Question 1

A nurse is admitting a premature newborn to the NICU.Which interventions should the nurse implement to prevent retinopathy? (Select all that apply.)

Accepted Answer

A) Place on pulse oximetry. 
B) Decrease exposure to bright, direct lighting. 
C) Place on a cardiac monitor. 
D) Cover eyes with an eye shield at night. 
E) Use supplemental oxygen only when needed. 
A) Place on pulse oximetry. 
B) Decrease exposure to bright, direct lighting. 
C) Place on a cardiac monitor. 
D) Cover eyes with an eye shield at night. 
E) Use supplemental oxygen only when needed.

Question 2

When is the best time for the neonatal intensive care unit (NICU)nurse to initiate an individualized stimulation program for the preterm newborn?

Accepted Answer

A) As soon as possible after newborn is born 
B) As soon as parent is available to provide stimulation 
C) When newborn is over 38 weeks of gestation 
D) When developmental organization and stability are sufficient 
A) As soon as possible after newborn is born 
B) As soon as parent is available to provide stimulation 
C) When newborn is over 38 weeks of gestation 
D) When developmental organization and stability are sufficient

Question 3

The nurse is caring for a very low-birth-weight (VLBW)newborn with a peripheral intravenous infusion.Which statement describes nursing considerations regarding infiltration?

Accepted Answer

A) Infiltration occurs infrequently because VLBW newborns are inactive. 
B) Continuous infusion pumps stop automatically when infiltration occurs. 
C) Hypertonic solutions can cause severe tissue damage if infiltration occurs. 
D) Infusion site should be checked for infiltration at least once per 8-hour shift. 
A) Infiltration occurs infrequently because VLBW newborns are inactive. 
B) Continuous infusion pumps stop automatically when infiltration occurs. 
C) Hypertonic solutions can cause severe tissue damage if infiltration occurs. 
D) Infusion site should be checked for infiltration at least once per 8-hour shift.

Question 4

Physiologic jaundice in a newborn can be caused by:

Accepted Answer

A) fetal-maternal blood incompatibility. 
B) destruction of red blood cells as a result of antibody reaction. 
C) liver's inability to bind bilirubin adequately for excretion. 
D) immature kidneys' inability to hydrolyze and excrete bilirubin. 
A) fetal-maternal blood incompatibility. 
B) destruction of red blood cells as a result of antibody reaction. 
C) liver's inability to bind bilirubin adequately for excretion. 
D) immature kidneys' inability to hydrolyze and excrete bilirubin.

Question 5

Which is the most appropriate nursing action when intermittently gavage-feeding a preterm newborn?

Accepted Answer

A) Allow formula to flow by gravity. 
B) Insert tube through nares rather than mouth. 
C) Avoid letting newborn suck on tube. 
D) Apply steady pressure to syringe to deliver formula to stomach in a timely manner. 
A) Allow formula to flow by gravity. 
B) Insert tube through nares rather than mouth. 
C) Avoid letting newborn suck on tube. 
D) Apply steady pressure to syringe to deliver formula to stomach in a timely manner.

Question 6

Which is an important nursing action related to the use of tape and/or adhesives on premature newborns?

Accepted Answer

A) Avoid using tape and adhesives until skin is more mature. 
B) Use solvents to remove tape and adhesives instead of pulling on skin. 
C) Remove adhesives with warm water or mineral oil. 
D) Use scissors carefully to remove tape instead of pulling tape off. 
A) Avoid using tape and adhesives until skin is more mature. 
B) Use solvents to remove tape and adhesives instead of pulling on skin. 
C) Remove adhesives with warm water or mineral oil. 
D) Use scissors carefully to remove tape instead of pulling tape off.

Question 7

The newborn with severe jaundice is at risk for developing:

Accepted Answer

A) encephalopathy. 
B) bullous impetigo. 
C) respiratory distress. 
D) blood incompatibility. 
A) encephalopathy. 
B) bullous impetigo. 
C) respiratory distress. 
D) blood incompatibility.

Question 8

Which is an important nursing consideration in the care of the newborn with PKU?

