Chapter 24- Nursing Management of the Newborn at
Risk EXAM QUESTIONS AND ANSWERS GRADED A+
ASSURED SUCCESS NEW UPDATE 2025/2026
(MULTIPLE CHOICES) WITH RATIONALES.
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?
A) Extracorporeal membrane oxygenation (ECMO)
B) Respiratory support with a ventilator
C) Insertion of a laryngoscope for deep suctioning
D) Replacement of an endotracheal tube via x-ray - (ANSWER)A) Extracorporeal
membrane oxygenation (ECMO)
Ans: A
Feedback:
If conventional measures are ineffective, then the nurse would need to prepare
the newborn for ECMO. Hyperoxygenation, ventilatory support, and suctioning
are typically used initially to promote tissue perfusion. However, if these are
ineffective, ECMO would be the next step.
Which of the following would the nurse expect to assess in a newborn who
develops sepsis?
A) Increased urinary output
,B) Interest in feeding
C) Hypothermia/temp instability
D) Wakefulness - (ANSWER)C) Hypothermia/temp instability
Ans: C
Feedback:
Manifestations of sepsis are typically nonspecific and may include hypothermia
(temperature instability), oliguria or anuria, lack of interest in feeding, and
lethargy.
Which of the following would the nurse include in the plan of care for a newborn
receiving phototherapy?
A) Keeping the newborn in the supine position
B) Covering the newborn's eyes while under the bililights
C) Ensuring that the newborn is covered or clothed
D) Reducing the amount of fluid intake to 8 ounces daily - (ANSWER)B) Covering
the newborn's eyes while under the bililights
Ans: B
Feedback:
During phototherapy, the newborn's eyes are covered to protect them from the
lights. The newborn is turned every 2 hours to expose all areas of the body to the
lights and is kept undressed, except for the diaper area, to provide maximum
,body exposure to the lights. Fluid intake is increased to allow for added fluid,
protein, and calories.
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?
A) Improper handwashing
B) Contaminated formula
C) Nonsterile catheter insertion
D) Mother's birth canal - (ANSWER)D) Mother's birth canal
Ans: D
Feedback:
Most often, a newborn develops a Group B streptococcus infection during the
birthing process when the newborn comes into contact with an infected birth
canal. Improper handwashing, contaminated formula, and nonsterile catheter
insertion would most likely lead to a late-onset infection, which typically occurs in
the nursery due to horizontal transmission.
Which action would be most appropriate for the nurse to take when a newborn
has an unexpected anomaly at birth?
A) Show the newborn to the parents as soon as possible while explaining the
defect.
, B) Remove the newborn from the birthing area immediately.
C) Inform the parents that there is nothing wrong at the moment.
D) Tell the parents that the newborn must go to the nursery immediately. -
(ANSWER)A) Show the newborn to the parents as soon as possible while
explaining the defect.
Ans: A
Feedback:
When an anomaly is identified at or after birth, parents need to be informed
promptly and given a realistic appraisal of the severity of the condition, the
prognosis, and treatment options so that they can participate in all decisions
concerning their child. Removing the newborn from the area or telling them that
the newborn needs to go to the nursery immediately is inappropriate and would
only add to the parents' anxieties and fears. Telling them that nothing is wrong is
inappropriate because it violates their right to know.
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?
A) Lactase enzymatic activity is not adequate.
B) Oxygen demands need to be reduced.
C) Renal solute lead must be considered.
D) Hyperbilirubinemia is likely to develop. - (ANSWER)B) Oxygen demands need
to be reduced.
Risk EXAM QUESTIONS AND ANSWERS GRADED A+
ASSURED SUCCESS NEW UPDATE 2025/2026
(MULTIPLE CHOICES) WITH RATIONALES.
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?
A) Extracorporeal membrane oxygenation (ECMO)
B) Respiratory support with a ventilator
C) Insertion of a laryngoscope for deep suctioning
D) Replacement of an endotracheal tube via x-ray - (ANSWER)A) Extracorporeal
membrane oxygenation (ECMO)
Ans: A
Feedback:
If conventional measures are ineffective, then the nurse would need to prepare
the newborn for ECMO. Hyperoxygenation, ventilatory support, and suctioning
are typically used initially to promote tissue perfusion. However, if these are
ineffective, ECMO would be the next step.
Which of the following would the nurse expect to assess in a newborn who
develops sepsis?
A) Increased urinary output
,B) Interest in feeding
C) Hypothermia/temp instability
D) Wakefulness - (ANSWER)C) Hypothermia/temp instability
Ans: C
Feedback:
Manifestations of sepsis are typically nonspecific and may include hypothermia
(temperature instability), oliguria or anuria, lack of interest in feeding, and
lethargy.
Which of the following would the nurse include in the plan of care for a newborn
receiving phototherapy?
A) Keeping the newborn in the supine position
B) Covering the newborn's eyes while under the bililights
C) Ensuring that the newborn is covered or clothed
D) Reducing the amount of fluid intake to 8 ounces daily - (ANSWER)B) Covering
the newborn's eyes while under the bililights
Ans: B
Feedback:
During phototherapy, the newborn's eyes are covered to protect them from the
lights. The newborn is turned every 2 hours to expose all areas of the body to the
lights and is kept undressed, except for the diaper area, to provide maximum
,body exposure to the lights. Fluid intake is increased to allow for added fluid,
protein, and calories.
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?
A) Improper handwashing
B) Contaminated formula
C) Nonsterile catheter insertion
D) Mother's birth canal - (ANSWER)D) Mother's birth canal
Ans: D
Feedback:
Most often, a newborn develops a Group B streptococcus infection during the
birthing process when the newborn comes into contact with an infected birth
canal. Improper handwashing, contaminated formula, and nonsterile catheter
insertion would most likely lead to a late-onset infection, which typically occurs in
the nursery due to horizontal transmission.
Which action would be most appropriate for the nurse to take when a newborn
has an unexpected anomaly at birth?
A) Show the newborn to the parents as soon as possible while explaining the
defect.
, B) Remove the newborn from the birthing area immediately.
C) Inform the parents that there is nothing wrong at the moment.
D) Tell the parents that the newborn must go to the nursery immediately. -
(ANSWER)A) Show the newborn to the parents as soon as possible while
explaining the defect.
Ans: A
Feedback:
When an anomaly is identified at or after birth, parents need to be informed
promptly and given a realistic appraisal of the severity of the condition, the
prognosis, and treatment options so that they can participate in all decisions
concerning their child. Removing the newborn from the area or telling them that
the newborn needs to go to the nursery immediately is inappropriate and would
only add to the parents' anxieties and fears. Telling them that nothing is wrong is
inappropriate because it violates their right to know.
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?
A) Lactase enzymatic activity is not adequate.
B) Oxygen demands need to be reduced.
C) Renal solute lead must be considered.
D) Hyperbilirubinemia is likely to develop. - (ANSWER)B) Oxygen demands need
to be reduced.
