EXAM 2- RICCI MATERNITY AND
PEDIATRICS NURSING QUESTIONS AND
ANSWERS
A newborn with severe meconium aspiration syndrome (MAS. is not responding to
conventional treatment. Which of the following would the nurse anticipate as possibly
necessary for this newborn? - Correct Answers -Extracorporeal membrane oxygenation
(ECMO)
Which of the following would the nurse expect to assess in a newborn who develops
sepsis? - Correct Answers -Hypothermia
Which of the following would the nurse include in the plan of care for a newborn
receiving phototherapy? - Correct Answers -Covering the newborn's eyes while under
the bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after
birth. The nurse understands that the newborn most likely acquired this infection from
which of the following? - Correct Answers -Mother's birth canal
Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse
documents this as which of the following? - Correct Answers -Grade IV
After assessing a child's blood pressure, the nurse determines the pulse pressure and
finds that it is narrowed. Which of the following would the nurse identify as associated
with this finding? - Correct Answers -Aortic stenosis
A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing the parents and child about postprocedure care.
Which statement by the parents indicates that the teaching was successful? - Correct
Answers -"He should avoid taking a bath for about 3 days but he can shower."
A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the
physician will most likely order which medication? - Correct Answers -Indomethacin
Which action would be most appropriate for the nurse to take when a newborn has an
unexpected anomaly at birth? - Correct Answers -Show the newborn to the parents as
soon as possible while explaining the defect.
,The nurse prepares to administer a gavage feeding for a newborn with transient
tachypnea based on the understanding that this type of feeding is necessary for which
reason? - Correct Answers -Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? - Correct Answers -
Pathologic jaundice appears within 24 hours after birth
When planning the care of a newborn addicted to cocaine who is experiencing
withdrawal, which of the following would be least appropriate to include? - Correct
Answers -Waking the newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would
the nurse expect to assess? - Correct Answers -Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the
disorder and treatment, which statement by the parents indicates that the teaching was
successful? - Correct Answers -"Our newborn could develop a learning disability later
on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
Correct Answers -Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows
a ground glass pattern. The nurse interprets this as indicative of: - Correct Answers -
Respiratory distress syndrome
A newborn is suspected of developing persistent pulmonary hypertension. The nurse
would expect to prepare the newborn for which of the following to confirm the
suspicion? - Correct Answers -Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed
NEC? - Correct Answers -Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary
dysplasia (chronic lung disease)? - Correct Answers -Female gender
A group of nursing students are reviewing the different types of congenital heart disease
in infants. The students demonstrate a need for additional review when they identify
which of the following as an example of increased pulmonary blood flow (left-to-right
shunting)? - Correct Answers -Tetralogy of Fallot
After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the
disorder and treatment, which statement by the parents indicates that the teaching was
, successful? - Correct Answers -"Can we schedule follow-up eye examinations with the
pediatric ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which
of the following would the nurse expect to find? (Select all that apply.) - Correct Answers
-- Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was
born breech. The nurse suspects that the newborn may have experienced trauma to the
upper brachial plexus based on which assessment findings? - Correct Answers -Absent
Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to
drugs in utero because the newborn is exhibiting signs of neonatal abstinence
syndrome. Which of the Following would the nurse expect to assess? (Select all that
apply) - Correct Answers -- Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the
following would the nurse include? - Correct Answers -Placing the newborn into a sterile
drawstring bowel bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care
their infant requires. Which of the following would the nurse include in the explanation?
(Select all that apply.) - Correct Answers -- Covering the area with a sterile, clear, non-
adherent dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed
antibiotic therapy
A nursing student is preparing a presentation for the class on clubfoot. The student
determines that the presentation was successful when the class states which of the
following? - Correct Answers -The exact cause of clubfoot is not known.
