Question 1

A 25 year old mother just gave birth to baby Louise 2 hour ago, however, now baby Louise is requiring immediate intervention because she is displaying which of the following sign(s)?

Accepted Answer

A) Blue feet. 
B) Blue hands. 
C) Nasal flaring 
D) Apical heart of 150 
A) Blue feet. 
B) Blue hands. 
C) Nasal flaring 
D) Apical heart of 150

Question 2

Sylvia is a 30 year old pregnant mother with a known history of drug abuse including cocaine. During her prenatal visits, she is constantly reminded by the nursing staff not to use cocaine or any drugs during her pregnancy; however she doesn't listen and her baby is born with which possible complication(s)?

Accepted Answer

A) Vomiting. 
B) Irritability. 
C) High pitched cry. 
D) All of the above. 
A) Vomiting. 
B) Irritability. 
C) High pitched cry. 
D) All of the above.

Question 3

You are training to be a neonatal nurse practitioner, which of the following nurseries are you permitted to work in as a Neonatal Nurse Practitioner?

Accepted Answer

A) Levels 1 
B) Levels 1 and 2 
C) Levels 1, 2 and 3 
D) Level 3 only 
A) Levels 1 
B) Levels 1 and 2 
C) Levels 1, 2 and 3 
D) Level 3 only

Question 4

Baby David is placed in an oxygen tent. What should nurse Ellen check for frequently and perform?

Accepted Answer

A) Clothes for moisture. 
B) Bed linens for moisture. 
C) Keep flaps of tent closed. 
D) All of the above. 
A) Clothes for moisture. 
B) Bed linens for moisture. 
C) Keep flaps of tent closed. 
D) All of the above.

Question 5

A nurse is caring for a child newly diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases her answer on the understanding that cerebral palsy is:

Accepted Answer

A) A chronic disability characterized by impaired muscle movement and posture 
B) An infectious disease of the central nervous system 
C) In inflammation of the brain as a result of a viral illness 
D) A congenital condition that results in moderate to severe retardation 
A) A chronic disability characterized by impaired muscle movement and posture 
B) An infectious disease of the central nervous system 
C) In inflammation of the brain as a result of a viral illness 
D) A congenital condition that results in moderate to severe retardation

Question 6

When administering, which aspect of care in the NICU, can be the most common to make an error with?

Accepted Answer

A) Medication 
B) IV insertion 
C) Cardiac monitoring 
D) Respiratory treatments 
A) Medication 
B) IV insertion 
C) Cardiac monitoring 
D) Respiratory treatments

Question 7

Which of the following is NOT a sign of isolated right sided heart failure?

Accepted Answer

A) Hepatomegaly 
B) Ascites 
C) Pulmonary edema 
D) Peripheral edema 
A) Hepatomegaly 
B) Ascites 
C) Pulmonary edema 
D) Peripheral edema

Question 8

The neonatal nurse is examining baby Michael's mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?

Accepted Answer

A) Use a toothbrush and clean his tongue 
B) Obtain an order for nystatin 
C) Feed milk 
D) All of the above 
A) Use a toothbrush and clean his tongue 
B) Obtain an order for nystatin 
C) Feed milk 
D) All of the above

Question 9

Nurse Lilian is teaching her students about post circumcision care of baby Steven. Which of the following show(s) they have understood?

Accepted Answer

A) Inspecting the penis immediately after circumcision 
B) Observe the first void after circumcision. 
C) Record the first void post circumcision. 
D) Both B and C 
A) Inspecting the penis immediately after circumcision 
B) Observe the first void after circumcision. 
C) Record the first void post circumcision. 
D) Both B and C

Question 10

The mother of a newborn male neonate is in the neonatal intensive care unit and his mother is questioning the neonatal care nurse appropriate time frame that she should let her newborn sleep for. What should the neonatal care nurse tell the mother?

