Newborn,/.Nursing,/.Care,/.and,/.Assessment,/.NCLEX,/.Questions
A,/.nurse,/.in,/.a,/.delivery,/.room,/.is,/.assisting,/.with,/.the,/.delivery,/.of,/.a,/.newborn,
/.infant.,/.After,/.the,/.delivery,,/.the,/.nurse,/.prepares,/.to,/.prevent,/.heat,/.loss,/.in,/.th
e,/.newborn,/.resulting,/.from,/.evaporation,/.by:
A.,/.Warming,/.the,/.crib,/.pad
B.,/.Turning,/.on,/.the,/.overhead,/.radiant,/.warmer
C.,/.Closing,/.the,/.doors,/.to,/.the,/.room
D.,/.Drying,/.the,/.infant,/.in,/.a,/.warm,/.blanket,/.-,/.correct,/.answer,/.✔ ✔
D.,/.Drying,/.the,/.infant,/.in,/.a,/.warm,/.blanket
(Evaporation,/.is,/.the,/.loss,/.of,/.heat,/.through,/.the,/.conversion,/.of,/.liquid,/.to,/.va
por.,/.Newborns,/.are,/.wet,/.from,/.the,/.amniotic,/.fluid,/.when,/.they,/.are,/.born,,/.as,
/.the,/.fluid,/.evaporates,/.from,/.their,/.skin,,/.they,/.can,/.lose,/.heat.,/.Drying,/.the,/.inf
ant,/.using,/.a,/.warm,/.blanket,/.is,/.an,/.excellent,/.measure,/.to,/.help,/.conserve,/.hea
t,/.or,/.prevent,/.heat,/.loss.,/.Additionally,,/.drying,/.the,/.face,/.and,/.hair,,/.covering,/.
the,/.hair,/.with,/.a,/.cap,,/.and,/.laying,/.the,/.newborn,/.on,/.the,/.mother's,/.abdomen,,/
.effectively,/.reduces,/.heat,/.loss,/.through,/.evaporation.,/.Keeping,/.the,/.newbor
n,/.dry,/.by,/.drying,/.the,/.wet,/.newborn,/.infant,/.will,/.prevent,/.hypothermia,/.via,/.
evaporation.)
A,/.nurse,/.is,/.assessing,/.a,/.newborn,/.infant,/.following,/.circumcision,/.and,/.note
s,/.that,/.the,/.circumcised,/.area,/.is,/.red,/.with,/.a,/.small,/.amount,/.of,/.bloody,/.drain
age.,/.Which,/.of,/.the,/.following,/.nursing,/.actions,/.would,/.be,/.most,/.appropriat
e?
,A.,/.Document,/.the,/.findings
B.,/.Contact,/.the,/.physician
C.,/.Circle,/.the,/.amount,/.of,/.bloody,/.drainage,/.on,/.the,/.dressing,/.and,/.reassess,/.i
n,/.30,/.minutes
D.,/.Reinforce,/.the,/.dressing,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Document,/.the,/.findings
(Close,/.observation,/.of,/.the,/.circumcision,/.site,/.during,/.the,/.first,/.few,/.hours,/.i
s,/.necessary,/.to,/.determine,/.if,/.there,/.is,/.a,/.complication.,/.A,/.yellow,/.exudate,/.
may,/.be,/.noted,/.after,/.24,/.hours,,/.and,/.this,/.is,/.a,/.part,/.of,/.normal,/.healing.,/.This
,/.should,/.not,/.be,/.washed,/.away,/.because,/.it,/.serves,/.a,/.protective,/.function.,/.T
he,/.nurse,/.would,/.expect,/.that,/.the,/.area,/.would,/.be,/.red,/.with,/.a,/.small,/.amount,
/.of,/.bloody,/.drainage.,/.Because,/.the,/.findings,/.identified,/.in,/.the,/.question,/.are
,/.normal,,/.the,/.nurse,/.would,/.document,/.the,/.assessment.,/.Additionally,,/.docu
ment,/.if,/.the,/.infant,/.is,/.voiding,/.after,/.the,/.procedure,/.to,/.ascertain,/.that,/.the,/.ur
ethra,/.is,/.not,/.occluded.,/.Instruct,/.the,/.parents,/.to,/.keep,/.the,/.site,/.free,/.from,/.fe
ces,/.and,/.covered,/.in,/.petrolatum,/.until,/.healing,/.is,/.complete.,/.If,/.the,/.infant,/.c
ries,/.constantly,/.and,/.if,/.there,/.is,/.redness,/.or,/.tenderness,/.due,/.to,/.pain,,/.it,/.sho
uld,/.be,/.reported,/.to,/.the,/.physician.)
A,/.nurse,/.in,/.the,/.newborn,/.nursery,/.is,/.monitoring,/.a,/.preterm,/.newborn,/.infa
nt,/.for,/.respiratory,/.distress,/.syndrome.,/.Which,/.assessment,/.signs,/.if,/.noted,/.i
n,/.the,/.newborn,/.infant,/.would,/.alert,/.the,/.nurse,/.to,/.the,/.possibility,/.of,/.this,/.sy
ndrome?