Assessment of newborn reveals a large protruding tongue, slow reflexes, distended
abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would
the nurse suspect? - Correct Answers -Congenital hypothyroidism
A group of students are reviewing information about the effects of substances on the
newborn. The students demonstrate understanding of the information when they identify
which drug as not being associated with teratogenic effects on the fetus? - Correct
Answers -Marijuana
PEDIATRICS NURSING QUESTIONS AND
ANSWERS
A newborn with severe meconium aspiration syndrome (MAS. is not responding to
conventional treatment. Which of the following would the nurse anticipate as possibly
necessary for this newborn? - Correct Answers -Extracorporeal membrane oxygenation
(ECMO)
Which of the following would the nurse expect to assess in a newborn who develops
sepsis? - Correct Answers -Hypothermia
Which of the following would the nurse include in the plan of care for a newborn
receiving phototherapy? - Correct Answers -Covering the newborn's eyes while under
the bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after
birth. The nurse understands that the newborn most likely acquired this infection from
which of the following? - Correct Answers -Mother's birth canal
Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse
documents this as which of the following? - Correct Answers -Grade IV
After assessing a child's blood pressure, the nurse determines the pulse pressure and
finds that it is narrowed. Which of the following would the nurse identify as associated
with this finding? - Correct Answers -Aortic stenosis
A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing the parents and child about postprocedure care.
Which statement by the parents indicates that the teaching was successful? - Correct
Answers -"He should avoid taking a bath for about 3 days but he can shower."
A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the
physician will most likely order which medication? - Correct Answers -Indomethacin
Which action would be most appropriate for the nurse to take when a newborn has an
unexpected anomaly at birth? - Correct Answers -Show the newborn to the parents as
soon as possible while explaining the defect.
,The nurse prepares to administer a gavage feeding for a newborn with transient
tachypnea based on the understanding that this type of feeding is necessary for which
reason? - Correct Answers -Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? - Correct Answers -
Pathologic jaundice appears within 24 hours after birth
When planning the care of a newborn addicted to cocaine who is experiencing
withdrawal, which of the following would be least appropriate to include? - Correct
Answers -Waking the newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would
the nurse expect to assess? - Correct Answers -Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the
disorder and treatment, which statement by the parents indicates that the teaching was
successful? - Correct Answers -"Our newborn could develop a learning disability later
on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
Correct Answers -Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows
a ground glass pattern. The nurse interprets this as indicative of: - Correct Answers -
Respiratory distress syndrome
A newborn is suspected of developing persistent pulmonary hypertension. The nurse
would expect to prepare the newborn for which of the following to confirm the
suspicion? - Correct Answers -Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed
NEC? - Correct Answers -Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary
dysplasia (chronic lung disease)? - Correct Answers -Female gender
A group of nursing students are reviewing the different types of congenital heart disease
in infants. The students demonstrate a need for additional review when they identify
which of the following as an example of increased pulmonary blood flow (left-to-right
shunting)? - Correct Answers -Tetralogy of Fallot
After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the
disorder and treatment, which statement by the parents indicates that the teaching was
, successful? - Correct Answers -"Can we schedule follow-up eye examinations with the
pediatric ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which
of the following would the nurse expect to find? (Select all that apply.) - Correct Answers
-- Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was
born breech. The nurse suspects that the newborn may have experienced trauma to the
upper brachial plexus based on which assessment findings? - Correct Answers -Absent
Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to
drugs in utero because the newborn is exhibiting signs of neonatal abstinence
syndrome. Which of the Following would the nurse expect to assess? (Select all that
apply) - Correct Answers -- Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the
following would the nurse include? - Correct Answers -Placing the newborn into a sterile
drawstring bowel bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care
their infant requires. Which of the following would the nurse include in the explanation?
(Select all that apply.) - Correct Answers -- Covering the area with a sterile, clear, non-
adherent dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed
antibiotic therapy
A nursing student is preparing a presentation for the class on clubfoot. The student
determines that the presentation was successful when the class states which of the
following? - Correct Answers -The exact cause of clubfoot is not known.
Assessment of newborn reveals a large protruding tongue, slow reflexes, distended
abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would
the nurse suspect? - Correct Answers -Congenital hypothyroidism
A group of students are reviewing information about the effects of substances on the
newborn. The students demonstrate understanding of the information when they identify
which drug as not being associated with teratogenic effects on the fetus? - Correct
Answers -Marijuana
