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RN Nursing School · Maternal-Newborn · 345 questions

Newborn practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Newborn, practise in the app.

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  1. 1How can nurses prevent evaporative heat loss in the newborn?Answer →
  2. 2A newborn was born in a cool delivery room and has amniotic fluid remaining on the skin. The nurse notices the newborn's temperature is 36.2°C (97.2°F) and the newborn appears pale and lethargic. Which intervention should the nurse implement immediately to prevent further heat loss due to evaporation?Answer →
  3. 3A nurse is planning care for a 38 weeks newborn from a diabetic client who is large for gestational age (LGA) 10 lbs. Which of the following is the priority Intervention the nurse should include in the newborn's plan of care?Answer →
  4. 4A nurse observes a newborn who has a pink trunk, bluish discoloration in plantar and palmar areas, FHR 135 bpm, strong crying, and some flexion in all extremities. The newborn cries vigorously in response to suctioning. The nurse should document which 1 minute APGAR score for this newborn?Answer →
  5. 5A full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record indicates the mother is positive for HIV and received zidovudine IV during labor. Which action should the nurse implement?Answer →
  6. 6What physiological change triggers closure of the ductus venosus?Answer →
  7. 7All of the following activities are important in the immediate care of the premature neonate in the delivery room. Which one should have the greatest priority?Answer →
  8. 8The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of:Answer →
  9. 9A nurse is caring for a newborn and their parent. Which of the following actions should the nurse take to ensure the newborn's safety?Answer →
  10. 10The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:Answer →
  11. 11A nurse is caring for a newborn who has herpes simplex virus as a result of in utero transmission. Which of the following actions should the nurse take?Answer →
  12. 12The following data is documented on the mother's labor and birth record. Which is most predictive of risk to the newborn?Answer →
  13. 13The nurse is caring for a newborn who is 12 hours old with a clavicle fracture on the left side. Which finding should concern the nurse?Answer →
  14. 14A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  15. 15A nurse is reinforcing teaching with a group of family members about communicable diseases. The nurse should include that which of the following is the best method to prevent a communicable disease?Answer →
  16. 16The nurse prepares a presentation on prevention of osteoporosis for a local women's group. Which education should the nurse include on ways to reduce the risk for osteoporosis? (Select all that apply)Answer →
  17. 17What teachings and or parent education would the nurse provide? Select all that applyAnswer →
  18. 18The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?Answer →
  19. 19A nurse is assessing a newborn following a vaginal birth. Which of the following findings should the nurse identify as requiring follow-up? Select all that apply.Answer →
  20. 20When inspecting a newborn, the nurse notices a flat, purple-red area with sharp borders on the infant's skin. Which condition does this indicate?Answer →
  21. 21A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication?Answer →
  22. 22A nurse is reviewing data for four children. Which of the following children should the nurse assess first?Answer →
  23. 23A mother says, "I just changed my newborn daughter's wet diaper and saw a spot of blood on it." What is the best response by the nurse?Answer →
  24. 24A nurse is assisting with the care of a newborn 2 hr following birth. (Based on the provided Vital Signs, Nurses' Notes, Diagnostic Results, and Medical History) Select the 4 findings that the nurse should report to the provider:Answer →
  25. 25A nurse is assessing a 3-hours-old newborn who has Coarctation of the Aorta. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  26. 26A newborn infant is receiving immunizations prior to discharge. Which action should the nurse implement?Answer →
  27. 27A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces conductive heat loss by the newborn?Answer →
  28. 28A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?Answer →
  29. 29The nurse is assisting with the care of a newborn after delivery. The newborn has an Apgar score of 10 at 1 min and 5 min. What action does the nurse prepare for?Answer →
  30. 30A client with a previous history of syphilis infection recently gave birth. The newborn has acquired syphilis infection and has rose spots, blebs (blisters) on the soles and palms, and catarrhal discharge from the nasal mucous membrane. Which intervention should the nurse implement when caring for the newborn?Answer →
  31. 31A newborn in the nursery begins to have greenish yellow foul-smelling diarrhea. What is a priority action by the nurse?Answer →
  32. 32The nurse is preparing to bottle-feed a preterm newborn. In which situation should the nurse withhold the feeding and notify the pediatrician?Answer →
  33. 33Which statement about phytonadione and jaundice is true in the case of an infant who appears jaundiced to the nurse after being treated with phytonadione?Answer →
  34. 34A nurse is reinforcing teaching for a client who gave birth to a term newborn 24 hr ago about the newborn screening for phenylketonuria (PKU). Which of the following statements should the nurse discuss?Answer →
  35. 35The nurse is educating the parents of a large for gestational age (LGA) newborn about potential complications associated with this condition. Which statement should the nurse include?Answer →
  36. 36A woman gave birth to a newborn via vaginal birth with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn?Answer →
  37. 37After administration of surfactant, which findings indicate therapeutic effectiveness? (Select all that apply)Answer →
  38. 38A nurse caring for a newborn notices an abnormal breathing pattern. The newborn shows signs of dyspnea and cyanosis along with tachycardia and an expiratory grunt. What does the nurse suspect is the condition for this newborn?Answer →
  39. 39The nurse would be most alert for the development of transient tachypnea in a newborn who:Answer →
  40. 40A nurse is providing education to the caregivers of an infant born with a cleft lip and palate. What education should the nurse provide to the caregivers?Answer →
  41. 41After the intubation and initial dose of surfactant, what would you expect to note if the newborn's respiratory distress syndrome is improving? Select all that apply.Answer →
  42. 42Drag from the choices below to specify what condition the client is most likely experiencing [blank1], 2 actions the nurse should take to address that condition [blank2] and [blank3], and 2 parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  43. 43A nurse is reinforcing teaching to a newly hired nurse about newborn behaviors. Which of the following statements should the nurse include in the teaching?Answer →