Accepted Answer

A) Suggest ways to make formula more palatable. 
B) Teach proper administration of phenylalanine hydroxylase. 
C) Encourage the breastfeeding mother to adhere to low-phenylalanine diet. 
D) Give reassurance that dietary restrictions are a temporary inconvenience. 
A) Suggest ways to make formula more palatable. 
B) Teach proper administration of phenylalanine hydroxylase. 
C) Encourage the breastfeeding mother to adhere to low-phenylalanine diet. 
D) Give reassurance that dietary restrictions are a temporary inconvenience.

Question 9

Trisomy 13,trisomy 18,and trisomy 21 have which in common?

Accepted Answer

A) Viability is rare. 
B) They are considered deletion syndromes. 
C) Diagnosis is difficult, time-consuming, and expensive. 
D) Diagnosis can be made early, based on physical characteristics. 
A) Viability is rare. 
B) They are considered deletion syndromes. 
C) Diagnosis is difficult, time-consuming, and expensive. 
D) Diagnosis can be made early, based on physical characteristics.

Question 10

The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be.The nurse's response should be based on knowledge that:

Accepted Answer

A) excision of the lesion will be necessary. 
B) injections of prednisone into the lesion will reduce it. 
C) no treatment is usually necessary because of the high rate of spontaneous involution. 
D) pulsed dye laser treatments will be necessary immediately to prevent permanent disability. 
A) excision of the lesion will be necessary. 
B) injections of prednisone into the lesion will reduce it. 
C) no treatment is usually necessary because of the high rate of spontaneous involution. 
D) pulsed dye laser treatments will be necessary immediately to prevent permanent disability.

Question 11

To prevent Rh isoimmunization,RhIG (RhoGAM)is administered to all:

Accepted Answer

A) Rh-negative women who deliver an Rh-positive newborn. 
B) Rh-positive women who deliver an Rh-negative newborn. 
C) Rh-negative newborns whose mothers are Rh positive. 
D) Rh-positive fathers before conception of second newborn when first newborn was Rh positive. 
A) Rh-negative women who deliver an Rh-positive newborn. 
B) Rh-positive women who deliver an Rh-negative newborn. 
C) Rh-negative newborns whose mothers are Rh positive. 
D) Rh-positive fathers before conception of second newborn when first newborn was Rh positive.

Question 12

Which is the central factor responsible for respiratory distress syndrome?

Accepted Answer

A) Deficient surfactant production 
B) Overproduction of surfactant 
C) Overdeveloped alveoli 
D) Absence of alveoli 
A) Deficient surfactant production 
B) Overproduction of surfactant 
C) Overdeveloped alveoli 
D) Absence of alveoli

Question 13

A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration.Which laboratory values should the nurse report to the physician? (Select all that apply.)

Accepted Answer

A) pH: 7.35 
B) PCO2 : 49 
C) HCO3-: 30 
D) PaO2: 96 
A) pH: 7.35 
B) PCO2 : 49 
C) HCO3-: 30 
D) PaO2: 96

Question 14

Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?

Accepted Answer

A) Negative scarf sign 
B) Asymmetric Moro reflex 
C) Swelling of fingers on affected side 
D) Paralysis of affected extremity and muscles 
A) Negative scarf sign 
B) Asymmetric Moro reflex 
C) Swelling of fingers on affected side 
D) Paralysis of affected extremity and muscles

Question 15

The nurse is caring for a high-risk newborn with an umbilical catheter in a radiant warmer.The nurse notes blanching of the feet.Which is the most appropriate nursing action?

Accepted Answer

A) Elevate feet 15 degrees. 
B) Place socks on newborn. 
C) Wrap feet loosely in prewarmed blanket. 
D) Report findings immediately to the practitioner. 
A) Elevate feet 15 degrees. 
B) Place socks on newborn. 
C) Wrap feet loosely in prewarmed blanket. 
D) Report findings immediately to the practitioner.

Question 16

Which statement best describes the clinical manifestations of the preterm newborn?

