Newborn Nursing Care and Assessment NCLEX Questions and Answers

Newborn Nursing Care and
Assessment NCLEX Questions and
Answers
AMnurseMinMaMdeliveryMroomMisMassistingMwithMtheMdeliveryMofMaMnewbornMinfant.MA
fterMtheMdelivery,MtheMnurseMpreparesMtoMpreventMheatMlossMinMtheMnewbornMresultin
gMfromMevaporationMby:



A.MWarmingMtheMcribMpad

B.MTurningMonMtheMoverheadMradiantMwarmer

C.MClosingMtheMdoorsMtoMtheMroom

D.MDryingMtheMinfantMinMaMwarmMblanketM-
MAnswerMD.MDryingMtheMinfantMinMaMwarmMblanket

(EvaporationMisMtheMlossMofMheatMthroughMtheMconversionMofMliquidMtoMvapor.MNewb
ornsMareMwetMfromMtheMamnioticMfluidMwhenMtheyMareMborn,MasMtheMfluidMevaporat
esMfromMtheirMskin,MtheyMcanMloseMheat.MDryingMtheMinfantMusingMaMwarmMblanketM
isManMexcellentMmeasureMtoMhelpMconserveMheatMorMpreventMheatMloss.MAdditionally,M
dryingMtheMfaceMandMhair,McoveringMtheMhairMwithMaMcap,MandMlayingMtheMnewborn
MonMtheMmother'sMabdomen,MeffectivelyMreducesMheatMlossMthroughMevaporation.MKeep
ingMtheMnewbornMdryMbyMdryingMtheMwetMnewbornMinfantMwillMpreventMhypothermiaM
viaMevaporation.)



AMnurseMisMassessingMaMnewbornMinfantMfollowingMcircumcisionMandMnotesMthatMtheMc
ircumcisedMareaMisMredMwithMaMsmallMamountMofMbloodyMdrainage.MWhichMofMtheMfo
llowingMnursingMactionsMwouldMbeMmostMappropriate?



A.MDocumentMtheMfindings

B.MContactMtheMphysician

C.MCircleMtheMamountMofMbloodyMdrainageMonMtheMdressingMandMreassessMinM30Mmin
utes

D.MReinforceMtheMdressingM-MAnswerMA.MDocumentMtheMfindings

(CloseMobservationMofMtheMcircumcisionMsiteMduringMtheMfirstMfewMhoursMisMnecessary
MtoMdetermineMifMthereMisMaMcomplication.MAMyellowMexudateMmayMbeMnotedMafterM
24Mhours,MandMthisMisMaMpartMofMnormalMhealing.MThisMshouldMnotMbeMwashedMawa
yMbecauseMitMservesMaMprotectiveMfunction.MTheMnurseMwouldMexpectMthatMtheMarea
MwouldMbeMredMwithMaMsmallMamountMofMbloodyMdrainage.MBecauseMtheMfindingsMid
entifiedMinMtheMquestionMareMnormal,MtheMnurseMwouldMdocumentMtheMassessment.MA
dditionally,MdocumentMifMtheMinfantMisMvoidingMafterMtheMprocedureMtoMascertainMthat

,MtheMurethraMisMnotMoccluded.MInstructMtheMparentsMtoMkeepMtheMsiteMfreeMfromMfe
cesMandMcoveredMinMpetrolatumMuntilMhealingMisMcomplete.MIfMtheMinfantMcriesMconsta
ntlyMandMifMthereMisMrednessMorMtendernessMdueMtoMpain,MitMshouldMbeMreportedMt
oMtheMphysician.)



AMnurseMinMtheMnewbornMnurseryMisMmonitoringMaMpretermMnewbornMinfantMforMresp
iratoryMdistressMsyndrome.MWhichMassessmentMsignsMifMnotedMinMtheMnewbornMinfantM
wouldMalertMtheMnurseMtoMtheMpossibilityMofMthisMsyndrome?



A.MHypotensionMandMBradycardia

B.MTachypneaMandMretractions

C.MAcrocyanosisMandMgrunting

D.MTheMpresenceMofMaMbarrelMchestMwithMgruntingM-
MAnswerMB.MTachypneaMandMretractions

(InfantsMwhoMdevelopMRDSMhaveMperiodsMduringMtheMdayMwhenMtheyMareMfreeMofMsy
mptomsMbecauseMofManMinitialMreleaseMofMsurfactant.MTheMinitialMsignsMofMrespiratory
MdistressMincludesMtachypneaM(60MbreathsMperMminute),MsternalMandMsubcostalMretracti
ons,MnasalMflaring,McyanoticMmucousMmembranes.)



