Question 1

A baby is being discharged home to await surgery to correct a cleft palate.What information do the parents need as the priority?

Accepted Answer

A)  Correct use of the Pavlik harness 
B)  Dressing changes and wound care 
C)  Feeding techniques and special nipples 
D)  How to explain the defect to others 
A)  Correct use of the Pavlik harness 
B)  Dressing changes and wound care 
C)  Feeding techniques and special nipples 
D)  How to explain the defect to others

Question 2

A nurse is assessing a newborn infant and notes cool skin,poor feeding attempts,and bradycardia.Which action by the nurse is best?

Accepted Answer

A)  Obtain a rectal temperature. 
B)  Place the infant in a radiant warmer. 
C)  Provide a neutral thermal environment. 
D)  Put the infant on a warm pack. 
A)  Obtain a rectal temperature. 
B)  Place the infant in a radiant warmer. 
C)  Provide a neutral thermal environment. 
D)  Put the infant on a warm pack.

Question 3

A nurse preceptor of a student nurse explains that although a high-risk newborn can have complications in any body system,the systems most often impacted include which of the following?

Accepted Answer

A)  Circulatory 
B)  Integumentary 
C)  Neurological 
D)  Renal 
E)  Respiratory 
A)  Circulatory 
B)  Integumentary 
C)  Neurological 
D)  Renal 
E)  Respiratory

Question 4

A preterm infant has been started on IV fluids.When assessing the patient,which findings would indicate to the nurse that goals for this therapy are being met?

Accepted Answer

A)  Intake greater than output by 24 hours 
B)  Lack of tremors and irritability 
C)  Respiratory rate of 35 breaths/minute 
D)  Urine output of 2/5 mL/kg/hour 
E)  Urine specific gravity of < 1.012 
A)  Intake greater than output by 24 hours 
B)  Lack of tremors and irritability 
C)  Respiratory rate of 35 breaths/minute 
D)  Urine output of 2/5 mL/kg/hour 
E)  Urine specific gravity of < 1.012

Question 5

An experienced NICU nurse is explaining to a new nurse why premature infants have such great nutritional needs.What information should the experienced nurse include?

Accepted Answer

A)  The pancreas doesn't produce enough insulin for food use. 
B)  Their guts are premature and don't absorb nutrients. 
C)  They haven't built up stores in utero like term babies. 
D)  They have complications that increase their metabolic rate. 
E)  They lose 10% of their already-low weight at birth. 
A)  The pancreas doesn't produce enough insulin for food use. 
B)  Their guts are premature and don't absorb nutrients. 
C)  They haven't built up stores in utero like term babies. 
D)  They have complications that increase their metabolic rate. 
E)  They lose 10% of their already-low weight at birth.

Question 6

A nurse is caring for a premature newborn.What interventions does the nurse include on the baby's care plan?

Accepted Answer

A)  Bathe the baby daily with mild soap. 
B)  Cradle baby in a linen nest in flexed position. 
C)  Monitor response to warming measures. 
D)  Reposition the baby every 4 hours. 
E)  Weigh the baby once a week. 
A)  Bathe the baby daily with mild soap. 
B)  Cradle baby in a linen nest in flexed position. 
C)  Monitor response to warming measures. 
D)  Reposition the baby every 4 hours. 
E)  Weigh the baby once a week.

Question 7

A nurse is preparing to admit a newborn to the NICU who weighs 1,750 g.What classification does the nurse use to describe this infant?

Accepted Answer

A)  Extremely low birth weight 
B)  Low birth weight 
C)  Normal birth weight 
D)  Very low birth weight 
A)  Extremely low birth weight 
B)  Low birth weight 
C)  Normal birth weight 
D)  Very low birth weight

Question 8

The pediatric nurse is receiving a morning report via phone call on an infant who will be arriving in the neonatal intensive care unit.The report indicates that shoulder dystocia may have occurred during the birth process.The nurse assesses the neonate as at risk for which additional condition?

Accepted Answer

A)  Brachial plexus injury 
B)  Hyperbilirubinemia 
C)  Hypoglycemia 
D)  Intracranial hemorrhage 
A)  Brachial plexus injury 
B)  Hyperbilirubinemia 
C)  Hypoglycemia 
D)  Intracranial hemorrhage

Question 9

A woman gave birth to an infant weighing 390 g.Which action by the NICU charge nurse is most appropriate?

Accepted Answer

A)  Begin the discharge planning process when the child is admitted. 
B)  Consult social services to help make arrangements for home care. 
C)  Consult the palliative care team and admit the infant for comfort care. 
D)  Prepare for aggressive resuscitation and admission to the NICU. 
A)  Begin the discharge planning process when the child is admitted. 
B)  Consult social services to help make arrangements for home care. 
C)  Consult the palliative care team and admit the infant for comfort care. 
D)  Prepare for aggressive resuscitation and admission to the NICU.

