Nclex-Rn Practice Questions-Maternal-Neonatal Care - Neonatal Care Part 2
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Question 1 |
A nurse is performing an assessment on a neonate. Which assessment finding would indicate a metabolic response to cold stress?
A | Arrhythmias |
B | Hypoglycemia |
C | Increase in liver function |
D | Increase in blood pressure |
Question 2 |
Which procedure should be avoided in a neonate born with diaphragmatic hernia?
A | Chest X-ray |
B | Mask ventilation |
C | Placement of orogastric tube |
D | Immediate endotracheal intubation |
Question 3 |
Which neonatal respiratory disorder is usually mild and runs a self-limited course?
A | Pneumonia |
B | Meconium aspiration syndrome |
C | Transient tachypnea of newborn |
D | Persistent pulmonary hypertension |
Question 4 |
A nurse is caring for a neonate with respiratory problems. Which condition is most likely to be caused by fluid remaining in the lungs of the neonate after delivery?
A | Choanal atresia |
B | Meconium aspiration |
C | Pulmonary hemorrhage |
D | Transient tachypnea of a newborn |
Question 5 |
The nurse is aware that a neonate undergoing phototherapy treatment needs to be monitored for which of the following?
A | Hyperglycemia |
B | Increased insensible water loss |
C | Severe decrease in platelet count |
D | Increased GI transit time |
Question 6 |
A nurse is caring for a full-term neonate who’s receiving phototherapy for hyperbilirubinemia. The nurse determines immediate intervention is necessary when the neonate exhibits which of the following?
A | Maculopapular rash |
B | Absent Moro reflex |
C | Greenish stools |
D | Bronze-colored skin |
Question 7 |
Which nursing intervention helps prevent evaporative heat loss in the neonate immediately after birth?
A | Administering warm oxygen |
B | Controlling the drafts in the room |
C | Immediately drying the neonate |
D | Placing the neonate on a warm, dry towel |
Question 8 |
The nurse is performing an assessment on a neonate. Which assessment finding is most suggestive of hypothermia?
A | Bradycardia |
B | Hyperglycemia |
C | Metabolic alkalosis |
D | Shivering |
Question 9 |
The nurse is teaching the parents of a neonate about the Centers for Disease Control and Prevention (CDC) recommendations for hepatitis B vaccine. Which statement by the nurse would be the most accurate concerning these recommendations?
A | “It should be given to all neonates.” |
B | “It should be given to neonates exposed to hepatitis B only.” |
C | “It should be given to neonates showing symptoms of hepatitis B.” |
D | “It should be given to neonates whose mothers have human immunodeficiency virus.” |
Question 10 |
Which nursing consideration is most important when giving a neonate his initial bath?
A | Give a tub bath. |
B | Use water and mild soap. |
C | Give it right after delivery. |
D | Use hexachlorophene soap. |
Question 11 |
When assessing a neonate’s skin, the nurse observes small, white papules surrounded by erythematous dermatitis. Which most accurately describes this condition?
A | Cutis marmorata |
B | Epstein’s pearls |
C | Erythema toxicum |
D | Mongolian spots |
Question 12 |
A neonate has developed a major infection. Which gram-positive bacteria most likely contributed to this problem?
A | Escherichia coli |
B | Group B streptococci |
C | Klebsiella species |
D | Pseudomonas aeruginosa |
Question 13 |
The nurse is attempting to interact with a neonate experiencing drug withdrawal. Which behavior indicates to the nurse that the neonate is willing to interact?
A | Gaze aversion |
B | Hiccups |
C | Quiet, alert state |
D | Yawning |
Question 14 |
When teaching umbilical cord care to a new mother, a nurse would include which information?
A | Apply alcohol to the cord with each diaper change. |
B | Cover the cord with petroleum jelly after bathing. |
C | Do nothing but keep it dry and open to air. |
D | Wash the cord with soap and water each day during a tub bath. |
Question 15 |
When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority?
A | Obtain a Dextrostix. |
B | Give the initial bath. |
C | Give the vitamin K injection. |
D | Cover the neonate’s wet head with a cap. |
Question 16 |
A nurse is performing an assessment on a neonate. Which finding is considered common in the healthy neonate?
