MNB Final Exam Questions And Well Elaborated Answers.
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Course
MNB
Institution
MNB
The neonatal nurse knows the challenges that face newborns when adapting to their new world.
What is one of the first interventions performed during the delivery to ensure a safe transition?
A) Suctioning the neonate's airways
B) Testing the neonate's reflexes
C) Facilitating maternal bonding
...
The neonatal nurse knows the challenges that face newborns when adapting to their new world.
What is one of the first interventions performed during the delivery to ensure a safe transition?
A) Suctioning the neonate's airways
B) Testing the neonate's reflexes
C) Facilitating maternal bonding
D) Assessing for congenital defects - correct answer A) Suctioning the
neonate's airways
The nurse is teaching the new mother what occurs when her baby takes its first breath. Which one
of the following teaching points is accurate?
A) The breath assists conversion to adult circulation and fills the lungs with fluid.
B) The breath establishes neonatal lung volume and function.
C) The baby's respirations should stabilize immediately at birth.
D) The baby's respiratory rate should be more than 60 breaths per minute after 2 hours. - correct
answer B) The breath establishes neonatal lung volume and function.
The neonatal nurse knows that the neonate must work to keep warm. What is the most efficient process
the neonate uses to maintain its temperature?
A) Using stores of brown fat
B) Producing muscle movement
C) Shivering
D) Taking shallow breaths - correct answer A) Using stores of brown fat
The nurse is performing immediate care of the newborn. Which of the following interventions are
related to the four goals for immediate management of the newborn? Select all answers that apply.
A) Suctioning the baby's nasal passages
B) Placing a cap on the baby's head
,C) Assisting the mother to breastfeed
D) Providing a complete body bath and shampoo
E) Placing an identification band on the infants wrist
F) Reporting Mongolian spots if found on the infant's skin - correct answer A)
Suctioning the baby's nasal passages
B) Placing a cap on the baby's head
C) Assisting the mother to breastfeed
E) Placing an identification band on the infants wrist
A client has just given birth. After ensuring that the newborn is stable, which of the following steps
should the nurse perform while still in the delivery room to help the client bond with the infant?
A) Attach identification bands to the newborn
B) Clear the newborn's mouth of secretions
C) Administer vitamin K to the newborn
D) Allow the mother to breastfeed - correct answer D) Allow the mother to
breastfeed
The nurse is assessing a neonate to obtain an Apgar score. The nurse records the following data: heart
rate: 120 bpm, good respiratory effort, neonate crying vigorously, some flexion of extremities, body
color: pink, extremities blue. What would be the Apgar score for this neonate?
A) 4
B) 6
C) 8
D) 10 - correct answer C) 8
Following the 1-minute Apgar score of a neonate, the nurse records the number 5. What is the implied
meaning of this number?
A) The newborn is in good condition.
B) The newborn does not need resuscitation.
C) The newborn is in danger.
, D) The newborn needs emergency resuscitation. - correct answer C) The
newborn is in danger.
It is the responsibility of the nurse to initiate some form of identification while the infant is still in the
delivery or birth room. Which of the following accurately describes a step in this process?
A) An electronic bracelet may be placed on the infant to create an alarm if the infant is taken off the
obstetrical unit.
B) A two-band system with identifying information may be used, with one placed on the mother and the
other on the infant.
C) The mother and infant's fingerprints may be taken and placed in the medical record.
D) A chart with all identifying information must be prepared after the newborn leaves the delivery room.
- correct answer A) An electronic bracelet may be placed on the infant to
create an alarm if the infant is taken off the obstetrical unit.
The nurse helping to deliver newborns institutes measures to protect the mother and infant as well
as the staff from infection or disease. Which of the following accurately describes a form of
infection/disease control utilized in the delivery or birthing room?
A) Eye prophylaxis is used for infants born to mothers with diabetes mellitus.
B) Vitamin K is given to prevent bleeding problems.
C) The first vaccination against hepatitis C is given.
D) Universal Precautions are used when handling the baby or caring for the mother. - correct answer
B) Vitamin K is given to prevent bleeding problems.
The nurse is facilitating bonding of an infant with his parents. Which of the following is a recommended
intervention to assist in this process?
A) Remove the baby from the parents and allow the mother time to recuperate.
B) Place the mother and baby with their bodies in the spoon position.
C) Place the swaddled baby between the mother's breasts.
D) Delay eye prophylaxis until after this critical time period. - correct answer D)
Delay eye prophylaxis until after this critical time period.
When assessing the physical condition of a 2-day-old infant, the nurse notices a relatively soft swelling
on one side of the skull extending up to the midline. Which of the following does this condition indicate?
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