Accepted Answer

A) Head is proportionately small in relation to the body. 
B) Sucking reflex is absent, weak, or ineffectual. 
C) Thermostability is well established. 
D) Extremities remain in attitude of flexion. 
A) Head is proportionately small in relation to the body. 
B) Sucking reflex is absent, weak, or ineffectual. 
C) Thermostability is well established. 
D) Extremities remain in attitude of flexion.

Question 17

The nurse is preparing to care for a newborn receiving phototherapy.Which interventions are appropriate? (Select all that apply.)

Accepted Answer

A) Avoid stimulation. 
B) Decrease fluid intake. 
C) Expose all the newborn's skin. 
D) Monitor skin temperature closely. 
E) Reposition the newborn every 2 hours.
F)Cover the newborn's eyes with eye shields or patches. 
A) Avoid stimulation. 
B) Decrease fluid intake. 
C) Expose all the newborn's skin. 
D) Monitor skin temperature closely. 
E) Reposition the newborn every 2 hours.
F)Cover the newborn's eyes with eye shields or patches.

Question 18

The nurse is planning care for a family expecting their newborn to die.The nurse's interventions should be based on which statement?

Accepted Answer

A) Tangible remembrances of the newborn (e.g., lock of hair, picture) prolong grief. 
B) Photographs of newborns should not be taken after the death has occurred. 
C) Funerals are not recommended because mother is still recovering from childbirth. 
D) Parents should be encouraged to name their newborn if they have not done so already. 
A) Tangible remembrances of the newborn (e.g., lock of hair, picture) prolong grief. 
B) Photographs of newborns should not be taken after the death has occurred. 
C) Funerals are not recommended because mother is still recovering from childbirth. 
D) Parents should be encouraged to name their newborn if they have not done so already.

Question 19

A healthy,stable,preterm newborn will soon be discharged.The nurse should recommend which position for sleep?

Accepted Answer

A) Prone 
B) Supine 
C) Side lying 
D) Position of comfort 
A) Prone 
B) Supine 
C) Side lying 
D) Position of comfort

Question 20

Which term refers to a newborn born before completion of week 37 of gestation,regardless of birth weight?

Accepted Answer

A) Postterm 
B) Premature 
C) Low birth weight 
D) Small for gestational age 
A) Postterm 
B) Premature 
C) Low birth weight 
D) Small for gestational age

Exam 9: Health Problems of Newborns

A nurse is admitting a premature newborn to the NICU.Which interventions should the nurse implement to prevent retinopathy? (Select all that apply.)

When is the best time for the neonatal intensive care unit (NICU)nurse to initiate an individualized stimulation program for the preterm newborn?

The nurse is caring for a very low-birth-weight (VLBW)newborn with a peripheral intravenous infusion.Which statement describes nursing considerations regarding infiltration?

Physiologic jaundice in a newborn can be caused by:

Which is the most appropriate nursing action when intermittently gavage-feeding a preterm newborn?

Which is an important nursing action related to the use of tape and/or adhesives on premature newborns?

The newborn with severe jaundice is at risk for developing:

Which is an important nursing consideration in the care of the newborn with PKU?

Trisomy 13,trisomy 18,and trisomy 21 have which in common?

The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be.The nurse's response should be based on knowledge that:

To prevent Rh isoimmunization,RhIG (RhoGAM)is administered to all:

Which is the central factor responsible for respiratory distress syndrome?

A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration.Which laboratory values should the nurse report to the physician? (Select all that apply.)

Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?

The nurse is caring for a high-risk newborn with an umbilical catheter in a radiant warmer.The nurse notes blanching of the feet.Which is the most appropriate nursing action?

Which statement best describes the clinical manifestations of the preterm newborn?

The nurse is preparing to care for a newborn receiving phototherapy.Which interventions are appropriate? (Select all that apply.)

The nurse is planning care for a family expecting their newborn to die.The nurse's interventions should be based on which statement?

A healthy,stable,preterm newborn will soon be discharged.The nurse should recommend which position for sleep?

Which term refers to a newborn born before completion of week 37 of gestation,regardless of birth weight?

Perspectives of Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,Cultural,and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child

Pain Assessment and Management in Children

Health Promotion of the Newborn and Family

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic or Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Integumentary Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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