A.,/.Hypotension,/.and,/.Bradycardia
, B.,/.Tachypnea,/.and,/.retractions
C.,/.Acrocyanosis,/.and,/.grunting
D.,/.The,/.presence,/.of,/.a,/.barrel,/.chest,/.with,/.grunting,/.-,/.correct,/.answer,/.✔
✔ B.,/.Tachypnea,/.and,/.retractions
(Infants,/.who,/.develop,/.RDS,/.have,/.periods,/.during,/.the,/.day,/.when,/.they,/.are,/.
free,/.of,/.symptoms,/.because,/.of,/.an,/.initial,/.release,/.of,/.surfactant.,/.The,/.initial
,/.signs,/.of,/.respiratory,/.distress,/.includes,/.tachypnea,/.(60,/.breaths,/.per,/.minut
e),,/.sternal,/.and,/.subcostal,/.retractions,,/.nasal,/.flaring,,/.cyanotic,/.mucous,/.me
mbranes.)
A,/.postpartum,/.nurse,/.is,/.providing,/.instructions,/.to,/.the,/.mother,/.of,/.a,/.newbo
rn,/.infant,/.with,/.hyperbilirubinemia,/.who,/.is,/.being,/.breastfed.,/.The,/.nurse,/.pr
ovides,/.which,/.most,/.appropriate,/.instructions,/.to,/.the,/.mother?
A.,/.Switch,/.to,/.bottle-feeding,/.the,/.baby,/.for,/.2,/.weeks
B.,/.Stop,/.breastfeeding,/.and,/.switch,/.to,/.bottle-feeding,/.permanently
C.,/.Feed,/.the,/.newborn,/.infant,/.less,/.frequently
D.,/.Continue,/.to,/.breastfeed,/.every,/.2-4,/.hours,/.-,/.correct,/.answer,/.✔ ✔
D.,/.Continue,/.to,/.breastfeed,/.every,/.2-4,/.hours
(Breastfeeding,/.should,/.be,/.initiated,/.within,/.2,/.hours,/.after,/.birth,/.and,/.every,/.
2-
4,/.hours,/.thereafter.,/.Early,/.feeding,/.of,/.newborns,/.with,/.hyperbilirubinemia,/.
promotes,/.intestinal,/.movement,/.and,/.excretion,/.of,/.meconium,/.which,/.ultim
ately,/.helps,/.prevent,/.indirect,/.bilirubin,/.buildup.,/.The,/.other,/.options,/.are,/.no
t,/.necessary.)
A,/.nurse,/.in,/.a,/.delivery,/.room,/.is,/.assisting,/.with,/.the,/.delivery,/.of,/.a,/.newborn,
/.infant.,/.After,/.the,/.delivery,,/.the,/.nurse,/.prepares,/.to,/.prevent,/.heat,/.loss,/.in,/.th
e,/.newborn,/.resulting,/.from,/.evaporation,/.by:
A.,/.Warming,/.the,/.crib,/.pad
B.,/.Turning,/.on,/.the,/.overhead,/.radiant,/.warmer
C.,/.Closing,/.the,/.doors,/.to,/.the,/.room
D.,/.Drying,/.the,/.infant,/.in,/.a,/.warm,/.blanket,/.-,/.correct,/.answer,/.✔ ✔
D.,/.Drying,/.the,/.infant,/.in,/.a,/.warm,/.blanket
(Evaporation,/.is,/.the,/.loss,/.of,/.heat,/.through,/.the,/.conversion,/.of,/.liquid,/.to,/.va
por.,/.Newborns,/.are,/.wet,/.from,/.the,/.amniotic,/.fluid,/.when,/.they,/.are,/.born,,/.as,
/.the,/.fluid,/.evaporates,/.from,/.their,/.skin,,/.they,/.can,/.lose,/.heat.,/.Drying,/.the,/.inf
ant,/.using,/.a,/.warm,/.blanket,/.is,/.an,/.excellent,/.measure,/.to,/.help,/.conserve,/.hea
t,/.or,/.prevent,/.heat,/.loss.,/.Additionally,,/.drying,/.the,/.face,/.and,/.hair,,/.covering,/.
the,/.hair,/.with,/.a,/.cap,,/.and,/.laying,/.the,/.newborn,/.on,/.the,/.mother's,/.abdomen,,/
.effectively,/.reduces,/.heat,/.loss,/.through,/.evaporation.,/.Keeping,/.the,/.newbor
n,/.dry,/.by,/.drying,/.the,/.wet,/.newborn,/.infant,/.will,/.prevent,/.hypothermia,/.via,/.
evaporation.)
A,/.nurse,/.is,/.assessing,/.a,/.newborn,/.infant,/.following,/.circumcision,/.and,/.note
s,/.that,/.the,/.circumcised,/.area,/.is,/.red,/.with,/.a,/.small,/.amount,/.of,/.bloody,/.drain
age.,/.Which,/.of,/.the,/.following,/.nursing,/.actions,/.would,/.be,/.most,/.appropriat
e?
