NR327 - Quiz 4 - Newborn Care NCLEX-Style Questions| Answers| Rationale

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NR327 - Quiz 4 - Newborn Care NCLEX-Style Questions| Answers| Rationale - 1. A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for... weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? A. Low birth weight B. Appropriate for gestational age C. Small for gestational age D. Large for gestational age 2. A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. this finding is a characteristic of which of the following conditions? A. mongolian spots B. milia spots C. erythema toxicum D. Epstein's pearls 3. A nurse is assessing the reflexes of a newborn. In checking for the moro reflex, the nurse should perform which of the following? A. Hold the newborn vertically under arms and allow one foot to touch table. B. Stimulate the pads of the newborn's hands with stroking or massage. C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot. D. Hold the newborn in a semi‑sitting position, then allow the newborn's head and trunk to fall backward. 4. A nurse is completing an assessment. which of the following data indicate the newborn is adapting to extrauterine life? (Select all that apply.) A. expiratory grunting B. Inspiratory nasal flaring C. Apnea for 10‑second periods D. Obligatory nose breathing E. Crackles and wheezing 5. A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. the nurse should include which of the following information in the teaching? A. "This is frequently seen in newborns who have dark skin." B. "This is a finding indicating hyperbilirubinemia." C. "This is a forceps mark from an operative delivery." D. "This is related to prolonged birth or trauma during delivery." 6. A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. which of the following medications should the nurse anticipate administering? A. Ofloxacin B. Nystatin C. Erythromycin D. Ceftriaxone 7. A newborn was not dried completely after birth. which of the following mechanisms should the nurse understand causes heat loss? A. Conduction B. Convection C. Evaporation D. Radiation 8. A nurse is caring for a newborn immediately following birth. which of the following nursing interventions is the highest priority? A. Initiating breastfeeding. B. Performing the initial bath. C. Giving a vitamin K injection. D. Covering the newborn's head with a cap. 9. A nurse is preparing to administer vitamin K (phytonadione)injection to a newborn. which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? A. "It assists with blood clotting." B. "It promotes maturation of the bowel." C. "It is a preventative vaccine." D. "It provides immunity." 10. A nurse is taking a newborn to a mother following a circumcision. which of the following actions should the nurse take for security purposes? A. Ask the mother to state her full name. B. Look at the name on the newborn's bassinet. C. Match the mother's identification band with the newborn's band. D. Compare name on the bassinet and room number. 11. A nurse is giving instructions to a mother about how to breastfeed her newborn. which of the following actions by the mother indicates understanding of the teaching? A. The mother places a few drops of water on her nipple before feeding. B. The mother gently removes her nipple from the infant's mouth to break the suction. C. When she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger. D. When latched on, the infant's nose, cheek, and chin are touching the breast. 12. A nurse is teaching a group of new parents about proper techniques for bottle feeding. which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding. B. Hold the newborn close in a supine position. C. Keep the nipple full of formula throughout the feeding. D. Refrigerate any unused formula. 13. A nurse is caring for a newborn. which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus. B. Attempts to place his hand in his mouth. C. Turns his head toward sounds. D. Lies quietly with his eyes open. 14. A nurse is reviewing formula preparation with parents who plan to bottle‑feed their newborn. which of the following information should the nurse include in the teaching? (Select all that apply.) A. Use a disinfectant wipe to clean the lid of the formula can. B. Store prepared formula in the refrigerator for up to 72 hours. C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. Use tap water to dilute concentrated formula. 15. A nurse is reviewing breastfeeding positions with the mother of a newborn. which of the following positions should the nurse discuss? A. Over‑the‑shoulder B. Supine C. Chin‑supported D. Cradle . 16. A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? A. Cover the cord with a small gauze square. B. Trickle clean water over the cord with each diaper change. C. Apply hydrogen peroxide to the cord twice a day. D. Keep the diaper folded below the cord. 17. A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (select all that apply.) A. Hypospadias B. Hydrocele C. Family history of hemophilia D. Hyperbilirubinemia E. Epispadias 18. A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? A. "His circumcision will heal within a couple of days." B. "I should remove the yellow mucus that will form." C. "I will clean his penis with each diaper change." D. "I will give him a tub bath within a couple of days." 19. A nurse is caring for a newborn immediately following a circumcision using a gomco procedure. Which of the following actions should the nurse implement? A. Apply gelfoam powder to the site. B. Place the newborn in the prone position. C. Apply petroleum gauze to the site. D. Avoid changing the diaper until the first voiding. 20. A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? A. Front seat, rear‑facing B. Front seat, forward‑facing C. Back seat, rear‑facing D. Back seat, forward‑facing 21. A nurse is caring for a client who is at 42 weeks gestation and in labor. the client asks the nurse what she should expect because her baby is postmature. which of the following statements should the nurse make? A. "Your baby will have excess body fat." B. "Your baby will have flat areola without breast buds." C. "Your baby's heels will easily move to his ears." D. "Your baby's skin will have a leathery appearance." 22. A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. which of the following is the priority finding in the newborn? A. Conjunctivitis B. Bronze skin discoloration C. Sunken fontanels D. Maculopapular skin rash   23. A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. the newborn's birth weight is 1,100 g. which of the following are expected findings in this newborn? (select all that apply.) A. lanugo B. long nails C. weak grasp reflex D. translucent skin E. plump face 24. A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant? A. Oxygen saturation B. Body temperature C. Serum bilirubin D. Heart rate 25. A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. which of the following statements by the newly licensed nurse indicate understanding of the teaching? A. "The newborn will have decreased muscle tone." B. "The newborn will have a continuous high‑pitched cry." C. "The newborn will sleep for 2 to 3 hours after a feeding." D. "The newborn will have mild tremors when disturbed." [Show More]

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