MN580 FINAL PAPER UPDATED
COMPLETE QUESTIONS AND CORRECT
ANSWERS BUNDLED REVIEW GUIDE
●● A 5 day old infant comes in for a newborn checkup. On assessment
of the newborn, you note that the skin is jaundice in color. The anterior
fontanel is slightly sunken. Per mom, the infant has only had 2 diapers
today. The infant is strictly breastfed and this is moms first child. She
states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is
most likely to have breast milk jaundice. Which nursing intervention(s)
will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
Answer: 4. All of the above
●● Apgar scores measure heart rate, respiratory rate, reflex irritability,
color and :
1. Rigidity
2. Muscle tone
3. Birth weight
,4. Capillary refill
Answer: 2. Muscle tone
●● Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels
Answer: 2. Depletion of glucose levels
●● A mother has just delivered her new baby a few hours ago. She asks
the nurse if she can bathe the baby because he has blood on him. The
best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets wait
till later in the day.
4. Sure, but why dont you feed the baby
Answer: 3. Its important that we not bathe the baby too soon after birth.
Lets wait till later in the day
,●● A 4 week old infant is brought to the ED. Mom states that the baby
hasnt been eating well and has had decreased diapers for 2 days. The
baby has been sleeping more and has been hard to wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic and
temperature is 35.4 rectally. What is an important lab value to check?
Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
4. PTT
Answer: 3. Blood glucose
●● A pregnant woman with a history of a clotting disorder is required to
selfadminister heparin during her pregnancy. After delivery, the infant
will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
4. High blood sugar
Answer: 2. Decrease Vitamin K
●● A
, part of injury prevention is making and keeping infant appointments.
The required checkups and vaccinations are at:
1. 3 months, 6 months, 9 months
2. 2 months, 4 months, 6 months and 1 year
3. 2 months, 4 months, 6 month, 9 months and 1 year
4. 2 months, 4 months, 9 months and 1 year
Answer: 3. 2 months, 4 months, 6 month, 9 months and 1 year
●● You are taking care of an infant who was admitted with dehydration.
His weight is 6kg. You have been watching his I & Os. What would you
expect the infants urinary output to be in order to maintain adequate
hydration?
1. 0.52 ml/kg/hr
2. 0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matter
Answer: 3. 13 ml/kg/hr
●● A mother brings her newborn daughter to the ER with concerns that
she is having vaginal bleeding. You know this is normal and called
what?
COMPLETE QUESTIONS AND CORRECT
ANSWERS BUNDLED REVIEW GUIDE
●● A 5 day old infant comes in for a newborn checkup. On assessment
of the newborn, you note that the skin is jaundice in color. The anterior
fontanel is slightly sunken. Per mom, the infant has only had 2 diapers
today. The infant is strictly breastfed and this is moms first child. She
states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is
most likely to have breast milk jaundice. Which nursing intervention(s)
will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
Answer: 4. All of the above
●● Apgar scores measure heart rate, respiratory rate, reflex irritability,
color and :
1. Rigidity
2. Muscle tone
3. Birth weight
,4. Capillary refill
Answer: 2. Muscle tone
●● Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels
Answer: 2. Depletion of glucose levels
●● A mother has just delivered her new baby a few hours ago. She asks
the nurse if she can bathe the baby because he has blood on him. The
best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets wait
till later in the day.
4. Sure, but why dont you feed the baby
Answer: 3. Its important that we not bathe the baby too soon after birth.
Lets wait till later in the day
,●● A 4 week old infant is brought to the ED. Mom states that the baby
hasnt been eating well and has had decreased diapers for 2 days. The
baby has been sleeping more and has been hard to wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic and
temperature is 35.4 rectally. What is an important lab value to check?
Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
4. PTT
Answer: 3. Blood glucose
●● A pregnant woman with a history of a clotting disorder is required to
selfadminister heparin during her pregnancy. After delivery, the infant
will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
4. High blood sugar
Answer: 2. Decrease Vitamin K
●● A
, part of injury prevention is making and keeping infant appointments.
The required checkups and vaccinations are at:
1. 3 months, 6 months, 9 months
2. 2 months, 4 months, 6 months and 1 year
3. 2 months, 4 months, 6 month, 9 months and 1 year
4. 2 months, 4 months, 9 months and 1 year
Answer: 3. 2 months, 4 months, 6 month, 9 months and 1 year
●● You are taking care of an infant who was admitted with dehydration.
His weight is 6kg. You have been watching his I & Os. What would you
expect the infants urinary output to be in order to maintain adequate
hydration?
1. 0.52 ml/kg/hr
2. 0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matter
Answer: 3. 13 ml/kg/hr
●● A mother brings her newborn daughter to the ER with concerns that
she is having vaginal bleeding. You know this is normal and called
what?