Accepted Answer

A) No more than 4 hours at a time 
B) No more than 8 hours at a time 
C) No more than 10 hours at a time 
D) No more than 12 hours at a time 
A) No more than 4 hours at a time 
B) No more than 8 hours at a time 
C) No more than 10 hours at a time 
D) No more than 12 hours at a time

Question 11

A 26 hour old infant is showing signs of cyanosis, metabolic acidosis and is entering into respiratory distress. A clinical cardiac assessment is started by the neonatologist and there is indication that there is filling in the right ventricular. In addition to this there is a very distinct second heart sound detected. It is suspected that the diagnosis is hypoplastic left heart syndrome (HLHS). The circulation in the infant diagnosed with HLHS differs in what way?

Accepted Answer

A) There is no difference 
B) There is a lower PO2 to the lungs 
C) There is a larger quantity of flow across the ductus arteriosis 
D) The weight of the brain in the infant is often heavier than normal 
A) There is no difference 
B) There is a lower PO2 to the lungs 
C) There is a larger quantity of flow across the ductus arteriosis 
D) The weight of the brain in the infant is often heavier than normal

Question 12

What view of CXR is used to diagnose baby David's pneuthorax?

Accepted Answer

A) Cross table 
B) Anteroposterior 
C) Lateral decubitis view 
D) All of the above 
A) Cross table 
B) Anteroposterior 
C) Lateral decubitis view 
D) All of the above

Question 13

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

Accepted Answer

A) Sole of foot 
B) Around the finger 
C) Palm of the hand 
D) All of the above 
A) Sole of foot 
B) Around the finger 
C) Palm of the hand 
D) All of the above

Question 14

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida when the nurse:

Accepted Answer

A) Checks the capillary refill of the nailbeds of the upper extremities 
B) Tests the urine for blood 
C) Palpates the abdomen for masses 
D) Checks for responses to painful stimuli from the torso downward 
A) Checks the capillary refill of the nailbeds of the upper extremities 
B) Tests the urine for blood 
C) Palpates the abdomen for masses 
D) Checks for responses to painful stimuli from the torso downward

Question 15

Nurse Jane administers erythromycin ointment (0.5%) the newborn infant's eyes. The nurse explains to the mother that this is routinely done to:

Accepted Answer

A) Minimize the spread of microorganisms to the newborn infant from invasive procedures during labor 
B) Protect the newborn infant's eyes from possible infections acquired while hospitalized 
C) Prevent ophthalmia neonatorum from occurring after delivery in a newborn infant born to a woman with an untreated gonococcal infection 
D) Prevent cataracts in the newborn infant born to a woman who is rubella susceptible. 
A) Minimize the spread of microorganisms to the newborn infant from invasive procedures during labor 
B) Protect the newborn infant's eyes from possible infections acquired while hospitalized 
C) Prevent ophthalmia neonatorum from occurring after delivery in a newborn infant born to a woman with an untreated gonococcal infection 
D) Prevent cataracts in the newborn infant born to a woman who is rubella susceptible.

Question 16

When Nurse Ellen finds Baby Andrew experiencing Apnea, what must she document?

Accepted Answer

A) How long the episode lasted. 
B) Time of the episode, bradycardia, rate 
C) Position of the infant and bed. 
D) All of the above. 
A) How long the episode lasted. 
B) Time of the episode, bradycardia, rate 
C) Position of the infant and bed. 
D) All of the above.

Question 17

Prior to administering a gastrostomy tube feeding to an infant, the nurse should:

Accepted Answer

A) Aspirate the tube 
B) Slowly instill 5 ml of water 
C) Provide the baby with a pacifier 
D) Place in a semi-Fowler's position 
A) Aspirate the tube 
B) Slowly instill 5 ml of water 
C) Provide the baby with a pacifier 
D) Place in a semi-Fowler's position

Question 18

Baby Amelia is born with moderate birth asphyxia. What are the symptoms she will display?

Accepted Answer

A) Lethargy, hypothermia. 
B) Tachycardia. 
C) Hypoglycemia, constricted pupils. 
D) Both A and C. 
A) Lethargy, hypothermia. 
B) Tachycardia. 
C) Hypoglycemia, constricted pupils. 
D) Both A and C.

