Davis Edge: High-Risk Neonatal Care
questions and answers (latest updated
version 2025/2026)
During the cardiac assessment of a preterm neonate, the nurse is likely to identify what abnormality?
1.
Hypertension
2.
Heart murmur
3.
Capillary refill less than 3 seconds
4.
Increased hemoglobin and hematocrit - Answer 2
The nurse is teaching a father how to bottle feed his premature infant. What instructions should the
nurse include in the teaching?
1.
Pace the feeding to allow for breathing breaks.
2.
Hold the baby in a supine position to prevent fatigue.
3.
Use a high-flow nipple to make suckling easier.
4.
A decrease in heart rate is expected and feeding can continue. - Answer 1
The nurse is caring for a preterm infant who has recently started enteral feedings. What assessment
findings would the nurse associate with the possible development of necrotizing enterocolitis (NEC)?
Select all that apply.
1.
Blood in the stool
,2.
Vomiting
3.
Distended abdomen
4.
Decreased gastric residuals
5.
Visible bowel loops - Answer 1, 2, 3, 5
The nurse is administering oxygen to a 29-week gestation infant. To decrease the risk of retinopathy of
prematurity (ROP), what safety measure does the nurse utilize?
1.
Use an oxygen blender to administer oxygen.
2.
Never let the infant's oxygen saturation drop below 95%.
3.
Rotate the pulse oximetry site daily.
4.
Administer humidified oxygen via a nasal cannula. - Answer 1
A client calls the nurse to her room and states, "The baby is really sleepy and hasn't been feeding well."
The nurse notes the infant is jittery. What additional assessment should the nurse perform?
1.
LATCH score
2.
Urine output
3.
Weight
4.
, Blood glucose - Answer 4
During labor, the nurse notes the presence of meconium stained fluid. What does the nurse prepare for
at the time of delivery?
1.
Suctioning of the infant's mouth and trachea
2.
Administration of antibiotics to the mother
3.
Vigorous tactile stimulation of the infant
4.
Culturing of the placenta for pathology - Answer 1
The neonatal nurse practitioner rounded on the unit and left new orders. After reviewing the following
orders, the nurse prioritizes the infant's care. Place the interventions in the correct order in which they
need to be completed.7/9/1811:00amHeel stick Blood glucose before each feedingStart single light
phototherapyAdminister 0.5mL Hepatitis B vaccine IM day of dischargeFeed 15mL donor breastmilk
every 3 hours (12 - 3 - 6 - 9)Wendy Smith, NNP
1 Heel stick blood glucose before each feeding.
2 Start single light phototherapy.
3 Administer 0.5 mL Hepatitis B vaccine IM.
4 Feed 15 mL donor breastmilk every 3 hours. - Answer 2, 1, 4, 3
The nurse is assessing a client during a prenatal visit. The client is at 30 weeks gestation. What
assessment identifies a non-modifiable risk for preterm labor?
1.
Placenta previa
2.
Domestic violence
3.
questions and answers (latest updated
version 2025/2026)
During the cardiac assessment of a preterm neonate, the nurse is likely to identify what abnormality?
1.
Hypertension
2.
Heart murmur
3.
Capillary refill less than 3 seconds
4.
Increased hemoglobin and hematocrit - Answer 2
The nurse is teaching a father how to bottle feed his premature infant. What instructions should the
nurse include in the teaching?
1.
Pace the feeding to allow for breathing breaks.
2.
Hold the baby in a supine position to prevent fatigue.
3.
Use a high-flow nipple to make suckling easier.
4.
A decrease in heart rate is expected and feeding can continue. - Answer 1
The nurse is caring for a preterm infant who has recently started enteral feedings. What assessment
findings would the nurse associate with the possible development of necrotizing enterocolitis (NEC)?
Select all that apply.
1.
Blood in the stool
,2.
Vomiting
3.
Distended abdomen
4.
Decreased gastric residuals
5.
Visible bowel loops - Answer 1, 2, 3, 5
The nurse is administering oxygen to a 29-week gestation infant. To decrease the risk of retinopathy of
prematurity (ROP), what safety measure does the nurse utilize?
1.
Use an oxygen blender to administer oxygen.
2.
Never let the infant's oxygen saturation drop below 95%.
3.
Rotate the pulse oximetry site daily.
4.
Administer humidified oxygen via a nasal cannula. - Answer 1
A client calls the nurse to her room and states, "The baby is really sleepy and hasn't been feeding well."
The nurse notes the infant is jittery. What additional assessment should the nurse perform?
1.
LATCH score
2.
Urine output
3.
Weight
4.
, Blood glucose - Answer 4
During labor, the nurse notes the presence of meconium stained fluid. What does the nurse prepare for
at the time of delivery?
1.
Suctioning of the infant's mouth and trachea
2.
Administration of antibiotics to the mother
3.
Vigorous tactile stimulation of the infant
4.
Culturing of the placenta for pathology - Answer 1
The neonatal nurse practitioner rounded on the unit and left new orders. After reviewing the following
orders, the nurse prioritizes the infant's care. Place the interventions in the correct order in which they
need to be completed.7/9/1811:00amHeel stick Blood glucose before each feedingStart single light
phototherapyAdminister 0.5mL Hepatitis B vaccine IM day of dischargeFeed 15mL donor breastmilk
every 3 hours (12 - 3 - 6 - 9)Wendy Smith, NNP
1 Heel stick blood glucose before each feeding.
2 Start single light phototherapy.
3 Administer 0.5 mL Hepatitis B vaccine IM.
4 Feed 15 mL donor breastmilk every 3 hours. - Answer 2, 1, 4, 3
The nurse is assessing a client during a prenatal visit. The client is at 30 weeks gestation. What
assessment identifies a non-modifiable risk for preterm labor?
1.
Placenta previa
2.
Domestic violence
3.