  44. 44The nurse is caring for a newborn in the postpartum unit. Refer to the attached client chart. Choose the correct assessment finding for each condition below.Answer →
  45. 45A nurse is contributing to the newborn's plan of care. Complete the following sentence by using the list of options. The nurse should first report the client's [blank1] followed by the client's [blank2] to the primary health care provider.Answer →
  46. 46A nurse is caring for an infant receiving phototherapy. Which provider order should the nurse question?Answer →
  47. 47When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F (35.4° C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority?Answer →
  48. 48Which one of the following interventions should the nurse implement first?Answer →
  49. 49The nurse is caring for a newborn with congenital limb deformities caused by amniotic band syndrome (ABS). Which best explains the pathophysiology of ABS?Answer →
  50. 50A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?Answer →
  51. 51The nurse is assessing a newborn. Based on the assessment data, which condition is the neonate most at risk for without preventative treatment?Answer →
  52. 52Which action by a nurse who has assisted with an uncomplicated delivery of a full-term neonate indicates an understanding of proper administration of erythromycin ophthalmic ointment?Answer →
  53. 53A nurse is assessing a newborn who was exposed to heroin during pregnancy. Which of the following findings should indicate to the nurse that the newborn is experiencing neonatal abstinence syndrome? (Select all that apply.)Answer →
  54. 54A nurse in the newborn nursery is caring for a full-term infant who was delivered 2 hours ago. The nurse notes that the infant's temperature is 36°C (96.8°F), and the baby appears cool to the touch. The nurse suspects the newborn is experiencing cold stress. Which findings would the nurse expect to assess? (Select all that apply.)Answer →
  55. 55A nurse is overseeing the care of multiple newborns in a neonatal unit. One newborn, whose mother had poorly controlled gestational diabetes, exhibits lethargy, poor feeding, jitteriness, and a respiratory rate of 72 breaths per minute. Which action should the nurse take first?Answer →
  56. 56A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Enter text here. ______ mLAnswer →
  57. 57A client notices that their newborn has a slightly elongated skull. How should the nurse explain this to the client?Answer →
  58. 58A nurse is assessing a newborn for signs of prematurity using the scarf sign maneuver. Which finding is most consistent with a premature infant?Answer →
  59. 59A newborn with a tracheoesophageal fistula is likely to present with which assessment finding?Answer →
  60. 60A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?Answer →
  61. 61A nurse is admitting a 5-week-old infant to the pediatric unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  62. 62A nurse is caring for a newborn immediately following birth who has a large abdominal wall defect that is protruding from the right of the umbilicus and is not covered by a membrane. Which of the following actions should the nurse take?Answer →
  63. 63A nurse is assessing a pre-term infant. Which of the following assessment findings is consistent with an infant born at 33 weeks?Answer →
  64. 64After reviewing the information in the newborn's electronic medical record (EMR), which of the following findings should the nurse report to the provider? Click to highlight below the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
  65. 65Acetaminophen infant drops are ordered for a newborn after a circumcision. The doctor has ordered 15mg/kg, by mouth, every 6 hours. The acetaminophen bottle states that the strength is 100mg per 1 milliliter. The newborn weighs 6 pounds, 11 ounces. How much acetaminophen will you draw up?Answer →
  66. 66A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?Answer →
  67. 67Which clinical finding indicates a sign of illness in the 12-hour-old newborn?Answer →
  68. 68Which assessment finding of a 12-hour-old sleeping newborn requires prompt action by the nurse?Answer →
  69. 69A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?Answer →
  70. 70A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?Answer →
  71. 71While inspecting a newborn's head, the nurse identifies a localized soft tissue swelling of the scalp that crosses the suture line. How would the nurse refer to this finding when documenting?Answer →
  72. 72Assessment of a newborn reveals a heart rate of 180 beats per minute. To determine whether this finding is a common variation rather than a sign of distress, what else does the nurse need to know?Answer →
  73. 73A nurse is collecting data on a 1-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?Answer →
  74. 74The nurse is admitting a neonate 2 hours after delivery. Which assessment data should the nurse be concerned about? Select all that apply.Answer →
  75. 75After reviewing the information in the newborn's electronic medical record (EMR), which of the following findings should the nurse report to the provider? Click to highlight below the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
  76. 76A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?Answer →
  77. 77Following a vaginal delivery, the nurse places the neonate under the radiant warmer, provides Naso-oropharyngeal suction, and dries the neonate's skin to elicit spontaneous respirations. The newborn heart rate is 100 beats/minute and remains apneic when the nurse flicks the soles of the feet. Which action should the nurse implement next?Answer →
  78. 78During a vaginal delivery, the nurse observes that the newborn's head appears elongated and molded. Which explanation best reflects the physiological reason for this fetal head molding?Answer →
  79. 79A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?Answer →
  80. 80A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis with severe abdominal pain. Which type of crisis is the child most likely experiencing?Answer →
  81. 81A nurse is caring for a newborn who is experiencing jaundice and has been prescribed phototherapy. Which of the following interventions should the nurse include in the plan of care?Answer →
  82. 82A nurse is collecting data on a newborn. Which of the following findings indicates the newborn has epispadias?Answer →
  83. 83A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?Answer →
  84. 84A nurse assesses a newborn at 5 minutes with arms and legs flexed, sneezing noted, heart rate 80 bpm, baby has blue hands and feet, and respirations are slow and Irregular. What is the APGAR score of the NBAnswer →
  85. 85A nurse is providing education about family bonding to guardians who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member?Answer →
  86. 86The nurse is assisting with the administration of beractant to a premature neonate. The neonatal nurse practitioner begins the instillation of the medication. Which statement best describes how the procedure will continue?Answer →
  87. 87A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?Answer →
