glycogen stores |
C | Hyperglycemia due to decreased glycogen stores |
D | Polycythemia probably due to chronic fetal hypoxia |
Question 12 |
The parents of a neonate admitted to the neonatal intensive care unit ask why the physician has ordered surfactant therapy. Which statement would be most accurate for parent education?
A | Surfactant will help regulate the baby’s breathing pattern. |
B | Surfactant helps clear mucus and fluid from the respiratory system to make breathing easier. |
C | Surfactant helps mature the upper airways to make breathing easier. |
D | Surfactant helps in keeping the lungs expanded after the baby starts breathing on its own. |
Question 13 |
Erythromycin ointment is administered to a neonate’s eyes shortly after birth. The neonate’s mother asks the nurse why this is done. The best response by the nurse would be that the medication prevents which condition?
A | Cataracts |
B | Diabetic retinopathy |
C | Ophthalmia neonatorum |
D | Strabismus |
Question 14 |
When a neonate is delivered with meconium staining in the amniotic fluid, which sequence of events will most effectively decrease the risk of meconium aspiration?
A | Deliver the thorax; then suction the nose. |
B | Clamp the umbilical cord; then suction the neonate’s mouth. |
C | Deliver the head; then suction the mouth and then the nose. |
D | Deliver the thorax; then suction the nose and then the mouth. |
Question 15 |
A client’s mother asks the nurse why her newborn grandson is getting an injection of vitamin K. Which statement best explains why this drug is given to neonates?
A | Vitamin K assists with coagulation. |
B | Vitamin K assists the gut to mature. |
C | Vitamin K initiates the immunization process. |
D | Vitamin K protects the brain from excess fluid production |
Question 16 |
The nurse is performing a neurological assessment on a neonate and considers which sign as a normal finding?
A | Doll eyes |
B | “Sunset” eyes |
C | Positive Babinski’s sign |
D | Pupils that don’t react to light |
Question 17 |
Which circumstance of delivery would predispose a neonate to respiratory distress syndrome (RDS)?
A | Preterm birth |
B | Vaginal delivery |
C | First born of twins |
D | Postdate pregnancy |
Question 18 |
When teaching parents of a neonate the proper position for the neonate’s sleep, a nurse stresses the importance of placing the neonate on his back to reduce the risk of which of the following?
A | Aspiration |
B | Sudden infant death syndrome (SIDS) |
C | Suffocation |
D | Gastroesophageal reflux (GER) |
Question 19 |
The nurse is aware that preterm neonates who receive prolonged mechanical ventilation at birth are at risk for which condition?
A | Chronic lung disease |
B | Esophageal atresia |
C | Hydrocephalus |
D | Renal failure |
Question 20 |
A nurse is caring for a client with gestational diabetes. Which complication is the neonate most at risk of developing?
A | Anemia |
B | Hypoglycemia |
C | Nitrogen loss |
D | Thrombosis |
Question 21 |
A neonate is born to a woman infected with hepatitis B. Which treatment should be administered to this neonate?
A | Hepatitis B vaccine at birth and 1 month |
B | Hepatitis B immune globulin at birth; no hepatitis B vaccine |
C | Hepatitis B immune globulin within 48 hours of birth and hepatitis B vaccine at 1 month |
D | Hepatitis B immune globulin within 12 hours of birth and hepatitis B vaccine at birth, 1 month, and 6 months |
Question 22 |
While assessing a 2-hour-old neonate, a nurse observes the neonate to have acrocyanosis. Which nursing action should be performed initially?
A | Activate the code blue or emergency system. |
B | Do nothing because acrocyanosis is normal in the neonate. |
C | Immediately take the neonate’s temperature according to facility policy. |
D | Notify the physician of the need for a cardiac consult |
Question 23 |
A neonate has been diagnosed with caput succedaneum. Which information should the nurse include while teaching the mother about caput succedaneum?
A | It usually resolves in 3 to 6 weeks. |
B | It doesn’t cross the cranial suture line. |
C | It’s a collection of blood between the skull and periosteum. |
D | It involves swelling of the tissue over the presenting part of the fetal head. |
Question 24 |
A 3-day-old neonate needs phototherapy for hyperbilirubinemia. What is a priority of care for a neonate receiving phototherapy?
A | Tube feedings |
B | Feeding the neonate under phototherapy lights |
C | Mask over the eyes to prevent retinal damage |
D | Temperature monitored every 6 hours during phototherapy |
Question 25 |
A nurse is caring for four clients on an antepartum unit. Which client would be carrying a viable conceptus at the earliest stage?
A | A client at 9 weeks’ gestation |
B | A client at 14 weeks’ gestation |
C | A client at 24 weeks’ gestation |
D | A client at 30 weeks’ gestation |
Question 26 |
The nurse is performing a neonatal assessment. What is the best indication of adequate hydration?
A | Soft, smooth skin |
B | A sunken fontanel |
C | Bradycardia |
D | No urine output in the first 24 hours of life |
Question 27 |
A client with group AB blood whose husband has group O blood has just given birth. Which signs would indicate ABO blood incompatibility in the neonate?
A | Negative Coombs’ test |
B | Bleeding from the nose or ear |
C | Jaundice after the first 24 hours of life |
D | Jaundice within the first 24 hours of life |
Question 28 |
A nurse is explaining physiological hyperbilirubinemia to the parents of a neonate. Which statement made by one of the parents would demonstrate a correct understanding of the concept?
A | “The neonate usually also has a medical problem.” |
B | “In term neonates, it usually appears after 24 hours.” |
C | “It’s caused by elevated conjugated bilirubin levels.” |
D | “It’s usually progressive from the neonate’s feet to his head.” |
Question 29 |
A neonate has just been delivered without incident. Which symptom would indicate successful adaptation to extrauterine life?
A | Nasal flaring |
B | Light audible grunting |
C | Respiratory rate of 40 to 60 breaths/minute |
D | Apgar score of 5 |
Question 30 |
A client has just given birth at 42 weeks’ gestation. When assessing the neonate, which physical finding is expected by the nurse?
A | A sleepy, lethargic baby |
B | Lanugo covering the body |
C | Desquamation of the epidermis |
D | Vernix caseosa covering the body |
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