Maternal Newborn Nursing Certification
Exam Questions And All Correct
Answers.
T/F: Pumping breast milk in the workplace is protected by Federal law - Answer False
A major advantage of breast feeding when compared to formula feeding is that breast milk provides the
infant with all ____ types of protective antibodies and formula does not contain these antibodies. -
Answer five
A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is
told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The
maternity nurse prepares for the arrival of the newborn and places what priority item at the newborn's
bedside? - Answer A bottle of sterile normal saline
A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the
following assessment findings would the nurse not expect to note during the assessment of this
newborn?
A. Irritability
B. Difficulty in consoling the newborn
C. Lethargy
D. Incessant crying - Answer Lethargy
A newborn infant born to a woman using drugs is irritable. The infant is easily overloaded by sensory
stimulation. The infant may cry incessantly and be difficult to console. The infant would hyperextend and
posture rather than cuddle when being held.
A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen
saturation sensor should be placed? - Answer The arterial oxygen sensor should be placed on the sole
of the foot.
This is because this is the most likely place for the sensor to stay on while still providing an accurate
oxygen saturation reading.
,A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would
include which of the following priority interventions in the plan of care?
A. Monitor the newborn infant's response to feedings and weight gain pattern
B. Encourage frequent handling of the newborn infant by staff and parents
C. Maintain the newborn infant in a brightly lighted area of the nursery
D. Allow the newborn infant to establish own sleep/rest pattern - Answer A. Monitor the newborn
infant's response to feedings and weight gain pattern
A primary nursing goal for the newborn infant diagnosed with FAS is to establish nutritional balance
following delivery. These newborn infants may exhibit hyperirritability, vomiting, diarrhea, or an
uncoordinated sucking and swallowing ability.
How long will human milk last when it is refrigerated? - Answer 5-8 days
In a newborn nursery, a nurse receives a telephone call to prepare for the prepare for the admission of a
43-week-gestation newborn infant with Apgar scores of 1 nurse's highest priority should be to:
A. Connect the resuscitation bag to the oxygen outlet
B. Turn on the apnea and cardiorespiratory monitors
C. Set up the intravenous line with 5% dextrose in water
D. Set the radiant warmer control temperature at 36.5° C (97.6° F) - Answer A. Connect the
resuscitation bag to the oxygen outlet
The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which
would involve preparing respiratory resuscitation equipment. The remaining options are also important,
although they are of somewhat lower priority.
A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of
hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:
A. Tests the urine for protein
B. Takes the apical pulse
C. Palpates the anterior fontanel
,D. Takes the blood pressure - Answer C. Palpates the anterior fontanel
In infants with hydrocephalus, the head grows at an abnormal rate, and the first sign of the disorder may
be bulging fontanels without head enlargement. A bulging, tense, and nonpulsatile anterior fontanel
indicates an increase in cerebrospinal fluid collection in the cerebral ventricle. A method of assessing
fluid collection in the cranial cavity is to palpate the anterior fontanel.
A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida
when the nurse:
A. Checks the capillary refill of the nailbeds of the upper extremities
B. Tests the urine for blood
C. Palpates the abdomen for masses
D. Checks for responses to painful stimuli from the torso downward - Answer D. Checks for responses
to painful stimuli from the torso downward
Newborn infants with spina bifida (meningomyelocele) demonstrate lack of innervation from below the
site of the sac that contains the meninges and spinal cord and excess cerebrospinal fluid. They therefore
show diminished or no responses to painful in these areas below the sac.
A nurse has provided directions to a mother of a male newborn infant who is not circumcised about
measures to clean the penis. Which statement if made by the mother indicates an understanding of how
to clean the newborn infant's penis?
A. "I need to retract the foreskin and clean the penis every time I give my infant a bath."
B. "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the
penis after cleaning."
C. "I should retract the foreskin and clean the penis every time I changed the diaper."
D. "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." -
Answer D. "I need to avoid pulling back the foreskin to clean the penis because this may cause
adhesions."
n male newborn infants, prepuce is continuous with the epidermis of the glans and is not retractable. If
retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation
, to occur naturally, which usually occurs between 3 years and puberty. Most foreskins are retractable by 3
years of age and should be pushed back gently at this time of cleaning once a week.
A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The
nurse should plan to include which of the following in the plan of care during the home visit to the
mother of the newborn infant?
A. Having minimal contact with the newborn infant to prevent stimulation
B. Advising the mother to limit newborn infant oral intake during phototherapy
C. Applying lotions to exposed newborn infant's skin
D. Assessing skin integrity and fluid and electrolyte status of the newborn infant - Answer D. Assessing
skin integrity and fluid and electrolyte status of the newborn infant
Anatomically, it is expected that an infant should grow how many cm in length by 6 months of age?
5 to 8 cm
6 to 8 cm
14 to 18 cm
18 to 22 cm - Answer D- 18-22 cm
Anatomically, it is expected that an infant should grow 18 to 22 cm in length by 6 months of age.
Between 6 and 12 months of age, the infant typically grows 14 to 18 cm.
Previous
newborn Baby Alex is 1 week old and his mother brings him to the emergency room because she says he
is not sleeping enough. How many hours of sleep per day does he need to sleep?
1. 12
2. 14
3. 16
4. 18 - Answer 16
A nurse in the newborn nursery is caring for a neonate. On assessment. The infant is exhibiting signs of
cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome (RDS) is diagnosed, and
Exam Questions And All Correct
Answers.
