NSG 3500 Exam 4 Review /\ /\ /\ /\ /\
questions with answers /\ /\
The perinatal nurse explains the cardiopulmonary adaptations that
/\ /\ /\ /\ /\ /\ /\
occur in the neonate to a student nurse. Which of the following
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
statements accurately describes the sequence of these changes? /\ /\ /\ /\ /\ /\ /\
A. "As air enters the lungs, the PO2 rises in the alveoli, which
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
causes pulmonary /\
artery relaxation and results in an increase in pulmonary vascular
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
resistance."
B. "As the pulmonary vascular resistance increases, pulmonary
/\ /\ /\ /\ /\ /\ /\ /\
blood flow increases, /\ /\
reaching 100% by the first 24 hours of life." /\ /\ /\ /\ /\ /\ /\ /\
C. "Decreased pulmonary blood volume contributes to the
/\ /\ /\ /\ /\ /\ /\ /\
conversion from fetal to /\ /\ /\
newborn circulation." /\
D. "Once the pulmonary circulation has been functionally
/\ /\ /\ /\ /\ /\ /\ /\
established, blood is /\ /\
distributed throughout the lungs." - CORRECT ANSWERS /\ /\ /\ /\ /\ /\ /\
✔✔D. "Once the pulmonary circulation has been functionally
/\ /\ /\ /\ /\ /\ /\ /\
established, blood is /\ /\
distributed throughout the lungs." /\ /\ /\
New parents are concerned that after initially breastfeeding their
/\ /\ /\ /\ /\ /\ /\ /\ /\
baby 2 hours after being born, she is sleeping soundly and will not
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
awaken. What action by the nurse is most appropriate?
/\ /\ /\ /\ /\ /\ /\ /\
,A. Call the rapid response team.
/\ /\ /\ /\ /\
B. Document the neonate's behavior in the chart.
/\ /\ /\ /\ /\ /\ /\
C. Reassure the parents that this is normal.
/\ /\ /\ /\ /\ /\ /\
D. Stimulate the baby to wake her up. - CORRECT ANSWERS ✔✔C.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Reassure the parents that this is normal. /\ /\ /\ /\ /\ /\
What action by the nurse is most important to prevent respiratory
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
depression in a newly born infant? /\ /\ /\ /\ /\
A. Bathe the infant in warm water before giving to the mother.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
B. Dress the infant in warm clothing and place in a warmer.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
C. Dry the infant and place on the mother's bare chest.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
D. Turn the delivery room temperature up to 85°F (29.4°C). -
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔C. Dry the infant and place on the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
mother's bare chest. /\ /\
A new mother with a 6-hour-old infant calls the nursing station
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
complaining that her baby is so cold he is shivering. What action /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
by the nurse is most appropriate?
/\ /\ /\ /\ /\
A. Bring warm blankets to wrap the baby in.
/\ /\ /\ /\ /\ /\ /\ /\
B. Encourage the mother to feed him a warmed bottle.
/\ /\ /\ /\ /\ /\ /\ /\ /\
C. Perform a thorough head-to-toe assessment.
/\ /\ /\ /\ /\ /\
D. Set the room temperature higher. - CORRECT ANSWERS ✔✔C.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Perform a thorough head-to-toe assessment.
/\ /\ /\ /\
What action by the nurse is most important to prevent
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
hemorrhagic disease of the newborn? /\ /\ /\ /\
, A. Administer vitamin K1 phytonadione (AquaMEPHYTON).
/\ /\ /\ /\ /\
B. Assess daily hemoglobin and hematocrit levels.
/\ /\ /\ /\ /\ /\
C. Coordinate laboratory sticks to minimize blood loss.
/\ /\ /\ /\ /\ /\ /\
D. Handle the infant gently to prevent injury. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔A. Administer vitamin K1 phytonadione /\ /\ /\ /\ /\ /\
(AquaMEPHYTON).
A nurse is assessing a newborn who is jittery, diaphoretic, and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
hypothermic, and has poor feeding. What laboratory value would
/\ /\ /\ /\ /\ /\ /\ /\ /\
the nurse correlate with this condition?
/\ /\ /\ /\ /\
A. Bilirubin: 5 mg/dL
/\ /\ /\
B. Blood glucose: 32 mg/dL
/\ /\ /\ /\
C. Hematocrit: 50%
/\ /\
D. White blood cell count: 25,000/mm3 - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔B. Blood glucose: 32 mg/dL
/\ /\ /\ /\
A term infant is 22 hours old, has a total serum bilirubin level of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
13 mg/dL, and has visible jaundice. What action by the nurse is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
most appropriate? /\
A. Assure the parents that this is temporary.
/\ /\ /\ /\ /\ /\ /\
B. Document the findings in the infant's chart.
/\ /\ /\ /\ /\ /\ /\
C. Have the mother switch to bottle feeding.
/\ /\ /\ /\ /\ /\ /\
D. Review the chart for history of a traumatic birth. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔D. Review the chart for history of a traumatic birth.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
questions with answers /\ /\
The perinatal nurse explains the cardiopulmonary adaptations that
/\ /\ /\ /\ /\ /\ /\
occur in the neonate to a student nurse. Which of the following
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
statements accurately describes the sequence of these changes? /\ /\ /\ /\ /\ /\ /\
A. "As air enters the lungs, the PO2 rises in the alveoli, which
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
causes pulmonary /\
artery relaxation and results in an increase in pulmonary vascular
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
resistance."