Question 10

A premature infant was delivered after a prolonged labor with rupture of the maternal membranes >18 hours.The infant's weight is 6 lb,1 oz (2.75 kg).What assessment finding would require the nurse to intervene immediately?

Accepted Answer

A)  Blood pressure reading of 60/35 mm Hg 
B)  Skin temperature reading of 96.8°F (36°
C)  
C)  Unconjugated bilirubin level of 1.0 mg/dL 
D)  White blood cell count of 12,500/mm3 
A)  Blood pressure reading of 60/35 mm Hg 
B)  Skin temperature reading of 96.8°F (36°
C)  
C)  Unconjugated bilirubin level of 1.0 mg/dL 
D)  White blood cell count of 12,500/mm3

Question 11

A nurse is explaining to a student that sudden infant death syndrome (SIDS)has been reduced due mostly to what trend?

Accepted Answer

A)  A decrease in preterm births 
B)  Decreased maternal smoking 
C)  Fewer drug-addicted mothers 
D)  The "Back to Sleep" campaign 
A)  A decrease in preterm births 
B)  Decreased maternal smoking 
C)  Fewer drug-addicted mothers 
D)  The "Back to Sleep" campaign

Question 12

A preterm infant was born at 31 weeks and has been admitted to the NICU.The nurse notes expiratory grunting,nasal flaring,and cyanosis on room air.Which laboratory findings would correlate with this condition?

Accepted Answer

A)  PaCO2: 56 mm Hg 
B)  PaO2: 76 mm Hg 
C)  pH: 7.30 
D)  SaO2: 94% 
A)  PaCO2: 56 mm Hg 
B)  PaO2: 76 mm Hg 
C)  pH: 7.30 
D)  SaO2: 94%

Question 13

An infant is born weighing 6 lb,1 oz and has gastroschisis.The nurse anticipates running this infant's IV fluids at a rate of ____________________ mL/hour.

Accepted Answer

412.5 mL/hour
Maintenance flui

Question 14

An infant in the NICU has persistent pulmonary hypertension.The nurse places highest priority on which of the following nursing diagnoses?

Accepted Answer

A)  Ineffective tissue perfusion: cardiopulmonary 
B)  Ineffective tissue perfusion: cerebral 
C)  Ineffective tissue perfusion: peripheral 
D)  Ineffective tissue perfusion: neurovascular 
A)  Ineffective tissue perfusion: cardiopulmonary 
B)  Ineffective tissue perfusion: cerebral 
C)  Ineffective tissue perfusion: peripheral 
D)  Ineffective tissue perfusion: neurovascular

Question 15

A 2-hour-old infant has ruddy skin and delayed capillary refill.What laboratory value best correlates with this condition?

Accepted Answer

A)  Blood glucose is 38 mg/dL. 
B)  Blood glucose is 65 mg/dL. 
C)  Hematocrit is 42%. 
D)  Hematocrit is 72%. 
A)  Blood glucose is 38 mg/dL. 
B)  Blood glucose is 65 mg/dL. 
C)  Hematocrit is 42%. 
D)  Hematocrit is 72%.

Question 16

A newborn has a blood glucose level of 188 mg/dL.What further assessment on this baby takes priority?

Accepted Answer

A)  Airway status 
B)  Breathing status 
C)  Circulatory status 
D)  Skin status 
A)  Airway status 
B)  Breathing status 
C)  Circulatory status 
D)  Skin status

Question 17

An infant with gastroesophageal reflux disease (GERD)is being discharged home.Which of the following is the priority topic the nurse plans to include in the teaching plan?

Accepted Answer

A)  Managing a multi-medication regime at home 
B)  Positioning the infant during feeding and sleeping 
C)  Type of formula to best prevent episode of GERD 
D)  When to return for surgical correction of the bowel 
A)  Managing a multi-medication regime at home 
B)  Positioning the infant during feeding and sleeping 
C)  Type of formula to best prevent episode of GERD 
D)  When to return for surgical correction of the bowel

Question 18

A nurse is seeing a baby with a diagnosed cleft lip.What assessment finding indicates to the nurse that a priority outcome has been met?

Accepted Answer

A)  Absence of infection 
B)  Appropriate weight gain 
C)  Interacts at developmental age 
D)  Normal cranial nerve function 
A)  Absence of infection 
B)  Appropriate weight gain 
C)  Interacts at developmental age 
D)  Normal cranial nerve function

Question 19

A newborn baby has a calcium level of 7.1 mg/dL.What information should the nurse provide the parents?