  88. 88The nurse should further evaluate Target 1, Target 2 and Target 3 to determine if the newborn is experiencing a complication.Answer →
  89. 89Which rationale explains the purpose of the nurse administering erythromycin ophthalmic ointment to a neonate immediately after birth?Answer →
  90. 90A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?Answer →
  91. 91The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions regarding the newborn should the nurse anticipate?Answer →
  92. 92The nurse is preparing to administer a dose of Vitamin K to an infant at 1 hour of age. The prescription states Vitamin K 0.5 mg IM. The medication comes in a premade vial of Vitamin K 1mg/2mL. How many mL's should the nurse administer? Round the answer to the nearest whole number.Answer →
  93. 93Which statement about the use of phytonadione in a newborn is accurate?Answer →
  94. 94Which nursing action best supports improving a low Apgar score?Answer →
  95. 95While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?Answer →
  96. 96A nurse is providing vehicle safety education to the parents of a premature newborn. Which of the following statements should the nurse include in the teaching?Answer →
  97. 97A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. Which response by the nurse will best explain the purpose for administering the ointment?Answer →
  98. 98The nurse is preparing to administer erythromycin 0.5% ophthalmic ointment to the newborn's eyes. What condition is the nurse preventing the newborn from contracting?Answer →
  99. 99A client just delivered a preterm infant. What is the priority nursing intervention?Answer →
  100. 100A nurse is assessing a 48-hr-old newborn of a client who had a prenatal history of substance use disorder. Which of the following manifestations should the nurse expect?Answer →
  101. 101After the intubation and initial dose of surfactant, what would you expect to note if the newborn's respiratory distress syndrome is improving? Select all that apply.Answer →
  102. 102A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy?Answer →
  103. 103A nurse is assessing a newborn baby. Which characteristic indicates an abnormality in the newborn?Answer →
  104. 104The nurse is performing an initial assessment of a term newborn who was just delivered vaginally with no complications. Which system assessment should be the nurse's priority?Answer →
  105. 105A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?Answer →
  106. 106A nurse is caring for an infant who has inadequate motility of part of the large intestine resulting in a mechanical obstruction and abdominal distention. The nurse should identify this finding as a manifestation of which of the following disorders?Answer →
  107. 107The nurse is caring for a newborn with suspected neonatal abstinence syndrome. The mother is currently taking methadone and is in a treatment program. Which intervention should the nurse implement prior to discharge?Answer →
  108. 108The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. Which priority issue should the nurse address to ensure the newborn's survival?Answer →
  109. 109A nurse is caring for a newborn who is 5 days old. Which of the following actions should the nurse take? Select all that apply.Answer →
  110. 110A nursery nurse is conducting an admission assessment on a three-hour-old term newborn born by C-section. The nurse notes that the lung sounds are slightly moist. The skin color is pink, but acrocyanosis is present. Pulse is 146 bpm and respirations are 60 breaths/min and unlabored. Which of the following is the most appropriate nursing action?Answer →
  111. 111A provider prescribes cefazolin 50 mg/kg/day IV divided every 8 hours for a pediatric client who weighs 22 lb. The medication is available as cefazolin 100 mg/mL. How many milliliters should the nurse administer per dose? (Round your answer to the nearest tenth.)Answer →
  112. 112In which manner does immunizing infants for hepatitis B affect adult complications and death from the virus?Answer →
  113. 113A nurse is performing a physical examination of a term newborn upon admission to the nursery. In which order should the nurse perform the following assessments? (Move the Steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  114. 114What potential interventions would be indicated? Select all that apply.Answer →
  115. 115During a routine checkup, a couple tells the nurse that their child enjoys watching other children play at daycare, but does not readily participate. What can the nurse conclude about the child's engagement of play from this description of behavior?Answer →
  116. 116A nurse is assisting with the planning of an educational staff presentation about newborn sensory behaviors. Which of the following statements should the nurse include?Answer →
  117. 117A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply.)Answer →
  118. 118A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)Answer →
  119. 119A nurse is completing a Ballard score for a newborn to identify gestational age. Which of the following findings should be recorded as part of this assessment indicating a term newborn?Answer →
  120. 120A nursing professor asks students to explain how newborns generate body heat after birth. Which student response demonstrates a correct understanding of newborn thermogenesis?Answer →
  121. 121The nurse administers vitamin K intramuscularly to the newborn based on which rationale?Answer →
  122. 122When newborns have been on formula for 24-48 hours and/or breast milk they should have what newborn screening completed before discharge?Answer →
  123. 123The nurse is preparing to administer a hepatitis B vaccine—recombinant 0.5 mL (5 mcg) intramuscularly—and hepatitis B immune globulin mL intramuscularly—to a newborn. Which plan will the nurse follow for administration of these medications?Answer →
  124. 124A nurse is providing teaching to a new parent about findings that require notification of the newborn's provider. Which of the following newborn clinical manifestations should the nurse include in the teaching?Answer →
  125. 125A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  126. 126The nurse is educating a new parent on safe sleep practices to reduce the risk of sudden infant death syndrome (SIDS). For each of the following statements, specify if the teaching point is indicated or contraindicated.Answer →
  127. 127The nurse educator on the labor and delivery unit is training new graduate nurses about necrotizing enterocolitis (NEC). The educator recognizes that the new graduates have an understanding of NEC when they explain that although signs of NEC are nonspecific, some generalized signs include which of the following?Answer →
  128. 128The dosing for beractant is 4 mL/kg IT every 4 hours. Which daily dose is calculated for a 4.4 lb neonate? Record your answer using a whole number. DO NOT include the units (mL/day).Answer →
  129. 129The nurse reviews the assessment findings and determines the findings are consistent with which of the following birth complications? For each assessment finding, click to specify if the finding is consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding may support more than one condition.Answer →