B. "As the pulmonary vascular resistance increases, pulmonary
/\ /\ /\ /\ /\ /\ /\ /\
blood flow increases, /\ /\
reaching 100% by the first 24 hours of life." /\ /\ /\ /\ /\ /\ /\ /\
C. "Decreased pulmonary blood volume contributes to the
/\ /\ /\ /\ /\ /\ /\ /\
conversion from fetal to /\ /\ /\
newborn circulation." /\
D. "Once the pulmonary circulation has been functionally
/\ /\ /\ /\ /\ /\ /\ /\
established, blood is /\ /\
distributed throughout the lungs." - CORRECT ANSWERS /\ /\ /\ /\ /\ /\ /\
✔✔D. "Once the pulmonary circulation has been functionally
/\ /\ /\ /\ /\ /\ /\ /\
established, blood is /\ /\
distributed throughout the lungs." /\ /\ /\
New parents are concerned that after initially breastfeeding their
/\ /\ /\ /\ /\ /\ /\ /\ /\
baby 2 hours after being born, she is sleeping soundly and will not
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
awaken. What action by the nurse is most appropriate?
/\ /\ /\ /\ /\ /\ /\ /\
,A. Call the rapid response team.
/\ /\ /\ /\ /\
B. Document the neonate's behavior in the chart.
/\ /\ /\ /\ /\ /\ /\
C. Reassure the parents that this is normal.
/\ /\ /\ /\ /\ /\ /\
D. Stimulate the baby to wake her up. - CORRECT ANSWERS ✔✔C.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Reassure the parents that this is normal. /\ /\ /\ /\ /\ /\
What action by the nurse is most important to prevent respiratory
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
depression in a newly born infant? /\ /\ /\ /\ /\
A. Bathe the infant in warm water before giving to the mother.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
B. Dress the infant in warm clothing and place in a warmer.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
C. Dry the infant and place on the mother's bare chest.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
D. Turn the delivery room temperature up to 85°F (29.4°C). -
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔C. Dry the infant and place on the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
mother's bare chest. /\ /\
A new mother with a 6-hour-old infant calls the nursing station
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
complaining that her baby is so cold he is shivering. What action /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
by the nurse is most appropriate?
/\ /\ /\ /\ /\
A. Bring warm blankets to wrap the baby in.
/\ /\ /\ /\ /\ /\ /\ /\
B. Encourage the mother to feed him a warmed bottle.
/\ /\ /\ /\ /\ /\ /\ /\ /\
C. Perform a thorough head-to-toe assessment.
/\ /\ /\ /\ /\ /\
D. Set the room temperature higher. - CORRECT ANSWERS ✔✔C.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Perform a thorough head-to-toe assessment.
/\ /\ /\ /\
What action by the nurse is most important to prevent
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
hemorrhagic disease of the newborn? /\ /\ /\ /\
, A. Administer vitamin K1 phytonadione (AquaMEPHYTON).
/\ /\ /\ /\ /\
B. Assess daily hemoglobin and hematocrit levels.
/\ /\ /\ /\ /\ /\
C. Coordinate laboratory sticks to minimize blood loss.
/\ /\ /\ /\ /\ /\ /\
D. Handle the infant gently to prevent injury. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔A. Administer vitamin K1 phytonadione /\ /\ /\ /\ /\ /\
(AquaMEPHYTON).
A nurse is assessing a newborn who is jittery, diaphoretic, and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
hypothermic, and has poor feeding. What laboratory value would
/\ /\ /\ /\ /\ /\ /\ /\ /\
the nurse correlate with this condition?
/\ /\ /\ /\ /\
A. Bilirubin: 5 mg/dL
/\ /\ /\
B. Blood glucose: 32 mg/dL
/\ /\ /\ /\
C. Hematocrit: 50%
/\ /\
D. White blood cell count: 25,000/mm3 - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔B. Blood glucose: 32 mg/dL
/\ /\ /\ /\
A term infant is 22 hours old, has a total serum bilirubin level of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
13 mg/dL, and has visible jaundice. What action by the nurse is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
most appropriate? /\
A. Assure the parents that this is temporary.
/\ /\ /\ /\ /\ /\ /\
B. Document the findings in the infant's chart.
/\ /\ /\ /\ /\ /\ /\
C. Have the mother switch to bottle feeding.
/\ /\ /\ /\ /\ /\ /\
D. Review the chart for history of a traumatic birth. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔D. Review the chart for history of a traumatic birth.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
