NURS368 FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST UPDATE
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The test taker should note that this baby is macrosomic and hypothermic, both of which make
the baby at high risk for hypoglycemia. Plus, jitters are a classic symptom in hypoglycemic
babies. In order to make an accurate assessment of the problem, the baby's glucose level must
be assessed.
A neonate is in the warming crib for poor thermoregulation. Which of the following sites is
appropriate for the placement of the skin thermal sensor?
A. Xiphoid process.
B. Forehead.
C. Abdominal wall.
D. Great toe. C. Abdominal wall.
It is essential that the test taker be prepared safely to perform relatively simple procedures for
the premature infant. To monitor the temperature of the premature, the probes should be
placed on a nonbony and wellperfused tissue site. The abdominal wall is the site of choice.
A 42-week gravida is delivering her baby. A nurse and pediatrician are present at the birth. The
amniotic fluid is green and thick. The baby fails to breathe spontaneously. Which of the
following actions should the nurse take next?
A. Stimulate the baby to breathe.
B. Assess neonatal heart rate.
C. Assist with intubation.
D. Place the baby in the prone position. C. Assist with intubation.
,Before breathing, the baby must be intubated so that the meconium-contaminated fluid can be
aspirated from the baby's airway.
A neonate, whose mother is HIV positive, is admitted to the NICU. A nursing diagnosis: Risk for
infection related to perinatal exposure to HIV/AIDS is made. Which of the following
interventions should the nurse make in relation to the diagnosis?
A. Monitor daily viral load laboratory reports.
B. Check the baby's viral antibody status.
C. Obtain an order for antiviral medication.
D. Place the baby on strict precautions C. Obtain an order for antiviral medication.
The standard of care for neonates born to mothers with HIV/AIDS is to begin them on anti-AIDS
medication in the nursery. The mother will be advised to continue to give the baby the
medication after discharge.
A baby was just born to a mother who had positive vaginal cultures for group B streptococcus.
The mother was admitted to the labor room 2 hours before the birth. For which of the
following should the nursery nurse closely observe this baby?
A. Hypothermia.
B. Mottling.
C. Omphalocele.
D. Stomatitis. A. Hypothermia.
Hypothermia in a neonate may be indicative of sepsis.
Group B streptococci can seriously adversely affect neonates. In fact, group B strep has been
called "the baby killer." To prevent a severe infection from the bacteria, mothers are given
intravenous antibiotics every 4 hours from admission, or from rupture of membranes, until
,delivery. A minimum of 2 doses is considered essential to protect the baby. Since this woman
arrived only 2 hours prior to the delivery, there was not enough time for 2 doses to be
administered.
Four full-term babies were admitted to the neonatal nursery. The mothers of each of the babies
had labors of 4 hours or less. The nursery nurse should carefully monitor which of the babies
for hypothermia?
A. The baby whose mother cultured positive for group B strep during her third trimester.
B. The baby whose mother had gestational diabetes.
C. The baby whose mother was hospitalized for 3 months with complete placenta previa.
D. The baby whose mother previously had a stillbirth. A. The baby whose mother cultured
positive for group B strep during her third trimester.
Group B streptococcus causes severe infections in the newborn. A sign of neonatal sepsis is
hypothermia.
A baby has just been born to a type 1 diabetic mother with retinopathy and nephropathy.
Which of the following neonatal findings would the nurse expect to see?
A. Hyperalbuminemia.
B. Polycythemia.
C. Hypercalcemia.
D. Hypoinsulinemia. B. Polycythemia.
Because the placenta is likely to be functioning less than optimally, it is highly likely that the
baby will be polycythemic. The increase in red blood cells would improve the baby's
oxygenation in utero.
, A baby has just been admitted into the neonatal intensive care unit with a diagnosis of
intrauterine growth restriction (IUGR). Which of the following maternal factors would
predispose the baby to this diagnosis? Select all that apply.
A. Hyperopia.
B. Gestational diabetes.
C. Substance abuse.
D. Chronic hypertension.
E. Advanced maternal age. C. Substance abuse.
D. Chronic hypertension.
E. Advanced maternal age.
Any condition that inhibits the flow of blood, including illicit drug use, hypertension, cigarette
smoking, and the like, can lead to fetal
IUGR—that is, a fetus smaller than expected for the gestational period.
A neonate has intrauterine growth restriction secondary to placental insufficiency. Which of the
following signs/symptoms should the nurse expect to observe at delivery?
A. Thrombocytopenia.
B. Neutropenia.
C. Polycythemia.
D. Hyperglycemia C. Polycythemia.
Even if the test taker were unfamiliar with the expected lab findings of a neonate that had been
born after living with an aging placenta, deductive reasoning could assist the test taker to
choose the correct response. Aging placentas function poorly, and therefore the fetuses receive
less nutrition and oxygenation. The baby's body, therefore, must compensate for the losses by
GUARANTEED PASS
The test taker should note that this baby is macrosomic and hypothermic, both of which make
the baby at high risk for hypoglycemia. Plus, jitters are a classic symptom in hypoglycemic
babies. In order to make an accurate assessment of the problem, the baby's glucose level must
be assessed.
