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Quiz: The nurse is proving care to a 1-hour-old newborn who was born at 39 weeks'
gestation. Which assessment data is cause for concern? Select all that apply.
A) Respiratory rate of 82 breaths per minute
B) Negative Babinski reflex
C) Mean blood pressure of 52 mmHg
D) Acrocyanosis
E) Presence of soft heart murmur -
Ans: Respiratory rate of 82 breaths per minute
Negative Babinski reflex
Quiz: The nurse receives shift change report on infants born within the last 4 hours. Which
newborn should the nurse assess first?
A) Newborn born at 37 weeks' gestation. Respiratory rate of 45 breaths per minute.
B) Term newborn, 2 hours old, who has not passed a meconium stool.
C) Term newborn born 3 hours ago. Heart rate is 150 beats per minute.
D) Term newborn born 1 hour ago who is exhibiting grunting respirations. -
Ans: Term newborn born 1 hour ago who is exhibiting grunting respirations.
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, Quiz: A client delivers a newborn son and plans to breastfeed. When the nurse attempts to
help the newborn latch on for breastfeeding, the client states, "I would like to bottle feed
my baby for the first few days." Which reason might the nurse hear regarding why the client
wants to delay breastfeeding?
A) Colostrum is bad for the baby.
B) The birthing process spoils breast milk.
C) It will cause "evil eye."
D) Newborns require feeding on demand. -
Ans: Colostrum is bad for the baby.
Quiz: The nurse is caring for a newborn boy who was circumcised an hour ago. Which is
the priority nursing diagnosis for the newborn?
A) Risk for Injury
B) Risk for Infection
C) Risk for Imbalanced Nutrition
D) Risk for Ineffective Breathing Pattern -
Ans: Risk for Infection
Quiz: A nurse is caring for the 1-hour-old newborn of a mother with diabetes mellitus.
Which actions will the nurse include in the newborn's plan of care? Select all that apply.
A) Assess blood glucose frequently.
B) Assess for SGA.
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© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.