  130. 130The nurse is caring for a group of newborns. For each clinical finding, click to specify if the finding requires immediate action or no immediate action required.Answer →
  131. 131A nurse is assessing a newborn's umbilical cord. Which finding would indicate a possible abnormality that needs further investigation?Answer →
  132. 132A parent calls a clinic and reports to a nurse that his 7-day-old infant is hungry more than usual but is projectile vomiting immediately after eating. Fever is not noted. Which of the following responses should the nurse make?Answer →
  133. 133A nurse is caring for a patient with a recent forearm fracture who is at risk for compartment syndrome. Which nursing intervention is most critical to promptly identify and minimize this complication?Answer →
  134. 134A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin. Which of the following actions should the nurse take?Answer →
  135. 135Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  136. 136A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)Answer →
  137. 137A preterm infant at 32 weeks is at risk for respiratory distress syndrome because of:Answer →
  138. 138The nurse is assessing a preterm newborn diagnosed with a patent ductus arteriosus (PDA). Which of the following findings should the nurse expect?Answer →
  139. 139A nurse is caring for a newborn immediately following delivery. After ensuring the airway is patent, the newborn exhibits mild respiratory distress with intermittent apnea. What is the nurse's priority intervention to stabilize the newborn's respiratory status?Answer →
  140. 140A nurse is caring for a newborn 4 hr after their birth. Which of the following findings should the nurse report to the provider?Answer →
  141. 141A nurse is assessing a newborn's umbilical cord immediately after birth. Which finding should be reported to the healthcare provider?Answer →
  142. 142A nurse is assessing a newborn who has experienced hypoxic-ischemic encephalopathy (HIE). Which of the following manifestations should the nurse expect?Answer →
  143. 143A nurse is preparing the plan of care for a term newborn who was asymptomatic at birth and whose mother had hepatitis B during pregnancy. Which of the following interventions should the nurse include in the plan of care?Answer →
  144. 144A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. Which of the following laboratory findings should the nurse plan to monitor?Answer →
  145. 145Just after birth, a newborn's axillary temperature is 94 deg * F (34.4 deg * C) What action would be most appropriate?Answer →
  146. 146A nurse is reinforcing teaching to a newly hired nurse about head-to-toe assessments on a newborn. Which of the following statements should the nurse include in the teaching?Answer →
  147. 147A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of the following findings should the nurse identify as an injury caused by the forceps?Answer →
  148. 148A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?Answer →
  149. 149The nurse charts a newborn infant's assessment at birth: - Heart rate: 120 beats/minute - Weak cry - Spontaneous, vigorous body movement - Responds promptly to gentle slap to soles of feet with cry - Acrocyanosis This infant's Apgar score is:Answer →
  150. 150A nurse is caring for a hospitalized nonverbal child with autism spectrum disorder (ASD) who begins rocking and flicking fingers during a prolonged wait in the examination room. Which nursing intervention is most appropriate to reduce the child's anxiety and sensory overload?Answer →
  151. 151A nurse is assessing a newborn who has Erb-Duchenne palsy. Which of the following findings should the nurse expect?Answer →
  152. 152A 3-month-old infant has been diagnosed with developmental hip dysplasia (DDH). The nurse plans care and provides education to the parents. Considering the infant's age and diagnosis, which treatment approach should the nurse prioritize?Answer →
  153. 153A newborn is being prepared for phototherapy. Which intervention should the nurse include?Answer →
  154. 154A nurse is assessing a newborn who has experienced hypoxic-ischemic encephalopathy (HIE). Which of the following manifestations should the nurse expect?Answer →
  155. 155A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?Answer →
  156. 156The nurse is assessing a full-term newborn during routine care in the postpartum unit. Which of the following assessment findings require the nurse to notify the healthcare provider? (Select all that apply)Answer →
  157. 157A nurse is preparing to administer the DTaP vaccine to a 3-month-old infant during a well-child visit. Which finding should lead the nurse to delay the administration of the vaccine?Answer →
  158. 158A nurse is assessing a client who is in labor and reports recent cocaine use. Which of the following newborn findings should the nurse expect?Answer →
  159. 159A nurse is caring for an infant who has an upper respiratory infection and suspected otitis media. Which of the following assessment findings the nurse identifies to suspect an otitis media?Answer →
  160. 160Complete the following sentence by using the lists of options. When planning care for the newborn, the nurse should first A followed by BAnswer →
  161. 161A nurse is assessing a newborn who is experiencing Duchenne-Erb (Erb's) palsy. Which of the following manifestations should the nurse expect?Answer →
  162. 162A preterm infant with rising bilirubin levels and visible jaundice is receiving phototherapy. Which potential complication should the nurse prioritize monitoring for to prevent long-term damage?Answer →
  163. 163A nurse observes a moist, foul-smelling cord stump with yellow discharge. What is the best nursing action?Answer →
  164. 164A nurse is planning to weigh a newborn. Which of the following actions should the nurse take?Answer →
  165. 165A preterm newborn is receiving enteral feedings. Which finding would alert the nurse to suspect that the newborn is developing NEC?Answer →
  166. 166A nurse is assessing a newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?Answer →
  167. 167A newborn has been diagnosed with a group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which cause?Answer →
  168. 168Which finding should the nurse reassure the client is normal in their newborn?Answer →
  169. 169A nurse is providing teaching to the parents of a newborn who has a prescription for a home phototherapy biliblanket. Which of the following statements should the nurse include in the teaching?Answer →
  170. 170The caregiver reports that an infant has a yellowish color 2 days after discharge from the birth center. The nurse reviews the patient's history. Based on the information in the infant's record, which medication administered after birth has most likely produced this side effect?Answer →
  171. 171The nurse would be most alert for the development of transient tachypnea in a newborn who:Answer →
  172. 172Immediately after the delivery of a newborn, what initial action by the nurse can assist with avoiding heat loss by evaporation?Answer →
  173. 173A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?Answer →