Question 19

Baby Louis has a diagnosis of Trisomy 21. What are some symptoms?

Accepted Answer

A) Protruding tongue. 
B) Small genatalia. 
C) Flat facial profile. 
D) All of the above. 
A) Protruding tongue. 
B) Small genatalia. 
C) Flat facial profile. 
D) All of the above.

Question 20

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:

Accepted Answer

A) Start with the dirtiest area first 
B) Begin with the eyes and face 
C) Begin with the feet and work upward 
D) Only wash the diaper area, since this is the only part of the infant that gets soiled. 
A) Start with the dirtiest area first 
B) Begin with the eyes and face 
C) Begin with the feet and work upward 
D) Only wash the diaper area, since this is the only part of the infant that gets soiled.

A 25 year old mother just gave birth to baby Louise 2 hour ago, however, now baby Louise is requiring immediate intervention because she is displaying which of the following sign(s)?

You are training to be a neonatal nurse practitioner, which of the following nurseries are you permitted to work in as a Neonatal Nurse Practitioner?

Baby David is placed in an oxygen tent. What should nurse Ellen check for frequently and perform?

A nurse is caring for a child newly diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases her answer on the understanding that cerebral palsy is:

When administering, which aspect of care in the NICU, can be the most common to make an error with?

Which of the following is NOT a sign of isolated right sided heart failure?

The neonatal nurse is examining baby Michael's mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?

Nurse Lilian is teaching her students about post circumcision care of baby Steven. Which of the following show(s) they have understood?

The mother of a newborn male neonate is in the neonatal intensive care unit and his mother is questioning the neonatal care nurse appropriate time frame that she should let her newborn sleep for. What should the neonatal care nurse tell the mother?

What view of CXR is used to diagnose baby David's pneuthorax?

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida when the nurse:

Nurse Jane administers erythromycin ointment (0.5%) the newborn infant's eyes. The nurse explains to the mother that this is routinely done to:

When Nurse Ellen finds Baby Andrew experiencing Apnea, what must she document?

Prior to administering a gastrostomy tube feeding to an infant, the nurse should:

Baby Amelia is born with moderate birth asphyxia. What are the symptoms she will display?

Baby Louis has a diagnosis of Trisomy 21. What are some symptoms?

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:

Adult

Pediatrics

Adult Critical Care Registered Nurse

Filters

Exam 2: Neonatal

A 25 year old mother just gave birth to baby Louise 2 hour ago, however, now baby Louise is requiring immediate intervention because she is displaying which of the following sign(s)?

You are training to be a neonatal nurse practitioner, which of the following nurseries are you permitted to work in as a Neonatal Nurse Practitioner?

Baby David is placed in an oxygen tent. What should nurse Ellen check for frequently and perform?

A nurse is caring for a child newly diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases her answer on the understanding that cerebral palsy is:

When administering, which aspect of care in the NICU, can be the most common to make an error with?

Which of the following is NOT a sign of isolated right sided heart failure?

The neonatal nurse is examining baby Michael's mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?

Nurse Lilian is teaching her students about post circumcision care of baby Steven. Which of the following show(s) they have understood?

The mother of a newborn male neonate is in the neonatal intensive care unit and his mother is questioning the neonatal care nurse appropriate time frame that she should let her newborn sleep for. What should the neonatal care nurse tell the mother?

What view of CXR is used to diagnose baby David's pneuthorax?

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida when the nurse:

Nurse Jane administers erythromycin ointment (0.5%) the newborn infant's eyes. The nurse explains to the mother that this is routinely done to:

When Nurse Ellen finds Baby Andrew experiencing Apnea, what must she document?

Prior to administering a gastrostomy tube feeding to an infant, the nurse should:

Baby Amelia is born with moderate birth asphyxia. What are the symptoms she will display?

Baby Louis has a diagnosis of Trisomy 21. What are some symptoms?

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:

Adult

Pediatrics

Adult Critical Care Registered Nurse

Filters