,A.,/.Document,/.the,/.findings
B.,/.Contact,/.the,/.physician
C.,/.Circle,/.the,/.amount,/.of,/.bloody,/.drainage,/.on,/.the,/.dressing,/.and,/.reassess,/.i
n,/.30,/.minutes
D.,/.Reinforce,/.the,/.dressing,/.-,/.correct,/.answer,/.✔ ✔
A.,/.Document,/.the,/.findings
(Close,/.observation,/.of,/.the,/.circumcision,/.site,/.during,/.the,/.first,/.few,/.hours,/.i
s,/.necessary,/.to,/.determine,/.if,/.there,/.is,/.a,/.complication.,/.A,/.yellow,/.exudate,/.
may,/.be,/.noted,/.after,/.24,/.hours,,/.and,/.this,/.is,/.a,/.part,/.of,/.normal,/.healing.,/.This
,/.should,/.not,/.be,/.washed,/.away,/.because,/.it,/.serves,/.a,/.protective,/.function.,/.T
he,/.nurse,/.would,/.expect,/.that,/.the,/.area,/.would,/.be,/.red,/.with,/.a,/.small,/.amount,
/.of,/.bloody,/.drainage.,/.Because,/.the,/.findings,/.identified,/.in,/.the,/.question,/.are
,/.normal,,/.the,/.nurse,/.would,/.document,/.the,/.assessment.,/.Additionally,,/.docu
ment,/.if,/.the,/.infant,/.is,/.voiding,/.after,/.the,/.procedure,/.to,/.ascertain,/.that,/.the,/.ur
ethra,/.is,/.not,/.occluded.,/.Instruct,/.the,/.parents,/.to,/.keep,/.the,/.site,/.free,/.from,/.fe
ces,/.and,/.covered,/.in,/.petrolatum,/.until,/.healing,/.is,/.complete.,/.If,/.the,/.infant,/.c
ries,/.constantly,/.and,/.if,/.there,/.is,/.redness,/.or,/.tenderness,/.due,/.to,/.pain,,/.it,/.sho
uld,/.be,/.reported,/.to,/.the,/.physician.)
A,/.nurse,/.in,/.the,/.newborn,/.nursery,/.is,/.monitoring,/.a,/.preterm,/.newborn,/.infa
nt,/.for,/.respiratory,/.distress,/.syndrome.,/.Which,/.assessment,/.signs,/.if,/.noted,/.i
n,/.the,/.newborn,/.infant,/.would,/.alert,/.the,/.nurse,/.to,/.the,/.possibility,/.of,/.this,/.sy
ndrome?
A.,/.Hypotension,/.and,/.Bradycardia
, B.,/.Tachypnea,/.and,/.retractions
C.,/.Acrocyanosis,/.and,/.grunting
D.,/.The,/.presence,/.of,/.a,/.barrel,/.chest,/.with,/.grunting,/.-,/.correct,/.answer,/.✔
✔ B.,/.Tachypnea,/.and,/.retractions
(Infants,/.who,/.develop,/.RDS,/.have,/.periods,/.during,/.the,/.day,/.when,/.they,/.are,/.
free,/.of,/.symptoms,/.because,/.of,/.an,/.initial,/.release,/.of,/.surfactant.,/.The,/.initial
,/.signs,/.of,/.respiratory,/.distress,/.includes,/.tachypnea,/.(60,/.breaths,/.per,/.minut
e),,/.sternal,/.and,/.subcostal,/.retractions,,/.nasal,/.flaring,,/.cyanotic,/.mucous,/.me
mbranes.)
A,/.postpartum,/.nurse,/.is,/.providing,/.instructions,/.to,/.the,/.mother,/.of,/.a,/.newbo
rn,/.infant,/.with,/.hyperbilirubinemia,/.who,/.is,/.being,/.breastfed.,/.The,/.nurse,/.pr
ovides,/.which,/.most,/.appropriate,/.instructions,/.to,/.the,/.mother?
A.,/.Switch,/.to,/.bottle-feeding,/.the,/.baby,/.for,/.2,/.weeks
B.,/.Stop,/.breastfeeding,/.and,/.switch,/.to,/.bottle-feeding,/.permanently
C.,/.Feed,/.the,/.newborn,/.infant,/.less,/.frequently
D.,/.Continue,/.to,/.breastfeed,/.every,/.2-4,/.hours,/.-,/.correct,/.answer,/.✔ ✔
D.,/.Continue,/.to,/.breastfeed,/.every,/.2-4,/.hours
(Breastfeeding,/.should,/.be,/.initiated,/.within,/.2,/.hours,/.after,/.birth,/.and,/.every,/.
2-
4,/.hours,/.thereafter.,/.Early,/.feeding,/.of,/.newborns,/.with,/.hyperbilirubinemia,/.
promotes,/.intestinal,/.movement,/.and,/.excretion,/.of,/.meconium,/.which,/.ultim
ately,/.helps,/.prevent,/.indirect,/.bilirubin,/.buildup.,/.The,/.other,/.options,/.are,/.no
t,/.necessary.)
