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Exam 3 maternal newborn nclex Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

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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. o © 2025 TestTrackers o or call [] o Resources & Updates: [Testtrackers - Stuvia US] o Your Success is Our Mission! o For online exams and tutor expert, please me in the number given. 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. o © 2025 TestTrackers o or call [] o Resources & Updates: [Testtrackers - Stuvia US] o Your Success is Our Mission! o For online exams and tutor expert, please me in the number given. C) Assess for hyperthyroidism. D) Assess the newborn's temperature hourly. E) Assess for hyperbilirubinemia. - Ans: Assess blood glucose frequently. Assess for hyperbilirubinemia. Quiz: The nurse is instructing a new mother on how to care for the newborn's circumcision site. Which statements indicate that the nurse's education session was effective? Select all that apply. A) "I should not use petroleum jelly on the penis." B) "Every time I change the diaper I am to wash the area with warm water." C) "I should report any pus drainage or change in diaper wetness to the physician." D) "Swelling is expected." E) "I am to use soap and water to remove yellow tissue on the penis." - Ans: "Every time I change the diaper I am to wash the area with warm water." "I should report any pus drainage or change in diaper wetness to the physician." Quiz: When administering an intramuscular dose of vitamin K (phytonadione) to a newborn, which actions by the nurse are appropriate? Select all that apply. A) Using a 23-gauge 1/2-inch needl

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Exam 3 maternal newborn nclex Questions and
Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
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.




o
o
© 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.

, 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.


o
o
© 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.

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Maternal newborn nclex

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