OB Exam 4 Questions With Correct
Answers
A nurse notes a 4-hour-old neonate gagging and cyanotic around the
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mouth. What is the priority nursing action for this neonate?
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1.
Rub the back to stimulate crying.
| | | | |
2.
Administer oxygen per protocol. | | |
3.
Suction the mouth and nose with a bulb syringe.
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4.
Notify the provider and begin CPR. - CORRECT ANSWER✔✔-3. Suction
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the mouth and nose with a bulb syringe.
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A newborn is experiencing cold stress. Which assessment data by the
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nurse will require further evaluation?
| | | |
1. Tachypnea
|
2. Shivering
|
,3. Hypoglycemia
|
4. Hypertonia
|
5. Lethargy - CORRECT ANSWER✔✔-1. Tachypnea
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3. Hypoglycemia
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5. Lethargy
|
A nurse initiates measures to maintain thermoregulation in a newborn.
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Which statement best describes why neonates are at a higher risk for
| | | | | | | | | | | |
thermoregulatory problems? |
1.
Neonates have a smaller body surface area.
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2.
Neonates have decreased subcutaneous fat.
| | | |
3.
Neonates are able to shiver and increase heat production.
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4.
Neonates have a lower metabolic rate. - CORRECT ANSWER✔✔-2.
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Neonates have decreased subcutaneous fat.
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,The instructor is teaching the role of the hepatic system in blood
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coagulation of neonates. Which statement by the nursing student
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REQUIRES FURTHER teaching?
| |
1.
"The neonate is not born with intestinal flora to synthesize Vitamin K."
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2.
"The Vitamin K injection is not necessary if the mother is
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breastfeeding."
3.
"Coagulation factors II, VII, IX, and X are synthesized in the liver."
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4.
"The neonate is given a Vitamin K injection to decrease the risk of
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bleeding." - CORRECT ANSWER✔✔-2. "The Vitamin K injection is not
| | | | | | | | | |
necessary if the mother is breastfeeding."
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The nurse is assigned four newborns in the nursery. Which newborn
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should the nurse report to the physician?
| | | | | |
1.
23-hour-old neonate who has not passed meconium
| | | | | |
2.
, Six-hour-old neonate who is large for gestational age with a glucose of
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41
3.
2-day-old neonate who has a blood-tinged vaginal discharge
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4.
2-day-old neonate with irregular respirations at 70 per minute -
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CORRECT ANSWER✔✔-4. 2-day-old neonate with irregular respirations
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at 70 per minute
| | |
The nurse is caring for a 12-hour-old neonate and incorporating
| | | | | | | | | |
measures to prevent heat loss through conduction. What is the priority
| | | | | | | | | | |
nursing action? |
1.
Drying the infant after the first bath
| | | | | |
2.
Placing the infant away from the window
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3.
Warming the stethoscope prior to assessment
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4.
Moving the crib away from the air conditioner vent - CORRECT
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ANSWER✔✔-3. Warming the stethoscope prior to assessment | | | | | |
Answers
A nurse notes a 4-hour-old neonate gagging and cyanotic around the
| | | | | | | | | | |
mouth. What is the priority nursing action for this neonate?
| | | | | | | | |
1.
Rub the back to stimulate crying.
| | | | |
2.
Administer oxygen per protocol. | | |
3.
Suction the mouth and nose with a bulb syringe.
| | | | | | | |
4.
Notify the provider and begin CPR. - CORRECT ANSWER✔✔-3. Suction
| | | | | | | | | |
the mouth and nose with a bulb syringe.
| | | | | | |
A newborn is experiencing cold stress. Which assessment data by the
| | | | | | | | | | |
nurse will require further evaluation?
| | | |
1. Tachypnea
|
2. Shivering
|
,3. Hypoglycemia
|
4. Hypertonia
|
5. Lethargy - CORRECT ANSWER✔✔-1. Tachypnea
| | | | |
3. Hypoglycemia
|
5. Lethargy
|
A nurse initiates measures to maintain thermoregulation in a newborn.
| | | | | | | | | |
Which statement best describes why neonates are at a higher risk for
| | | | | | | | | | | |
thermoregulatory problems? |
1.
Neonates have a smaller body surface area.
| | | | | |
2.
Neonates have decreased subcutaneous fat.
| | | |
3.
Neonates are able to shiver and increase heat production.
| | | | | | | |
4.
Neonates have a lower metabolic rate. - CORRECT ANSWER✔✔-2.
| | | | | | | | |
Neonates have decreased subcutaneous fat.
| | | |
,The instructor is teaching the role of the hepatic system in blood
| | | | | | | | | | | |
coagulation of neonates. Which statement by the nursing student
| | | | | | | | |
REQUIRES FURTHER teaching?
| |
1.
"The neonate is not born with intestinal flora to synthesize Vitamin K."
| | | | | | | | | | |
2.
"The Vitamin K injection is not necessary if the mother is
| | | | | | | | | | |
breastfeeding."
3.
"Coagulation factors II, VII, IX, and X are synthesized in the liver."
| | | | | | | | | | |
4.
"The neonate is given a Vitamin K injection to decrease the risk of
| | | | | | | | | | | | |
bleeding." - CORRECT ANSWER✔✔-2. "The Vitamin K injection is not
| | | | | | | | | |
necessary if the mother is breastfeeding."
| | | | |
The nurse is assigned four newborns in the nursery. Which newborn
| | | | | | | | | | |
should the nurse report to the physician?
| | | | | |
1.
23-hour-old neonate who has not passed meconium
| | | | | |
2.
, Six-hour-old neonate who is large for gestational age with a glucose of
| | | | | | | | | | | |
41
3.
2-day-old neonate who has a blood-tinged vaginal discharge
| | | | | | |
4.
2-day-old neonate with irregular respirations at 70 per minute -
| | | | | | | | | |
CORRECT ANSWER✔✔-4. 2-day-old neonate with irregular respirations
| | | | | | |
at 70 per minute
| | |
The nurse is caring for a 12-hour-old neonate and incorporating
| | | | | | | | | |
measures to prevent heat loss through conduction. What is the priority
| | | | | | | | | | |
nursing action? |
1.
Drying the infant after the first bath
| | | | | |
2.
Placing the infant away from the window
| | | | | |
3.
Warming the stethoscope prior to assessment
| | | | |
4.
Moving the crib away from the air conditioner vent - CORRECT
| | | | | | | | | | |
ANSWER✔✔-3. Warming the stethoscope prior to assessment | | | | | |