Accepted Answer

A)  Low calcium can cause high blood sugars. 
B)  Postterm babies are most at risk for this condition. 
C)  The level will be rechecked at 72 hours. 
D)  Your baby needs to have a magnesium level check. 
A)  Low calcium can cause high blood sugars. 
B)  Postterm babies are most at risk for this condition. 
C)  The level will be rechecked at 72 hours. 
D)  Your baby needs to have a magnesium level check.

Exam 19: Caring for the Newborn at Risk

A baby is being discharged home to await surgery to correct a cleft palate.What information do the parents need as the priority?

A nurse is assessing a newborn infant and notes cool skin,poor feeding attempts,and bradycardia.Which action by the nurse is best?

A nurse preceptor of a student nurse explains that although a high-risk newborn can have complications in any body system,the systems most often impacted include which of the following?

A preterm infant has been started on IV fluids.When assessing the patient,which findings would indicate to the nurse that goals for this therapy are being met?

An experienced NICU nurse is explaining to a new nurse why premature infants have such great nutritional needs.What information should the experienced nurse include?

A nurse is caring for a premature newborn.What interventions does the nurse include on the baby's care plan?

A nurse is preparing to admit a newborn to the NICU who weighs 1,750 g.What classification does the nurse use to describe this infant?

The pediatric nurse is receiving a morning report via phone call on an infant who will be arriving in the neonatal intensive care unit.The report indicates that shoulder dystocia may have occurred during the birth process.The nurse assesses the neonate as at risk for which additional condition?

A woman gave birth to an infant weighing 390 g.Which action by the NICU charge nurse is most appropriate?

A premature infant was delivered after a prolonged labor with rupture of the maternal membranes >18 hours.The infant's weight is 6 lb,1 oz (2.75 kg).What assessment finding would require the nurse to intervene immediately?

A nurse is explaining to a student that sudden infant death syndrome (SIDS)has been reduced due mostly to what trend?

A preterm infant was born at 31 weeks and has been admitted to the NICU.The nurse notes expiratory grunting,nasal flaring,and cyanosis on room air.Which laboratory findings would correlate with this condition?

An infant is born weighing 6 lb,1 oz and has gastroschisis.The nurse anticipates running this infant's IV fluids at a rate of ____________________ mL/hour.

An infant in the NICU has persistent pulmonary hypertension.The nurse places highest priority on which of the following nursing diagnoses?

A 2-hour-old infant has ruddy skin and delayed capillary refill.What laboratory value best correlates with this condition?

A newborn has a blood glucose level of 188 mg/dL.What further assessment on this baby takes priority?

An infant with gastroesophageal reflux disease (GERD)is being discharged home.Which of the following is the priority topic the nurse plans to include in the teaching plan?

A nurse is seeing a baby with a diagnosed cleft lip.What assessment finding indicates to the nurse that a priority outcome has been met?

A newborn baby has a calcium level of 7.1 mg/dL.What information should the nurse provide the parents?

Traditional and Community Nursing Care for Women, Families, and Children

Contemporary Issues in Women’s, Families’, and Children’s Health Care

The Evolving Family

Caring for Women, Families, and Children Across the Life Span

Reproductive Anatomy and Physiology

Human Sexuality and Fertility

Conception and Development of the Embryo and Fetus

Physiological and Psychosocial Changes During Pregnancy

The Prenatal Assessment

Promoting a Healthy Pregnancy

Caring for the Woman Experiencing Complications During Pregnancy

The Process of Labor and Birth

Promoting Patient Comfort During Labor and Birth

Caring for the Woman Experiencing Complications During Labor and Birth

Caring for the Postpartal Woman and Her Family

Caring for the Woman Experiencing Complications During the Postpartal Period

Physiological Transition of the Newborn

Caring for the Normal Newborn

Caring for the Developing Child

Caring for the Child in the Hospital,the Community,and Across Care Settings

Caring for the Child With a Psychosocial or Condition

Caring for the Child With a Respiratory Condition

Caring for the Child With a Gastrointestinal Condition

Caring for the Child With an Immunological or Infectious Condition

Caring for the Child With a Cardiovascular Condition

Caring for the Child With an Endocrinological or Metabolic Condition

Caring for the Child With a Neurological or Sensory Condition

Caring for the Child With a Musculoskeletal Condition

Caring for the Child With a Integumentary Condition

Caring for the Child With a Genitourinary Condition

Caring for the Child With a Hematological Condition

Caring for the Child With Cancer

Caring for the Child With a Chronic Condition or the Dying Child

Caring for the Critically Ill Child

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