OB-Newborn-NCLEX Practice exam Questions and Correct
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A client has just given birth at 42 weeks gestation. When assessing the neonate, which physical finding is
expected?
1. A sleepy, lethargic baby
2. Lanugo covering the body
3. Desquamation of the epidermis
4. Vernix caseosa covering the body - ANSWER-3. Desquamation of the epidermis (peeling skin).
Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated . These
neonates are usually very alert. Lanugo is missing in the postdate neonate.
After reviewing the client's maternal history of magnesium sulfate during labor, which condition would
the nurse anticipate as a potential problem in the neonate?
1. Hypoglycemia
2. Jitteriness
3. Respiratory depression
4. Tachycardia - ANSWER-3. Respiratory depression. Magnesium sulfate crosses the placenta and
adverse neonatal effects are respiratory depression, hypotonia, and bradycardia.
Neonates of mothers with diabetes are at risk for which complication following birth?
1. Atelectasis
2. Microcephaly
3. Pneumothorax
4. Macrosomia - ANSWER-4. Macrosomia. Neonates of mothers with diabetes are at increased risk for
macrosomia (excessive fetal growth) as a result of the combination of the increased supply of maternal
glucose and an increase in fetal insulin. Big baby >8 lb, 13oz (>4,000g)
By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is
preventing which type of heat loss?
, 1. Conduction
2. Convection
3. Evaporation
4. Radiation - ANSWER-2. Convection heat loss is the flow of heat from the body surface to the cooler
air. Conduction is a loss of heat via direct contact with cold surface like the scales. Evaporation is a loss
of heat when the baby's wet skin is exposed to air. Radiation is transfer of heat from body surface to
cooler surfaces & objects not in direct contact with the body (incubator).
A neonate has been diagnosed with caput succedaneum. Which statement is correct about this
condition?
1. It usually resolves in 3-6 weeks
2. It doesn't cross the cranial suture line
3. It's a collection of blood between the skull and the periosteum
4. It involves swelling of tissue over the presenting part of the presenting head - ANSWER-4. It involves
swelling of tissue over the presenting part of the presenting head. Caput succedaneum is the swelling of
tissue over the presenting part of the fetal scalp due to sustained pressure; it resolves in 3-4 days. The
edema in caput succedaneum crosses the suture lines. It may involve wide areas of the head or it may
just be a size of a large egg. A collection of blood between the periosteum of a skull bone and the bone
itself is a Cephalhematoma.
The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused
by which organism?
1. Candida albicans
2. Chlamydia trachomatis
3. Escherichia coli
4. Group B beta-hemolytic streptococci - ANSWER-4. transmission of Group B beta-hemolytic
streptococci to the fetus results in respiratory distress that can rapidly lead to septic shock.
When attempting to interact with a neonate experiencing drug withdrawal, which behavior would
indicate that the neonate is willing to interact?
1. Gaze aversion
2. Hiccups
3. Quiet alert state
Answers (100% COMPLETE ANSWERS) ALREADY
GRADED A+ | 100% satisfaction guarantee with complete
solutions.
A client has just given birth at 42 weeks gestation. When assessing the neonate, which physical finding is
expected?
1. A sleepy, lethargic baby
2. Lanugo covering the body
3. Desquamation of the epidermis
4. Vernix caseosa covering the body - ANSWER-3. Desquamation of the epidermis (peeling skin).
Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated . These
neonates are usually very alert. Lanugo is missing in the postdate neonate.
After reviewing the client's maternal history of magnesium sulfate during labor, which condition would
the nurse anticipate as a potential problem in the neonate?
1. Hypoglycemia
2. Jitteriness
3. Respiratory depression
4. Tachycardia - ANSWER-3. Respiratory depression. Magnesium sulfate crosses the placenta and
adverse neonatal effects are respiratory depression, hypotonia, and bradycardia.
Neonates of mothers with diabetes are at risk for which complication following birth?
1. Atelectasis
2. Microcephaly
3. Pneumothorax
4. Macrosomia - ANSWER-4. Macrosomia. Neonates of mothers with diabetes are at increased risk for
macrosomia (excessive fetal growth) as a result of the combination of the increased supply of maternal
glucose and an increase in fetal insulin. Big baby >8 lb, 13oz (>4,000g)
By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is
preventing which type of heat loss?
, 1. Conduction
2. Convection
3. Evaporation
4. Radiation - ANSWER-2. Convection heat loss is the flow of heat from the body surface to the cooler
air. Conduction is a loss of heat via direct contact with cold surface like the scales. Evaporation is a loss
of heat when the baby's wet skin is exposed to air. Radiation is transfer of heat from body surface to
cooler surfaces & objects not in direct contact with the body (incubator).
A neonate has been diagnosed with caput succedaneum. Which statement is correct about this
condition?
1. It usually resolves in 3-6 weeks
2. It doesn't cross the cranial suture line
3. It's a collection of blood between the skull and the periosteum
4. It involves swelling of tissue over the presenting part of the presenting head - ANSWER-4. It involves
swelling of tissue over the presenting part of the presenting head. Caput succedaneum is the swelling of
tissue over the presenting part of the fetal scalp due to sustained pressure; it resolves in 3-4 days. The
edema in caput succedaneum crosses the suture lines. It may involve wide areas of the head or it may
just be a size of a large egg. A collection of blood between the periosteum of a skull bone and the bone
itself is a Cephalhematoma.
The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused
by which organism?
1. Candida albicans
2. Chlamydia trachomatis
3. Escherichia coli
4. Group B beta-hemolytic streptococci - ANSWER-4. transmission of Group B beta-hemolytic
streptococci to the fetus results in respiratory distress that can rapidly lead to septic shock.
When attempting to interact with a neonate experiencing drug withdrawal, which behavior would
indicate that the neonate is willing to interact?
1. Gaze aversion
2. Hiccups
3. Quiet alert state