  174. 174A nurse is caring for a child who is in an occlusive sickle cell crisis. Which of the following physician orders requires clarification?Answer →
  175. 175A parent calls the clinic on day 2 after their newborn's circumcision and reports, "There's a little yellow film over the tip of his penis." Which response should the nurse give?Answer →
  176. 176Prior to discharging a 24-hour-old newborn, the nurse assesses the newborn's respiratory status. What would the nurse expect to assess?Answer →
  177. 177A nurse is contributing to the care of a newborn who is non-vigorous and born at 42 weeks of gestation with meconium-stained fluid. Which of the following interventions should the nurse anticipate being included in the plan of care?Answer →
  178. 178Match the following conditions with the expected physical findings.Answer →
  179. 179A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  180. 180The following data is documented on the mother's labor and birth record. Which is most predictive of risk to the newborn?Answer →
  181. 181A 48-hour-old infant has been diagnosed with physiologic jaundice. The nurse educates the parents that this type of jaundice is:Answer →
  182. 182If a newborn experiences cold stress, which physiological process occurs first?Answer →
  183. 183A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?Answer →
  184. 184Which clinical findings would help the nurse distinguish between caput succedaneum and cephalohematoma in a newborn?Answer →
  185. 185The nurse notices that a newborn at 24 hours of age has a large cephalhematoma. Which intervention has the highest priority?Answer →
  186. 186A nurse is preparing to educate a new mother about the importance of vitamin K administration to her newborn. Which explanation best addresses why vitamin K is given to newborns following delivery?Answer →
  187. 187The nurse is caring for a newborn. Which action(s) should the nurse take when administering the prescribed erythromycin eye ointment? Select all that apply.Answer →
  188. 188A nurse in a clinic is reviewing newborn hygiene with a group of clients. Which of the following instructions should the nurse include in the teaching?Answer →
  189. 189The nurse performs an abbreviated systematic physical assessment of the full-term newborn to detect any abnormalities. Identify the normal findings. Select all that apply.Answer →
  190. 190A newborn received a hepatitis B vaccine after birth. What instructions should be given to the parents by the nurse prior to discharge of the newborn?Answer →
  191. 191A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant?Answer →
  192. 192A nurse is assigned to manage and care for a newborn immediately after delivery. Which should be the immediate action of the nurse?Answer →
  193. 193A nurse is caring for a child who is postoperative following the insertion of a ventriculoperitoneal shunt. The nurse should place the child in which of the following positions?Answer →
  194. 194A nurse elicits the Babinski reflex by stroking the sole of a newborn's foot. Which response is expected?Answer →
  195. 195Which action should the nurse take if an infant, who was born yesterday weighing 7.5 lbs. (3,402 grams), weighs 7 lbs. (3,175 grams) today?Answer →
  196. 196A client asks the nurse to explain why it is common for some newborns have elongated heads. Which of the following explanations should the nurse provide?Answer →
  197. 197A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?Answer →
  198. 198A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?Answer →
  199. 199When assessing the condition of a preterm baby, the nurse notices a deep crease that runs horizontally across the infant's hands. The baby has slanted eyes and a large protruding tongue. Which condition should the nurse suspect in such a child?Answer →
  200. 200Which findings require immediate follow-up? Select all that apply.Answer →
  201. 201The nurse is caring for a newborn who was just delivered by cesarean section. The nurse is most concerned about ___ and ___.Answer →
  202. 202The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight. What is the most appropriate intervention by the nurse?Answer →
  203. 203The nurse is assessing a term newborn in the first hour of life. Which of the following cardiovascular findings are expected during this time?Answer →
  204. 204What are the nursing actions to take when caring for a newborn diagnosed with meconium aspiration syndrome? Select all that apply.Answer →
  205. 205Which action would the nurse take first if, during the administration of exogenous surfactant to a neonate born at 33 weeks' gestation, the neonate develops transient bradycardia and becomes dusky in color and more agitated?Answer →
  206. 206A preterm infant is at higher risk for infection primarily because:Answer →
  207. 207A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?Answer →
  208. 208A newborn delivered by scheduled cesarean birth is noted to have grunting, mild retractions, and rapid breathing a few hours after birth, but has good color. Which interpretation is MOST appropriate?Answer →
  209. 209A newborn is being prepared to go to his mother's room. The nurse takes his vital signs and finds his axillary temp to be 96°F. The nurse should:Answer →
  210. 210What observations by the nurse would indicate that a newborn may be "late premature"? (Select all that apply.)Answer →
  211. 211Which finding indicates normal healing of the umbilical cord?Answer →
  212. 212A nurse is contributing to the care of a newborn immediately following birth. The newborn has a large abdominal wall defect that is protruding to the right of the umbilicus and is not covered by a membrane. Which of the following actions should the nurse anticipate assisting with?Answer →
  213. 213To avoid heat loss by convection, the nurse should:Answer →
  214. 214A nurse is contributing to the care of a newborn who has experienced excess oral and nasal secretions followed by cyanosis, choking, and coughing during the initial feeding after birth. Which of the following actions should the nurse anticipate?Answer →
  215. 215All of the following activities are important in the immediate care of the premature neonate in the delivery room. Which one should have the greatest priority?Answer →
  216. 216Which observation of a newborn at 3 hours of age should be reported?Answer →
  217. 217A nurse is reinforcing teaching to a newly hired nurse about head-to-toe assessments on a newborn. Which of the following statements by the new nurse demonstrates understanding of the teaching?Answer →
  218. 218The nurse is teaching a group of newly trained nurses about high-risk newborn conditions. The nurse recognizes that the training has been understood when the new nurses can match the following conditions with their corresponding descriptions.Answer →
  219. 219A pregnant woman gives birth to a small for gestational age neonate who is admitted to the neonatal intensive care unit with seizure activity. The neonate appears to have abnormally small eyes and a thin upper lip. The infant is noted to be microcephalic. Based on these findings, which substance would the nurse suspect the women of using during pregnancy?Answer →
