tailedvnRationalesvn-vnLatestvnUpdatevn2026
Avnnursevnnotesvnavn4-hour-
oldvnneonatevngaggingvnandvncyanoticvnaroundvnthevnmouth.vnWhatvnisvnthevnpriorityvnnu
rsingvnactionvnforvnthisvnneonate?
1.
Rubvnthevnbackvntovnstimulatevncrying.
2.
Administervnoxygenvnpervnprotocol.
3.
Suctionvnthevnmouthvnandvnnosevnwithvnavnbulbvnsyringe.
4.
NotifyvnthevnprovidervnandvnbeginvnCPR.vn-vncorrectvnanswer✔ ✔
3.vnSuctionvnthevnmouthvnandvnnosevnwithvnavnbulbvnsyringe.
Avnnewbornvnisvnexperiencingvncoldvnstress.vnWhichvnassessmentvndatavnbyvnthevnnursevn
willvnrequirevnfurthervnevaluation?
1.vnTachypnea
2.vnShivering
3.vnHypoglycemia
4.vnHypertonia
,5.vnLethargyvn-vncorrectvnanswer✔ ✔ 1.vnTachypnea
3.vnHypoglycemia
5.vnLethargy
Avnnursevninitiatesvnmeasuresvntovnmaintainvnthermoregulationvninvnavnnewborn.vnWhic
hvnstatementvnbestvndescribesvnwhyvnneonatesvnarevnatvnavnhighervnriskvnforvnthermoregul
atoryvnproblems?
1.
Neonatesvnhavevnavnsmallervnbodyvnsurfacevnarea.
2.
Neonatesvnhavevndecreasedvnsubcutaneousvnfat.
3.
Neonatesvnarevnablevntovnshivervnandvnincreasevnheatvnproduction.
4.
Neonatesvnhavevnavnlowervnmetabolicvnrate.vn-vncorrectvnanswer✔ ✔
2.vnNeonatesvnhavevndecreasedvnsubcutaneousvnfat.
Thevninstructorvnisvnteachingvnthevnrolevnofvnthevnhepaticvnsystemvninvnbloodvncoagulatio
nvnofvnneonates.vnWhichvnstatementvnbyvnthevnnursingvnstudentvnREQUIRESvnFURTH
ERvnteaching?
1.
"ThevnneonatevnisvnnotvnbornvnwithvnintestinalvnfloravntovnsynthesizevnVitaminvnK."
,2.
"ThevnVitaminvnKvninjectionvnisvnnotvnnecessaryvnifvnthevnmothervnisvnbreastfeeding."
3.
"CoagulationvnfactorsvnII,vnVII,vnIX,vnandvnXvnarevnsynthesizedvninvnthevnliver."
4.
"ThevnneonatevnisvngivenvnavnVitaminvnKvninjectionvntovndecreasevnthevnriskvnofvnbleedin
g."vn-vncorrectvnanswer✔ ✔
2.vn"ThevnVitaminvnKvninjectionvnisvnnotvnnecessaryvnifvnthevnmothervnisvnbreastfeedin
g."
Thevnnursevnisvnassignedvnfourvnnewbornsvninvnthevnnursery.vnWhichvnnewbornvnshouldv
nthevnnursevnreportvntovnthevnphysician?
1.
23-hour-oldvnneonatevnwhovnhasvnnotvnpassedvnmeconium
2.
Six-hour-oldvnneonatevnwhovnisvnlargevnforvngestationalvnagevnwithvnavnglucosevnofvn41
3.
2-day-oldvnneonatevnwhovnhasvnavnblood-tingedvnvaginalvndischarge
4.
2-day-oldvnneonatevnwithvnirregularvnrespirationsvnatvn70vnpervnminutevn-
vncorrectvnanswer✔ ✔ 4.vn2-day-
oldvnneonatevnwithvnirregularvnrespirationsvnatvn70vnpervnminute
, Thevnnursevnisvncaringvnforvnavn12-hour-
oldvnneonatevnandvnincorporatingvnmeasuresvntovnpreventvnheatvnlossvnthroughvnconduct
ion.vnWhatvnisvnthevnpriorityvnnursingvnaction?
1.
Dryingvnthevninfantvnaftervnthevnfirstvnbath
2.
Placingvnthevninfantvnawayvnfromvnthevnwindow
3.
Warmingvnthevnstethoscopevnpriorvntovnassessment
4.
Movingvnthevncribvnawayvnfromvnthevnairvnconditionervnventvn-vncorrectvnanswer✔ ✔
3.vnWarmingvnthevnstethoscopevnpriorvntovnassessment
Thevnnursevnisvnteachingvnparentsvnofvnavnpretermvnneonatevnaboutvnfeedingsvninvnthevnne
wbornvnintensivevncarevnunitvn(NICU).vnWhatvnstatementvnaboutvnnutritionvnindicatesvna
nvnunderstandingvnofvnthevnteaching?
1.
"Myvnbabyvncanvnbreastfeedvnrightvnaway."
2.
"Myvnbabyvncanvnonlyvnhavevnspecialvnformula."
3.
"Myvnbabyvnwillvnneedvnbreastvnmilkvnonly."