A | Single palmar (Simian) crease |
B | Conjunctival hemorrhages |
C | Cystic hygroma |
D | Bulging fontanelle |
Question 17 |
A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. Which statement by the nurse correctly describes the function of this coating for the neonate?
A | It helps keep the neonate warm after birth. |
B | It prevents neonatal dehydration after birth. |
C | It serves as a protective coating in utero. |
D | It decreases the development of birthmarks. |
Question 18 |
Which drug is routinely given to the neonate within 1 hour of birth?
A | Erythromycin ophthalmic ointment |
B | Gentamicin |
C | Nystatin |
D | Vitamin A |
Question 19 |
A neonate is admitted to the neonatal intensive care unit with persistent pulmonary hypertension. The nurse anticipates the neonate will receive which medication?
A | Dobutamine |
B | Isoproterenol (Isuprel) |
C | Prostaglandin E2 |
D | Inhaled nitric oxide |
Question 20 |
A client asks the nurse how lung maturity is determined in the neonate. What is the best response by the nurse?
A | Meconium in the amniotic fluid |
B | Glucocorticoid treatment just before delivery |
C | Lecithin-to-sphingomyelin ratio more than 2:1 |
D | Absence of phosphatidylglycerol in amniotic fluid |
Question 21 |
Which assessment finding might be seen in a neonate suspected of having early breast-milk jaundice?
A | History of being a poor feeder |
B | Decreased bilirubin level around day 3 of life |
C | Clinical jaundice evident after 24 hours |
D | Interruption of breastfeeding resulting in decreased bilirubin levels between 24 and 72 hours |
Question 22 |
A nurse is caring for four neonates. Which neonate is most likely to develop hyperbilirubinemia?
A | Neonate of an African-American mother |
B | Neonate of an Rh-positive mother |
C | Neonate with ABO incompatibility |
D | Neonate with Apgar scores of 9 and 10 at 1 and 5 minutes |
Question 23 |
A neonate develops sepsis 18 hours after birth. Which organism most likely contributed to this problem?
A | Candida albicans |
B | Chlamydia trachomatis |
C | Escherichia coli |
D | Group B beta-hemolytic streptococci |
Question 24 |
A male neonate has just been circumcised. Which nursing intervention is part of the initial care of a circumcised neonate?
A | Apply alcohol to the site. |
B | Change the diaper as needed. |
C | Keep the neonate in the supine position. |
D | Apply petroleum gauze to the site for 24 hours. |
Question 25 |
Which assessment finding would place the neonate at the least risk for developing respiratory distress syndrome (RDS)?
A | Second born of twins |
B | Neonate born at 34 weeks |
C | Neonate of a diabetic mother |
D | Chronic maternal hypertension |
Question 26 |
Which clinical finding is most suggestive to the nurse of physiological hyperbilirubinemia in a neonate?
A | Clinical jaundice before 36 hours of age |
B | Clinical jaundice lasting beyond 14 days |
C | Bilirubin levels of 12 mg/dl by 3 days of life |
D | Serum bilirubin level increasing by more than 5 mg/dl/day |
Question 27 |
Which neonate would be most at risk for a problem with thermoregulation?
A | A term neonate born to a diabetic mother. |
B | A neonate born at 36 weeks’ gestation. |
C | A neonate born at 39 weeks’ gestation. |
D | A term neonate with signs of jaundice at 36 hours of age. |
Question 28 |
The nurse is aware that which sign is the earliest indication of respiratory distress syndrome (RDS) in a neonate?
A | Bilateral crackles |
B | Pale gray color |
C | Tachypnea more than 60 breaths/minute |
D | Poor capillary filling time (3 to 4 seconds) |
Question 29 |
A nurse is caring for an infant of a mother with diabetes. The nurse is aware that which physiological finding would be most indicative of a hypoglycemic episode?
A | Hyperalert state |
B | Jitteriness |
C | Excessive crying |
D | Serum glucose level of 60 mg/dl |
Question 30 |
Which would be the highest priority in regulating the temperature of a neonate?
A | Supply extra heat sources to the neonate. |
B | Keep the ambient room temperature less than 100° F (37.8° C). |
C | Minimize the energy needed for the neonate to produce heat. |
D | Block radiant, convective, conductive, and evaporative losses. |
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