  220. 220The nurse is evaluating a male newborn's circumcision 60 minutes after the procedure. The nurse notes excessive bleeding coming from the circumcised area. Which priority intervention should the nurse implement immediately?Answer →
  221. 221A nurse is caring for an infant experiencing neonatal abstinence syndrome (NAS). Which finding(s) should the nurse expect? Select all that apply.Answer →
  222. 222What is the priority for the nurse when caring for a macrosomic newborn who was born by a cesarean section to a client with diabetes?Answer →
  223. 223A nurse is planning care for a newborn who has spina bifida. Which of the following actions should be included in the plan of care?Answer →
  224. 224A nurse is caring for a 7-year-old child who has just experienced a tonic-clonic seizure. Which clinical sign should the nurse prioritize monitoring during the tonic phase to ensure immediate safety?Answer →
  225. 225A nurse is caring for a newborn who is 5 days old with neonatal abstinence syndrome (NAS). Which of the following actions should the nurse take? Select all that apply.Answer →
  226. 226A nurse is assessing a 1-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?Answer →
  227. 227A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?Answer →
  228. 228A nurse is providing teaching to the parent of a newborn who is 1 day old and has a prescription for gavage feeding. Which of the following information should the nurse include in the teaching?Answer →
  229. 229A nurse is assessing a 48-hour-old newborn of a client who had a prenatal history of substance use disorder. Which of the following manifestations should the nurse expect?Answer →
  230. 230A nurse is assessing a post-term newborn immediately after birth. Which of the following clinical findings should the nurse prioritize as typical for a post-term infant? (Select all that apply.)Answer →
  231. 231The nurse is teaching a group of newly trained nurses about hyperbilirubinemia and jaundice. The nurse recognizes that there is a need for further teaching when one of the new nurses states which of the following?Answer →
  232. 232A nurse is caring for a 2 months infant. Which of the following milestones is expected by this age?Answer →
  233. 233Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth?Answer →
  234. 234A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?Answer →
  235. 235A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indications of hunger in newborns? (Select all that apply.)Answer →
  236. 236A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate? /minAnswer →
  237. 237Select the 3 findings that require immediate follow-up.Answer →
  238. 238A nurse is providing discharge teaching to the guardian of a newborn. The guardian asks, "How will I be able to tell if the baby has jaundice?" Which of the following findings should the nurse include in the instructions?Answer →
  239. 239The nurse is providing care to a full-term newborn who is 1 hour old. Which nursing interventions should be included within the first 24 hours of life? (Select all that apply)Answer →
  240. 240Which nursing interventions are appropriate to help reduce bilirubin levels and promote recovery? (Select all that apply.)Answer →
  241. 241The nurse is performing a newborn assessment and notes a bluish-gray discoloration on the lower back and buttocks of a term infant. What should the nurse correlate this finding with?Answer →
  242. 242When assessing a newborn's reflexes, the nurse strokes the newborn's cheek, and the newborn turns toward the side that was stroked and begins sucking. The nurse documents which reflex as being positive?Answer →
  243. 243A nurse is planning care for a newborn who is to undergo a circumcision using a plastic bell device. Which of the following interventions should the nurse include in the plan of care?Answer →
  244. 244A nurse is assessing a newborn 15 minutes after birth and observes a respiratory rate of 70 breaths per minute accompanied by nasal flaring and intercostal retractions. The newborn's skin shows cyanosis around the mouth. What is the nurse's priority action?Answer →
  245. 245A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?Answer →
  246. 246A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings?Answer →
  247. 247Newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?Answer →
  248. 248A nurse is providing discharge teaching to the guardian of a newborn about car seat safety. Which of the following instructions should the nurse include?Answer →
  249. 249A nurse is educating a mother on administering an oral antibiotic to her child diagnosed with acute otitis media. Which statement by the mother indicates she understands the instructions and will help prevent complications?Answer →
  250. 250A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?Answer →
  251. 251A nurse is assessing a newborn who is 2 hr old and documents the newborn as full-term. Which of the following assessment findings leads the nurse to this conclusion?Answer →
  252. 252A nurse is assessing a newborn following a vaginal birth. Which of the following findings should the nurse identify as requiring follow-up? Select all that apply.Answer →
  253. 253A nurse is providing education about newborn care to a client and their family prior to discharge. Which of the following statements by the family members indicates the teaching was understood? (Select all that Apply.)Answer →
  254. 254The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.Answer →
  255. 255A nurse is educating parents about the prevention of newborn abduction. Which of the following statements should the nurse include in the teaching?Answer →
  256. 256Which newborn should the nurse document as late term?Answer →
  257. 257A nurse is teaching the parent of a child newly prescribed ferrous sulfate syrup for iron deficiency anemia. Which instruction should the nurse prioritize to maximize the medication's effectiveness and minimize adverse effects?Answer →
  258. 258A newborn is prescribed hepatitis B immune globulin (HBIG). Which action can the nurse omit when this treatment is prescribed?Answer →
  259. 259To avoid heat loss by convection, the nurse should:Answer →
  260. 260A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?Answer →
  261. 261Phytonadione is available in 10 mg/mL ampules. The dose prescribed is 0.5 mg. How much medication would the nurse withdraw from the ampule? Use a leading zero if applicable. Record your answer using two decimal places (to the 100th's place). DO NOT include the units in your answer (mL).Answer →
  262. 262A nurse is caring for a newborn and assessing newborn reflexes. To elicit the tonic neck reflex, the nurse should take which of the following actions?Answer →
  263. 263A nurse is reviewing the history and physical examination findings of a newborn. Based on the information provided, click to highlight the findings that require follow-up.Answer →
  264. 264A nurse is caring for a newborn who is large for gestational age and is 12 hr old. Which of the following laboratory tests should the nurse monitor for based on the client's condition?Answer →
