Nclex-Rn Practice Questions-Maternal-Neonatal Care - Neonatal Care Part 3
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Question 1 |
A nurse is caring for a neonate with fetal alcohol syndrome (FAS). Which craniofacial change is most indicative of FAS?
A | Macrocephaly |
B | Microphthalmia |
C | Wide palpebral fissures |
D | Well-developed philtrum |
Question 2 |
A nurse in the neonatal nursery is serving as preceptor for a student nurse. The student asks the nurse why a neonate’s head is cone shaped. Which response is accurate?
A | “It results from caput succedaneum. The difficult labor caused bruising and swelling of the neonate’s head.” |
B | “It results from molding. Overriding of the cranial sutures allows the neonate’s head to pass though the birth canal.” |
C | “It results from cephalohematoma. Some blood has collected between the skull bone and periosteum.” |
D | “It results from hydrocephalus. Either too much cerebrospinal fluid (CSF) is being formed or too little is being absorbed.” |
Question 3 |
While performing an initial assessment on a term neonate with an Asian mother, the nurse notes a bluish marking across the neonate’s lower back. The nurse interprets this as:
A | a sign of birth trauma. |
B | a telangiectatic hemangioma. |
C | a typical marking in dark-skinned races. |
D | an indication that hyperbilirubinemia may follow. |
Question 4 |
The nurse is aware that cold stress in the neonate can lead to which condition?
A | Anemia |
B | Hyperglycemia |
C | Metabolic alkalosis |
D | Increased oxygen consumption |
Question 5 |
A new mother states to the nurse, “My baby spits up after every feeding.” Which intervention would be appropriate to teach the mother initially for this problem?
A | Feed the baby every hour. |
B | Change the infant to a soy formula. |
C | Lay the infant on its stomach after every feeding. |
D | Burp the infant more frequently during each feeding. |
Question 6 |
When assessing for congenital anomalies in a neonate, which symptom is seen first with tracheoesophageal atresia?
A | Torticollis |
B | Nasal stuffiness |
C | Oligohydramnios |
D | Excessive oral secretions |
Question 7 |
An initial assessment of a female neonate shows pink-streaked vaginal discharge. This finding indicates which condition?
A | Cystitis |
B | Birth trauma |
C | Neonatal candidiasis |
D | Withdrawal of maternal hormones |
Question 8 |
A neonate is admitted to rule out a diagnosis of cystic fibrosis. Which GI disorder most likely indicates this diagnosis?
A | Duodenal obstruction |
B | Jejunal atresia |
C | Malrotation |
D | Meconium ileus |
Question 9 |
Which condition requires intervention when displayed by a neonate born to a mother with a history of chronic alcohol abuse?
A | Hypoactivity |
B | High birth weight |
C | Poor wake and sleep patterns |
D | High threshold of stimulation |
Question 10 |
Which initial nursing intervention best addresses the needs of a term neonate with adequate respiratory and heart rates but who has central cyanosis?
A | Provide tactile stimulation. |
B | Give supplemental free-flow oxygen. |
C | Assist ventilation with a bag and mask. |
D | Intubate and suction the lower airway. |
Question 11 |
A neonate who has been receiving formula feedings is discharged from the neonate nursery. Twenty-four hours later, the mother calls the hospital, stating that the neonate is vomiting most of his feedings. The nurse determines further instruction is necessary when the mother makes which statement?
A | “Every time I feed him, he spits up about a teaspoonful of formula onto his bib.” |
B | “I’m using prepared formula, and he takes 1/2 oz to 1 oz every 3 to 4 hours.” |
C | “I feed him every time he cries. Sometimes, he eats 4 oz at a time every couple of hours.” |
D | “I burp him after each 1/2 oz of formula.” |
Question 12 |
A woman delivers a 3,250-g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination of this neonate?
A | Abundant lanugo |
B | Absence of sole creases |
C | Breast bud of 1 to 2 mm in diameter |
D | Leathery, cracked, and wrinkled skin |
Question 13 |
A neonate has an imperforate anus, tracheoesophageal fistula, and a single umbilical artery. A nurse suspects that the neonate might have which congenital disorder?
A | Beckwith-Wiedemann syndrome |
B | Trisomy 13 |
C | Turner’s syndrome |
D | VATER association |
Question 14 |
A 36-week neonate born weighing 1,800 g has microcephaly and microphthalmia. Based on these findings, which risk factor might be expected in the maternal history?
A | Use of alcohol |
B | Use of marijuana |
C | Gestational diabetes |
D | Positive group B streptococci |
Question 15 |
A home health nurse assesses a neonate who is 48 hours old and was discharged from the hospital 24 hours ago. Which assessment finding indicates a potential problem?
A | The neonate cries but no tears appear. |
B | Small papules appear all over the neonate’s skin. |
C | The neonate doesn’t turn his head in the direction that his cheek is stroked. |
D | The neonate produces a greenish-brown stool. |
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