Exam 2- Ricci maternity and pediatrics
nursing UPDATED ACTUAL Exam
Questions and CORRECT Answers
A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional
treatment. Which of the following would the nurse anticipate as possibly necessary for this
newborn? - CORRECT ANSWER - Extracorporeal membrane oxygenation (ECMO)
Which of the following would the nurse expect to assess in a newborn who develops sepsis? -
CORRECT ANSWER - Hypothermia
Which of the following would the nurse include in the plan of care for a newborn receiving
phototherapy? - CORRECT ANSWER - Covering the newborn's eyes while under the
bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The
nurse understands that the newborn most likely acquired this infection from which of the
following? - CORRECT ANSWER - Mother's birth canal
Which action would be most appropriate for the nurse to take when a newborn has an unexpected
anomaly at birth? - CORRECT ANSWER - Show the newborn to the parents as soon as
possible while explaining the defect.
The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based
on the understanding that this type of feeding is necessary for which reason? - CORRECT
ANSWER - Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? - CORRECT ANSWER -
Pathologic jaundice appears within 24 hours after birth
,When planning the care of a newborn addicted to cocaine who is experiencing withdrawal,
which of the following would be least appropriate to include? - CORRECT ANSWER -
Waking the newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would the
nurse expect to assess? - CORRECT ANSWER - Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the disorder and
treatment, which statement by the parents indicates that the teaching was successful? -
CORRECT ANSWER - "Our newborn could develop a learning disability later on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
CORRECT ANSWER - Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground
glass pattern. The nurse interprets this as indicative of: - CORRECT ANSWER -
Respiratory distress syndrome
A newborn is suspected of developing persistent pulmonary hypertension. The nurse would
expect to prepare the newborn for which of the following to confirm the suspicion? - CORRECT
ANSWER - Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed NEC? -
CORRECT ANSWER - Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary dysplasia
(chronic lung disease)? - CORRECT ANSWER - Female gender
A group of nursing students are reviewing the different types of congenital heart disease in
infants. The students demonstrate a need for additional review when they identify which of the
following as an example of increased pulmonary blood flow (left-to-right shunting)? -
CORRECT ANSWER - Tetralogy of Fallot
, After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder
and treatment, which statement by the parents indicates that the teaching was successful? -
CORRECT ANSWER - "Can we schedule follow-up eye examinations with the pediatric
ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the
following would the nurse expect to find? (Select all that apply.) - CORRECT ANSWER -
- Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was born breech.
The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus
based on which assessment findings? - CORRECT ANSWER - Absent Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero
because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the
Following would the nurse expect to assess? (Select all that apply) - CORRECT
ANSWER - - Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the following
would the nurse include? - CORRECT ANSWER - Placing the newborn into a sterile
drawstring bowel bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant
requires. Which of the following would the nurse include in the explanation? (Select all that
apply.) - CORRECT ANSWER - - Covering the area with a sterile, clear, non-adherent
dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed antibiotic
therapy
nursing UPDATED ACTUAL Exam
Questions and CORRECT Answers
A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional
treatment. Which of the following would the nurse anticipate as possibly necessary for this
newborn? - CORRECT ANSWER - Extracorporeal membrane oxygenation (ECMO)
Which of the following would the nurse expect to assess in a newborn who develops sepsis? -
CORRECT ANSWER - Hypothermia
Which of the following would the nurse include in the plan of care for a newborn receiving
phototherapy? - CORRECT ANSWER - Covering the newborn's eyes while under the
bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The
nurse understands that the newborn most likely acquired this infection from which of the
following? - CORRECT ANSWER - Mother's birth canal
Which action would be most appropriate for the nurse to take when a newborn has an unexpected
anomaly at birth? - CORRECT ANSWER - Show the newborn to the parents as soon as
possible while explaining the defect.
The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based
on the understanding that this type of feeding is necessary for which reason? - CORRECT
ANSWER - Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? - CORRECT ANSWER -
Pathologic jaundice appears within 24 hours after birth
,When planning the care of a newborn addicted to cocaine who is experiencing withdrawal,
which of the following would be least appropriate to include? - CORRECT ANSWER -
Waking the newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would the
nurse expect to assess? - CORRECT ANSWER - Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the disorder and
treatment, which statement by the parents indicates that the teaching was successful? -
CORRECT ANSWER - "Our newborn could develop a learning disability later on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
CORRECT ANSWER - Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground
glass pattern. The nurse interprets this as indicative of: - CORRECT ANSWER -
Respiratory distress syndrome
A newborn is suspected of developing persistent pulmonary hypertension. The nurse would
expect to prepare the newborn for which of the following to confirm the suspicion? - CORRECT
ANSWER - Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed NEC? -
CORRECT ANSWER - Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary dysplasia
(chronic lung disease)? - CORRECT ANSWER - Female gender
A group of nursing students are reviewing the different types of congenital heart disease in
infants. The students demonstrate a need for additional review when they identify which of the
following as an example of increased pulmonary blood flow (left-to-right shunting)? -
CORRECT ANSWER - Tetralogy of Fallot
, After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder
and treatment, which statement by the parents indicates that the teaching was successful? -
CORRECT ANSWER - "Can we schedule follow-up eye examinations with the pediatric
ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the
following would the nurse expect to find? (Select all that apply.) - CORRECT ANSWER -
- Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was born breech.
The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus
based on which assessment findings? - CORRECT ANSWER - Absent Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero
because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the
Following would the nurse expect to assess? (Select all that apply) - CORRECT
ANSWER - - Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the following
would the nurse include? - CORRECT ANSWER - Placing the newborn into a sterile
drawstring bowel bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant
requires. Which of the following would the nurse include in the explanation? (Select all that
apply.) - CORRECT ANSWER - - Covering the area with a sterile, clear, non-adherent
dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed antibiotic
therapy