  265. 265A nurse is assessing a newborn, whose mother had poorly controlled gestational diabetes during pregnancy. The nurse's assessment reveals jitteriness, weak cry, temperature 96.8F and blood glucose 36 mg/dL. Which condition do these findings most likely indicate?Answer →
  266. 266A nurse is planning care for an infant newly diagnosed with Down syndrome (Trisomy 21). Which nursing intervention is most important for promoting optimal development?Answer →
  267. 267A nurse is caring for a 2-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?Answer →
  268. 268A nurse is teaching the mother of a newborn experiencing cocaine withdrawal about caring for the neonate at home. The mother stopped using cocaine near the end of her pregnancy. The nurse determines that additional teaching is needed when the mother identifies which action as appropriate for her newborn?Answer →
  269. 269A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 44 lb. Available is amoxicillin 200 mg/5 ml suspension. How many mL should the nurse administer in each dose? (Round the answer to the nearest tenth if needed), Example: 5.53 ML-5.5 MLAnswer →
  270. 270A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions after feeding?Answer →
  271. 271The nurse is caring for a newborn with a 1-minute Apgar score of 9. What is the most appropriate nursing action at this time?Answer →
  272. 272The condition the newborn is most likely experiencing is [blank1], and the focus of nursing management is [blank2]. Choices for 1st blank: Apnea of prematurity Neonatal septic shock Respiratory distress syndrome Choices for 2nd blank: Supportive care Early surfactant administration Early identification of infectionAnswer →
  273. 273A nurse is reinforcing discharge instructions for a client with asthma who is starting beclomethasone metered-dose inhaler (MDI) therapy. Which of the following findings should the nurse instruct the client to monitor and report immediately as a potential adverse effect of beclomethasone?Answer →
  274. 274A nurse is providing information about newborn security to the parents of a newborn. Which of the following instructions should the nurse provide?Answer →
  275. 275The nurse administers vitamin K to a newborn shortly after birth to:Answer →
  276. 276Which of the following findings should the nurse report to the provider? Select all that apply.Answer →
  277. 277A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?Answer →
  278. 278A nurse is educating a new mother on newborn crib safety. Which of the following actions is the nurse's priority in ensuring the newborn's safety while sleeping?Answer →
  279. 279A newborn is receiving phototherapy for jaundice. The nurse is assessing the infant for common side effects of therapy. Which finding should the nurse recognize as a potential adverse effect of phototherapy requiring continued monitoring?Answer →
  280. 280A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse to provide this mother?Answer →
  281. 281Drag words from the choices below to fill in each blank in the following sentence. The nurse should further evaluate [blank1], [blank2] and [blank3] to determine if the newborn is experiencing a complication.Answer →
  282. 282A nurse is reviewing the cardiac defects included in tetralogy of Fallot to educate a group of nursing students. Which of the following defects should the nurse include as part of the tetralogy of Fallot? (Select all that apply)Answer →
  283. 283The nurse is assisting With the administration Of poractant alfa to a neonate on a ventilator. Which Step would the nurse perform first?Answer →
  284. 284What is the primary purpose of phototherapy in a newborn with jaundice?Answer →
  285. 285A nurse is reviewing the policies of a facility related to bonding and attachment with newborns. Which practice would the nurse identify as needing to be changed?Answer →
  286. 286A nurse is teaching a new caregiver how to use a bulb syringe to suction their newborn's secretions. Which of the following instructions should the nurse include?Answer →
  287. 287A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)Answer →
  288. 288The nurse is monitoring a neonate who received beractant. Based on the findings from the neonatal assessment, which complication is most likely to occur if the neonate's condition is not managed?Answer →
  289. 289A nurse is preparing to administer vitamin K to a newborn and must calculate the correct dosage. The vial contains 1 mg/mL of vitamin K, and the recommended dose for newborns is 0.5 mg intramuscularly. How many milliliters should the nurse prepare for the injection?Answer →
  290. 290The nurse knows that the primary reason for administering surfactant to this newborn is to:Answer →
  291. 291Match the infant reflex to the correct response.Answer →
  292. 292The nurse is assessing a newborn in the first hour of life who is showing early signs of respiratory distress syndrome. Which of the following findings should the nurse expect?Answer →
  293. 293A nurse is assessing the newborn of a client who reports methadone use during pregnancy. The nurse should expect the newborn to exhibit which of the following manifestations?Answer →
  294. 294The nurse is caring for a 24-hour-old newborn with hyperbilirubinemia. Which of the following assessment finding(s) is the nurse likely to observe? Select all that apply.Answer →
  295. 295A newborn is being weighed without a blanket on a cold metal scale. The nurse recognizes that this situation creates a risk for which type of heat loss?Answer →
  296. 296A nurse is caring for a 24-hour-old newborn who is lethargic and feeding poorly. What is the priority nursing intervention?Answer →
  297. 297The newborn is diagnosed with respiratory distress syndrome. What potential interventions would be indicated. Select all that apply.Answer →
  298. 298The nurse is preparing to bottle feed a preterm newborn. In which situation would the nurse withhold the feeding and notify the pediatrician?Answer →
  299. 299The nurse explains to parents that colostrum protects the newborn primarily because it contains:Answer →
  300. 300A nurse is assessing a newborn who is experiencing Duchenne-Erb (Erb's) palsy. Which of the following manifestations should the nurse expect?Answer →
  301. 301A nurse is performing the initial assessment on a healthy term newborn who is one hour old and resting quietly in an open crib. The nurse wants to minimize disturbance to the infant and obtain the most accurate assessment findings. Which assessment should the nurse perform first?Answer →
  302. 302Click to highlight the newborn's findings that the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
  303. 303Naloxone is ordered for a newborn. The order is written as "0.1mg/kg IM now". The vial has a dilution of 1mg/1ml. The baby weighs approximately 3500 grams. How much naloxone will you draw up into your syringe?Answer →
  304. 304A nursing student is helping the mother-baby nurse with morning vital signs. A baby born 6 hours ago via cesarean birth is found to have chest retractions, persistent crackles, wheezes, and decreased breath sounds. Which is the best interpretation of this information?Answer →
  305. 305The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?Answer →
