Nursing Care of Newborn Exam Questions with Merged Marking Scheme
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Course
Nursing Care of Newborn
Institution
Nursing Care Of Newborn
A nurse is teaching her patient about possible complications associated with the birth of a LGA infant.
Which of the following is an incorrect statement?
a) "Your baby is more likely to be hypoglycemic
and could develop a blood disorder that makes
him have too much blood in his circulation....
Nursing Care of Newborn
Exam Questions with
Merged Marking Scheme
Total Questions: 94
Worksheet time: 1hrs 26mins
Date
1. A nurse is teaching her patient about possible complications associated with the birth of a LGA infant.
Which of the following is an incorrect statement?
a) "Your baby is more likely to be hypoglycemic b) "We will be very worried about your baby
and could develop a blood disorder that makes becoming hyperthermic."
him have too much blood in his circulation."
c) "Sometimes we have to induce LGA infant d) "Your baby may present in a breech
births with Oxytocin." presentation."
2. A diabetic mother is very anxious and has requested information from the nurse about how her infant
may be affected. Which of the following is NOT a complication seen in the infant of a diabetic mother
(IDM)?
a) a high Hct level b) muscle tremors from hypercalcemia
c) a ruddy color to the baby with excessive fatty d) a blood sugar below 45
tissue
3. A nurse is educating a group of women about pre and post-term newborns. Which of the following are
complications in a postterm newborn? Select all that apply
a) Polycythemia b) Cold stress
c) Hyperglycemia d) Myconium asperation
4. Which of the following would be the nurse's priority in a preterm newborn?
a) GI immaturity b) Immature kidneys
c) Surfactant d) Heat loss
missing
,5. The following information is presented to a mother about PKU testing. Which piece of information is
incorrect?
a) PKU testing is done to test a newborn's b) PKU testing will be performed after 6 feedings
metabolism or 24 hr
c) A baby may be placed on Lofenalac after this d) A special diet that increases ingestion of
test phenylalanine may be implemented
6. Which of the following signs and symptoms would indicate to the nurse that an infant is experiencing
respiratory distress syndrome? Select all that apply
a) nasal flaring b) bradypnea
c) cyanosis d) intercostal and subcostal retractions
7. Untreated hyperbilirunemia may lead to:
a) Hypoglycemia b) Kernicterus
c) Coombs disease d) Phototherapy
8. When assessing the preterm infant the nurse understands that compared with the term infant, the
preterm infant has:
a) More subcutaneous fat. b) Less subcutaneous fat.
c) Well-developed flexor muscles. d) Few blood vessels visible through the skin.
9. A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse
explain surfactant therapy to the parents?
a) "Surfactant is used to reduce episodes of b) "The drug keeps your baby from requiring too
periodic apnea." much sedation."
c) "Your baby needs this medication to fight a d) "Surfactant improves the ability of your baby's
possible respiratory tract infection." lungs to exchange oxygen and carbon dioxide."
, 10. An infant at 26 weeks of gestation arrives intubated from the delivery room. The nurse weighs the
infant, places him under the radiant warmer, and attaches him to the ventilator at the prescribed
settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse oximeter is recording
oxygen saturations of 80%. The prescribed saturations are 92%. The nurse's most appropriate action
would be to:
a) Continue with the admission process to ensure b) Continue to observe and make no changes
that a thorough assessment is completed. until the saturations are 75%.
c) Listen to breath sounds and ensure the d) Notify the parents that their infant is not doing
patency of the endotracheal tube, increase well.
oxygen, and notify a physician.
11. For clinical purposes, preterm and post-term infants are defined as:
a) Preterm, SGA before 38 to 40 weeks, and b) Preterm before 37 weeks, and post-term
post-term, LGA beyond 40 to 42 weeks. beyond 42 weeks, no matter the size for
gestational age at birth
c) Post-term after 40 weeks if large for gestational d) Preterm before 34 weeks if appropriate for
age (LGA) and beyond 42 weeks if AGA gestational age (AGA) and before 37 weeks if
small for gestational age (SGA).
12. Because of the premature infant's decreased immune functioning, what nursing diagnosis should the
nurse include in a plan of care for a premature infant?
a) Ineffective thermoregulation b) Ineffective infant feeding pattern
c) Delayed growth and development d) Risk for infection
13. A pregnant woman presents in labor at term, having had no prenatal care. After birth her infant is noted
to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic.
On the basis of her infant's physical findings, this woman should be questioned about her use of which
substance during pregnancy?
a) Marijuana b) Alcohol
c) Heroine d) Cocaine
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