A neonate is in the warming crib for poor thermoregulation. Which of the following sites is
appropriate for the placement of the skin thermal sensor?
A. Xiphoid process.
B. Forehead.
C. Abdominal wall.
D. Great toe. C. Abdominal wall.
It is essential that the test taker be prepared safely to perform relatively simple procedures for
the premature infant. To monitor the temperature of the premature, the probes should be
placed on a nonbony and wellperfused tissue site. The abdominal wall is the site of choice.
A 42-week gravida is delivering her baby. A nurse and pediatrician are present at the birth. The
amniotic fluid is green and thick. The baby fails to breathe spontaneously. Which of the
following actions should the nurse take next?
A. Stimulate the baby to breathe.
B. Assess neonatal heart rate.
C. Assist with intubation.
D. Place the baby in the prone position. C. Assist with intubation.
,Before breathing, the baby must be intubated so that the meconium-contaminated fluid can be
aspirated from the baby's airway.
A neonate, whose mother is HIV positive, is admitted to the NICU. A nursing diagnosis: Risk for
infection related to perinatal exposure to HIV/AIDS is made. Which of the following
interventions should the nurse make in relation to the diagnosis?
A. Monitor daily viral load laboratory reports.
B. Check the baby's viral antibody status.
C. Obtain an order for antiviral medication.
D. Place the baby on strict precautions C. Obtain an order for antiviral medication.
The standard of care for neonates born to mothers with HIV/AIDS is to begin them on anti-AIDS
medication in the nursery. The mother will be advised to continue to give the baby the
medication after discharge.
A baby was just born to a mother who had positive vaginal cultures for group B streptococcus.
The mother was admitted to the labor room 2 hours before the birth. For which of the
following should the nursery nurse closely observe this baby?
A. Hypothermia.
B. Mottling.
C. Omphalocele.
D. Stomatitis. A. Hypothermia.
Hypothermia in a neonate may be indicative of sepsis.
Group B streptococci can seriously adversely affect neonates. In fact, group B strep has been
called "the baby killer." To prevent a severe infection from the bacteria, mothers are given
intravenous antibiotics every 4 hours from admission, or from rupture of membranes, until
,delivery. A minimum of 2 doses is considered essential to protect the baby. Since this woman
arrived only 2 hours prior to the delivery, there was not enough time for 2 doses to be
administered.
Four full-term babies were admitted to the neonatal nursery. The mothers of each of the babies
had labors of 4 hours or less. The nursery nurse should carefully monitor which of the babies
for hypothermia?
A. The baby whose mother cultured positive for group B strep during her third trimester.
B. The baby whose mother had gestational diabetes.
C. The baby whose mother was hospitalized for 3 months with complete placenta previa.
D. The baby whose mother previously had a stillbirth. A. The baby whose mother cultured
positive for group B strep during her third trimester.
Group B streptococcus causes severe infections in the newborn. A sign of neonatal sepsis is
hypothermia.
A baby has just been born to a type 1 diabetic mother with retinopathy and nephropathy.
Which of the following neonatal findings would the nurse expect to see?
A. Hyperalbuminemia.
B. Polycythemia.
C. Hypercalcemia.
D. Hypoinsulinemia. B. Polycythemia.
Because the placenta is likely to be functioning less than optimally, it is highly likely that the
baby will be polycythemic. The increase in red blood cells would improve the baby's
oxygenation in utero.
, A baby has just been admitted into the neonatal intensive care unit with a diagnosis of
intrauterine growth restriction (IUGR). Which of the following maternal factors would
predispose the baby to this diagnosis? Select all that apply.
A. Hyperopia.
B. Gestational diabetes.
C. Substance abuse.
D. Chronic hypertension.
E. Advanced maternal age. C. Substance abuse.
D. Chronic hypertension.
E. Advanced maternal age.
Any condition that inhibits the flow of blood, including illicit drug use, hypertension, cigarette
smoking, and the like, can lead to fetal
IUGR—that is, a fetus smaller than expected for the gestational period.
A neonate has intrauterine growth restriction secondary to placental insufficiency. Which of the
following signs/symptoms should the nurse expect to observe at delivery?
A. Thrombocytopenia.
B. Neutropenia.
C. Polycythemia.
D. Hyperglycemia C. Polycythemia.
Even if the test taker were unfamiliar with the expected lab findings of a neonate that had been
born after living with an aging placenta, deductive reasoning could assist the test taker to
choose the correct response. Aging placentas function poorly, and therefore the fetuses receive
less nutrition and oxygenation. The baby's body, therefore, must compensate for the losses by