T/F: Pumping breast milk in the workplace is protected by Federal law - Answer False
A major advantage of breast feeding when compared to formula feeding is that breast milk provides the
infant with all ____ types of protective antibodies and formula does not contain these antibodies. -
Answer five
A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is
told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The
maternity nurse prepares for the arrival of the newborn and places what priority item at the newborn's
bedside? - Answer A bottle of sterile normal saline
A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the
following assessment findings would the nurse not expect to note during the assessment of this
newborn?
A. Irritability
B. Difficulty in consoling the newborn
C. Lethargy
D. Incessant crying - Answer Lethargy
A newborn infant born to a woman using drugs is irritable. The infant is easily overloaded by sensory
stimulation. The infant may cry incessantly and be difficult to console. The infant would hyperextend and
posture rather than cuddle when being held.
A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen
saturation sensor should be placed? - Answer The arterial oxygen sensor should be placed on the sole
of the foot.
This is because this is the most likely place for the sensor to stay on while still providing an accurate
oxygen saturation reading.
,A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would
include which of the following priority interventions in the plan of care?
A. Monitor the newborn infant's response to feedings and weight gain pattern
B. Encourage frequent handling of the newborn infant by staff and parents
C. Maintain the newborn infant in a brightly lighted area of the nursery
D. Allow the newborn infant to establish own sleep/rest pattern - Answer A. Monitor the newborn
infant's response to feedings and weight gain pattern
A primary nursing goal for the newborn infant diagnosed with FAS is to establish nutritional balance
following delivery. These newborn infants may exhibit hyperirritability, vomiting, diarrhea, or an
uncoordinated sucking and swallowing ability.
How long will human milk last when it is refrigerated? - Answer 5-8 days
In a newborn nursery, a nurse receives a telephone call to prepare for the prepare for the admission of a
43-week-gestation newborn infant with Apgar scores of 1 nurse's highest priority should be to:
A. Connect the resuscitation bag to the oxygen outlet
B. Turn on the apnea and cardiorespiratory monitors
C. Set up the intravenous line with 5% dextrose in water
D. Set the radiant warmer control temperature at 36.5° C (97.6° F) - Answer A. Connect the
resuscitation bag to the oxygen outlet
The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which
would involve preparing respiratory resuscitation equipment. The remaining options are also important,
although they are of somewhat lower priority.
A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of
hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:
A. Tests the urine for protein
B. Takes the apical pulse
C. Palpates the anterior fontanel
,D. Takes the blood pressure - Answer C. Palpates the anterior fontanel
In infants with hydrocephalus, the head grows at an abnormal rate, and the first sign of the disorder may
be bulging fontanels without head enlargement. A bulging, tense, and nonpulsatile anterior fontanel
indicates an increase in cerebrospinal fluid collection in the cerebral ventricle. A method of assessing
fluid collection in the cranial cavity is to palpate the anterior fontanel.
A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida
when the nurse:
A. Checks the capillary refill of the nailbeds of the upper extremities
B. Tests the urine for blood
C. Palpates the abdomen for masses
D. Checks for responses to painful stimuli from the torso downward - Answer D. Checks for responses
to painful stimuli from the torso downward
Newborn infants with spina bifida (meningomyelocele) demonstrate lack of innervation from below the
site of the sac that contains the meninges and spinal cord and excess cerebrospinal fluid. They therefore
show diminished or no responses to painful in these areas below the sac.
A nurse has provided directions to a mother of a male newborn infant who is not circumcised about
measures to clean the penis. Which statement if made by the mother indicates an understanding of how
to clean the newborn infant's penis?
A. "I need to retract the foreskin and clean the penis every time I give my infant a bath."
B. "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the
penis after cleaning."
C. "I should retract the foreskin and clean the penis every time I changed the diaper."
D. "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." -
Answer D. "I need to avoid pulling back the foreskin to clean the penis because this may cause
adhesions."
n male newborn infants, prepuce is continuous with the epidermis of the glans and is not retractable. If
retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation
, to occur naturally, which usually occurs between 3 years and puberty. Most foreskins are retractable by 3
years of age and should be pushed back gently at this time of cleaning once a week.
A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The
nurse should plan to include which of the following in the plan of care during the home visit to the
mother of the newborn infant?
A. Having minimal contact with the newborn infant to prevent stimulation
B. Advising the mother to limit newborn infant oral intake during phototherapy
C. Applying lotions to exposed newborn infant's skin
D. Assessing skin integrity and fluid and electrolyte status of the newborn infant - Answer D. Assessing
skin integrity and fluid and electrolyte status of the newborn infant
Anatomically, it is expected that an infant should grow how many cm in length by 6 months of age?
5 to 8 cm
6 to 8 cm
14 to 18 cm
18 to 22 cm - Answer D- 18-22 cm
Anatomically, it is expected that an infant should grow 18 to 22 cm in length by 6 months of age.
Between 6 and 12 months of age, the infant typically grows 14 to 18 cm.
Previous
newborn Baby Alex is 1 week old and his mother brings him to the emergency room because she says he
is not sleeping enough. How many hours of sleep per day does he need to sleep?
1. 12
2. 14
3. 16
4. 18 - Answer 16
A nurse in the newborn nursery is caring for a neonate. On assessment. The infant is exhibiting signs of
cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome (RDS) is diagnosed, and