  306. 306A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?Answer →
  307. 307Which statement indicates understanding on the part Of a preterm infant's parents if the nurse is teaching the parents about prophylactic calfactant?Answer →
  308. 308A nurse is caring for a client immediately after a full-term vaginal birth. The newborn is healthy, vigorous, and crying. The nurse plans to place the baby skin-to-skin on the mother's chest. Which statement best explains the primary benefit of this intervention?Answer →
  309. 309A nurse is caring for a 2-day-old infant with signs of seizures, respiratory distress, cyanosis, a shrill cry, and muscle weakness. The child is diagnosed with intracranial hemorrhage. Which procedure must the nurse employ when caring for the child?Answer →
  310. 310A nurse is assessing a newborn shortly after delivery and notes nasal flaring, grunting, and retractions. What is the most appropriate nursing action?Answer →
  311. 311A newborn is being prepared to go to his mother's room. The nurse takes his vital signs and finds his axillary temp to be 96°F. The nurse should:Answer →
  312. 312A 38-hour-old newborn receiving phototherapy for physiologic jaundice develops increased irritability, a fever of 38.5°C (101.3°F), and decreased urine output. Which nursing action should be prioritized to address these new findings?Answer →
  313. 313The nurse is assessing a neonate who was brought to the emergency department by the police. There is no information on the neonate's mother. The nurse performs an assessment to determine if the neonate is premature, full term, or post-term. For each finding, indicate whether it is likely premature, likely full term, or likely post-term.Answer →
  314. 314A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a teaching plan about home care?Answer →
  315. 315Drag words from the choices below to fill in each blank in the following sentence. The nurse should further evaluate [blank1], [blank2] and [blank3] to determine if the newborn is experiencing a complication.Answer →
  316. 316A nurse is assisting with the care of a newborn immediately following birth who has an omphalocele. Which of the following actions should the nurse take?Answer →
  317. 317The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces (2.2 kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches (25.4 cm). Based on these physical findings, assessment for which condition has the highest priority?Answer →
  318. 318A newborn is admitted with a diagnosis of transient tachypnea of the newborn (TTN). When planning care for this newborn, which of the following is a priority nursing goal?Answer →
  319. 319A nurse is teaching the parents of a newborn about the critical congenital heart disease screening. Which of the following statements should the nurse include in the teaching?Answer →
  320. 320Which client should the nurse evaluate first? A) Full-term newborn with a noted axillary temperature of 37.2°C (99°F). B) Full-term newborn with reported poor feeding at the last attempt. C) Full-term newborn with a positive Babinski reflex. D) Full-term newborn with a slightly bulging fontanel when crying.Answer →
  321. 321A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?Answer →
  322. 322A nurse is caring for a newborn who has herpes simplex virus as a result of in utero transmission. Which of the following actions should the nurse take?Answer →
  323. 323The nurse is planning education for the caregivers of a newborn who is having a circumcision. For each education, click to specify if the education is appropriate for a circumcision performed with the Gomco clamp or Plastibell method. Each education may support more than one method.Answer →
  324. 324A nurse is caring for a newborn who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) to await surgery. Which of the following nursing goals is priority in the care of this infant?Answer →
  325. 325A nurse is assessing four newborns. Which of the following clinical findings should the nurse report to the provider?Answer →
  326. 326Complete the following sentence by using the lists of options. The nurse should identify the newborn is at risk for developing A due to BAnswer →
  327. 327A nurse is caring for a child who has had watery diarrhea for the past 3 days and shows signs of dehydration, including hypotension and poor skin turgor. Which nursing action should the nurse prioritize to effectively manage the child's condition?Answer →
  328. 328A client who is 48 hours post-delivery is preparing to go home. She tells the nurse that she cannot swaddle the baby correctly. Which action should the nurse take?Answer →
  329. 329A nurse is reinforcing teaching about diagnostic tests with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse include as the most definitive when diagnosing cystic fibrosis?Answer →
  330. 330A nurse is caring for a preterm newborn immediately after birth. Which of the following actions should the nurse take first?Answer →
  331. 331Which of the following statements accurately describes the administration of vitamin K in newborns?Answer →
  332. 332A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?Answer →
  333. 333A newborn with a tracheoesophageal fistula is likely to present with which assessment finding?Answer →
  334. 334A nurse is planning the discharge of a client and their newborn. Which of the following statements by the client indicates their teaching about when to call their provider has been effective?Answer →
  335. 335A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. In planning for the admission of this infant, the nurse's highest priority should be to:Answer →
  336. 336The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.Answer →
  337. 337Which would be a reason to slow or halt surfactant dosing?Answer →
  338. 338A nurse is caring for a newborn who was born 15 minutes ago. During the assessment the nurse found uneven gluteal folders. Which test supports the diagnosis of hip dysplasia?Answer →
  339. 339A newborn is admitted with a diagnosis of transient tachypnea of the newborn (TTN). When planning care for this newborn, which of the following is a priority nursing goal?Answer →
  340. 340Which laboratory result will the nurse monitor in a neonate who has been prescribed a high dose of vitamin K?Answer →
  341. 341The nurse is receiving shift report on her mother-baby couplet assignment. Which infant should the nurse evaluate first?Answer →
  342. 342A practical nurse is caring for a newborn who is 30 mins old. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The newborn has the greatest risk for developing [blank1] due to [blank2].Answer →
  343. 343A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?Answer →
  344. 344A nurse is assessing an infant diagnosed with coarctation of the aorta. The nurse notes weak femoral pulses, cool lower extremities, and a significant difference in blood pressure between the upper and lower limbs. Which intervention should the nurse prioritize based on these findings?Answer →
  345. 345A nurse is observing a new mother caring for her newborn baby. Which action would require intervention by the nurse?Answer →