AMpostpartumMnurseMisMprovidingMinstructionsMtoMtheMmotherMofMaMnewbornMinfantM
withMhyperbilirubinemiaMwhoMisMbeingMbreastfed.MTheMnurseMprovidesMwhichMmostMapp
ropriateMinstructionsMtoMtheMmother?



A.MSwitchMtoMbottle-feedingMtheMbabyMforM2Mweeks

B.MStopMbreastfeedingMandMswitchMtoMbottle-feedingMpermanently

C.MFeedMtheMnewbornMinfantMlessMfrequently

D.MContinueMtoMbreastfeedMeveryM2-4MhoursM-
MAnswerMD.MContinueMtoMbreastfeedMeveryM2-4Mhours

(BreastfeedingMshouldMbeMinitiatedMwithinM2MhoursMafterMbirthMandMeveryM2-
4MhoursMthereafter.MEarlyMfeedingMofMnewbornsMwithMhyperbilirubinemiaMpromotesMinte
stinalMmovementMandMexcretionMofMmeconiumMwhichMultimatelyMhelpsMpreventMindirect
MbilirubinMbuildup.MTheMotherMoptionsMareMnotMnecessary.)



AMnurseMonMtheMnewbornMnurseryMfloorMisMcaringMforMaMneonate.MOnMassessmentMt
heMinfantMisMexhibitingMsignsMofMcyanosis,Mtachypnea,MnasalMflaring,MandMgrunting.MRes
piratoryMdistressMsyndromeMisMdiagnosed,MandMtheMphysicianMprescribesMsurfactantMrepl
acementMtherapy.MTheMnurseMwouldMprepareMtoMadministerMthisMtherapyMby:

, A.MSubcutaneousMinjection

B.MIntravenousMinjection

C.MInstillationMofMtheMpreparationMintoMtheMlungsMthroughManMendotrachealMtube

D.MIntramuscularMinjectionM-
MAnswerMC.MInstillationMofMtheMpreparationMintoMtheMlungsMthroughManMendotracheal
Mtube

(TheMaimMofMtherapyMinMRDSMisMtoMsupportMtheMdiseaseMuntilMtheMdiseaseMrunsMits
McourseMwithMtheMsubsequentMdevelopmentMofMsurfactant.MTheMinfantMmayMbenefitMfr
omMsurfactantMreplacementMtherapy.MInMsurfactantMreplacement,ManMexogenousMsurfacta
ntMpreparationMisMinstilledMintoMtheMlungsMthroughManMendotrachealMtube.)



AMnurseMpreparesMtoMadministerMaMvitaminMKMinjectionMtoMaMnewbornMinfant.MTheM
motherMasksMtheMnurseMwhyMherMnewbornMinfantMneedsMtheMinjection.MTheMbestMres
ponseMbyMtheMnurseMwouldMbe:



A.M"YourMinfantMneedsMvitaminMKMtoMdevelopMimmunity."

B.M"VitaminMKMwillMprotectMyourMinfantMfromMhavingMjaundice."

C.M"NewbornMinfantsMareMdeficientMinMvitaminMK,MandMthisMinjectionMpreventsMyourMi
nfantMfromMabnormalMbleeding."

D.M"NewbornMinfantsMhaveMsterileMbowels,MandMvitaminMKMpromotesMtheMgrowthMofM
bacteriaMinMtheMbowel."M-
MAnswerMC.M"NewbornMinfantsMareMdeficientMinMvitaminMK,MandMthisMinjectionMpreven
tsMyourMinfantMfromMabnormalMbleeding."

(VitaminMKMisMnecessaryMforMtheMbodyMtoMsynthesizeMcoagulationMfactors.MVitaminMKM
isMadministeredMtoMtheMnewbornMinfantMtoMpreventMabnormalMbleeding.)



AMnurseMinMaMnewbornMnurseryMreceivesMaMphoneMcallMtoMprepareMforMtheMadmissio
nMofMaM43-week-
gestationMnewbornMwithMApgarMscoresMofM1MandM4.MInMplanningMforMtheMadmissionM
ofMthisMinfant,MtheMnurse'sMhighestMpriorityMshouldMbeMto:



A.MConnectMtheMresuscitationMbagMtoMtheMoxygenMoutlet

B.MTurnMonMtheMapneaMandMcardiorespiratoryMmonitors

C.MSetMupMtheMintravenousMlineMwithM5%MdextroseMinMwater

D.MSetMtheMradiantMwarmerMcontrolMtemperatureMatM36.5*MCM(97.6*F)M-
MAnswerMA.MConnectMtheMresuscitationMbagMtoMtheMoxygenMoutlet