Question 1

Baby David has undergone Cardiac Catheteriziation. What should his urine output normally be?

Accepted Answer

A) 1 to 2 ml/kg/hr 
B) 3 to 5 ml/kg/hr. 
C) 4 to 6 ml/kg/hr. 
D) 6 to 8ml/kg/hr.

Question 2

A nurse performs cardiopulmonary resuscitation on an 11-month-old boy. When performing chest compressions, the nurse knows that the correct hand placement is located over the:

Accepted Answer

A) Lower half of the baby's sternum 
B) One fingerbreadth below the horizontal line drawn between the baby's nipples 
C) Upper half of the baby's sternum 
D) Lower third of the baby's sternum

Question 3

A nurse in a delivery room is assisting with the delivery of newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn infant resulting from evaporation by:

Accepted Answer

A) Warming the crib 
B) Turning on the overhead radiant warmer 
C) Closing the doors to the room 
D) Drying the infant with a warm blanket

Question 4

A neonatal nurse is doing a routine exam of a 2 week old premature infant. She detects a systolic murmur which can be heard maximally in the Axillae. It has a high pitch long sound to it almost like a blowing sound. This finding most likely means:

Accepted Answer

A) Is in heart failure 
B) That the baby is threatening a cardiac arrest 
C) At this age it is not a cause for concern 
D) The baby has a congenital heart defect

Question 5

Baby Jules is diagnosed with coarctation of the aorta. Where would you find a discrepancy?

Accepted Answer

A) Systolic BP upper and lower different. 
B) Pulses in the arms more distinct than in the legs. 
C) Pulses in the legs more distinct than the arms. 
D) Both A and B

Question 6

The neonatal nurse in charge hears one of the infants mother's screaming at her child to drink his formula bottle. What is the best course of action for the neonatal nurse in charge to do?

Accepted Answer

A) Explain that this is not good for him to be yelled at. 
B) Nothing as she is his mother and knows best. 
C) Tell her to speak in a more loud voice. 
D) Both A and C

Question 7

A newborn Baby Alex is 1 week old and his mother brings him to the emergency room because she says he is not sleeping enough. How many hours of sleep per day does he need to sleep?

Accepted Answer

A) 12 
B) 14 
C) 16 
D) 18

Question 8

How often is the maintenance dose for Theophylline given to a neonate?

Accepted Answer

A) 8 to 10 hours. 
B) 8 to 12 hours. 
C) 9 to 13 hours. 
D) 4 to 6 hours.

Question 9

Baby Dennis is diagnosed by echocardiogram with an atrial septal defect. The specific defect that baby Dennis suffers from is as the result of a reabsorption of the septum primum and/or the septum secundum being undeveloped. What specific type of atrial septal defect is baby Dennis most likely suffering from?

Accepted Answer

A) Ostium secundum defect 
B) Ostium primum defect 
C) Sinus venous defect 
D) Coronary sinus septal defect

Question 10

An 18-year-old client is 10 weeks pregnant and comes to the prenatal clinic for a check-up. The client has a history of anorexia. Because of her age and condition, the client is at nutritional risk. Which of the following questions asked by the nurse is most appropriate to assess the client's nutritional status?

Accepted Answer

A) "Tell me more about your plans for your baby." 
B) "How do you feel about this pregnancy?" 
C) "Do you have someone in your home to cook for you?" 
D) "Are there some recent changes in your eating patterns?"

Question 11

A concerned parent has just been told that her infant has congestive heart failure. They of course very upset and the supervisory neonatal nurse is trying to give them some encouragement. The nurse should tell them:

Accepted Answer

A) "The infant will most definitely require surgery." 
B) "You will have to keep the infant on constant oxygen." 
C) "There are medications that can be use to help relieve the symptoms." 
D) "The child will be restricted to bed rest for an undetermined amount of time."

Question 12

What is the best way to touch baby David in the NICU, who is premature infant?

Accepted Answer

A) Place one warmed hand on the head. 
B) Place one on the buttocks. 
C) Apply light pressure. 
D) All of the above.

Question 13

When teaching a mother how to prevent accidents while caring for her 6-month-old, the nurse should emphasize that this age child can usually:

Accepted Answer

A) Sit up 
B) Roll over 
C) Crawl lengthy distances 
D) Stand while holding onto furniture

Question 14

Upon delivery the neonatal nurse on duty examines baby Erin and detects a heart murmur and informs the neonatologist who agrees with the finding and orders an urgent echocardiogram. Baby Erin is diagnosed with Tetralogy of Fallot. What are some of the clinical symptoms of Tetralogy of Fallot?

Accepted Answer

A) Cyanosis 
B) Rapid breathing 
C) Deep breathing 
D) All of the above

Question 15

The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing instruction to the mother is which of the following?

Accepted Answer

A) To increase the number of times that the cord is cleansed per day 
B) To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues 
C) To bring the infant to the clinic 
D) That this is normal occurrence

Question 16

A 25 year old diabetic mother gives birth to a 9.5 lb. infant who after 3 hours of birth begins to exhibit symptoms of hypoglycemia and a blood glucose level is drawn that is 6.5 mg/dL. Which of the following is this infant at risk of developing?

Accepted Answer

A) Arthritis 
B) Pneumonia 
C) Cognitive development 
D) Cardiovascular anomalies

Question 17

A 2-weeks post delivery baby Darren is brought into the emergency department by his mother as she noticed that he has a natal tooth. What should the emergency room nurse do in this situation?

Accepted Answer

A) Check if the tooth is loose 
B) Do nothing 
C) Remove the tooth 
D) Both A and B

Question 18

When an infant is being assessed for potential cardiac problems. the most common heart condition should be considered first. This would be which?

Accepted Answer

A) Symptomatic cardiac arrhythmia 
B) Pulmonary hypertension 
C) Congenital heart disease 
D) ventricular septal defect

Question 19

What is baby Nicole missing when being fed with Total Parental Nutrition (TPN)?

Accepted Answer

A) Comfort 
B) Pleasure 
C) Satisfaction 
D) All of the above

Question 20

What is the normal range for baby David's blood gas as a neonate?

Accepted Answer

A) Ph 7.35, PACO2 36, PAO2 70, HCO3 22 
B) Ph 7.50, PACO2 45, PAO2 45, HCO3 22 
C) Ph 7.33, PACO2 38, PAO2 40, HCO3 24 
D) Ph 7.35, PACO2 35, PAO2 90, HCO3 25

Exam 2: Neonatal