OB High Risk Newborn Exam questions and
answers Graded A+
Which of the following would be expected findings and complications for a
neonate who is considered to be very preterm? Select all that apply.
a. Creases on the anterior of the foot
b. Atelectasis
c. Macrosomia
d. Full flexion of extremities
e. Fused eyelids - b. Atelectasis
e. Fused eyelids
Nursing actions for a neonate experiencing neonatal abstinence syndrome include
__________________. Select all that apply.
a. insure the room is brightly lit
b. swaddle the infant
c. inform the mother that the infant's symptoms are her fault
d. allowing for rest during feedings
e. assess feedings and daily weights - b. swaddle the infant
d. allowing for rest during feedings
e. assess feddings and daily weights
High-risk neonates that can be assisted by the use of a pacifier include which of
the following? Select all that apply.
a. An infant who is 1150 gm.
b. An infant diagnosed with patent ductus arteriosus.
,c. An infant who is gavage fed.
d. An infant withdrawing from intrauterine exposure to a narcotic.
e. An infant diagnosed with necrotizing enterocolitis. - a. An infant who is
1150gm
c. An infant who is gavage feed
d. An infant withdrawing from intrauterine exposure to a narcotic
Which of the following neonates is at increased risk for hyperbilirubinemia? Select
all that apply.
a. Infant George, whose mother has gestational diabetes.
b. Infant Anna, born at 37 weeks 2 days.
c. Infant Juan, who has caput succedaneum.
d. Infant Tricia, whose mother's blood type is B+.
e. Infant Rohan, whose mother was induced for labor at 39 weeks 5 days. -
a. Infant George, whose mother has gestational diabetes
b. Infant Anna, born at 37 weeks 2 days
e. Infant Rohan, whose mother was induced for labor at 39 weeks 5 days
Post-term pregnancy is a risk factor for which of the following neonatal
complications? Select all that apply.
a. Intrauterine growth restriction
b. Meconium aspiration syndrome
c. Persistent pulmonary hypertension
d. Neonatal infection
e. Polycythemia - b. Meconium aspiration syndrome
, e. Polycythemia
Baby Molly was born 52 hours ago at 37 weeks 4 days. An hour into your shift, her
parents push the emergency button to report something wrong while they tried
to feed her. Upon entering the room, you notice she has tremors, a high pitched
cry, and is diaphoretic. Her parents say she was acting frantic while trying to eat
and wouldn't stop crying. As you begin to assess her, she has a seizure. What
neonatal complication is Molly experiencing? - Neonatal abstinence
syndrome (Tremors, high pitched cry, diaphoresis, and seizure after 48 hours of
life are all indications of neonatal abstinence syndrome. Molly may also be
tachypenic, not feeding well, be congested and sneezing, along with many other
symptoms. She should be assessed regularly using a scoring tool to determine her
need for care. Molly should have minimal stimulation and be allowed to rest
during feedings.)
In the NICU, you're providing care for baby Jordan, who was delivered at 28
weeks 5 days about 8 days ago. On assessment, you notice he seems lethargic and
his abdomen is distended with visible bowel loops. His vital signs are blood
pressure 52/35 mmHg, pulse 183, respirations 86, temperature 35.4°C, blood
oxygenation 89%. What neonatal complication is Jordan experiencing? -
Necrotizing enterocolitis (Jordan is showing indications of necrotizing
enterocolitis (NEC), which is associated with decreased gastrointestinal blood
flow, or ischemia caused by other complications such as asphyxia and
polycythemia. Infants who are breastfed have lower risk of NEC. NEC is more
common in preterm neonates and can be fatal in up to 30% of cases. Abnormal
vital signs, abdominal distention, visible bowel loops, bloody stools, and emesis
are indications of NEC.)
Baby Miguel was born at 38 weeks 6 days, around 7 hours ago. His mother's
pregnancy was normal, but her delivery was difficult. Miguel had meconium
staining at delivery, and his Apgar scores were 5 at one minute, and 7 at five
minutes. You were also told in report that his temperature at delivery was 35.8°C,
answers Graded A+
Which of the following would be expected findings and complications for a
neonate who is considered to be very preterm? Select all that apply.
a. Creases on the anterior of the foot
b. Atelectasis
c. Macrosomia
d. Full flexion of extremities
e. Fused eyelids - b. Atelectasis
e. Fused eyelids
Nursing actions for a neonate experiencing neonatal abstinence syndrome include
__________________. Select all that apply.
a. insure the room is brightly lit
b. swaddle the infant
c. inform the mother that the infant's symptoms are her fault
d. allowing for rest during feedings
e. assess feedings and daily weights - b. swaddle the infant
d. allowing for rest during feedings
e. assess feddings and daily weights
High-risk neonates that can be assisted by the use of a pacifier include which of
the following? Select all that apply.
a. An infant who is 1150 gm.
b. An infant diagnosed with patent ductus arteriosus.
,c. An infant who is gavage fed.
d. An infant withdrawing from intrauterine exposure to a narcotic.
e. An infant diagnosed with necrotizing enterocolitis. - a. An infant who is
1150gm
c. An infant who is gavage feed
d. An infant withdrawing from intrauterine exposure to a narcotic
Which of the following neonates is at increased risk for hyperbilirubinemia? Select
all that apply.
a. Infant George, whose mother has gestational diabetes.
b. Infant Anna, born at 37 weeks 2 days.
c. Infant Juan, who has caput succedaneum.
d. Infant Tricia, whose mother's blood type is B+.
e. Infant Rohan, whose mother was induced for labor at 39 weeks 5 days. -
a. Infant George, whose mother has gestational diabetes
b. Infant Anna, born at 37 weeks 2 days
e. Infant Rohan, whose mother was induced for labor at 39 weeks 5 days
Post-term pregnancy is a risk factor for which of the following neonatal
complications? Select all that apply.
a. Intrauterine growth restriction
b. Meconium aspiration syndrome
c. Persistent pulmonary hypertension
d. Neonatal infection
e. Polycythemia - b. Meconium aspiration syndrome
, e. Polycythemia
Baby Molly was born 52 hours ago at 37 weeks 4 days. An hour into your shift, her
parents push the emergency button to report something wrong while they tried
to feed her. Upon entering the room, you notice she has tremors, a high pitched
cry, and is diaphoretic. Her parents say she was acting frantic while trying to eat
and wouldn't stop crying. As you begin to assess her, she has a seizure. What
neonatal complication is Molly experiencing? - Neonatal abstinence
syndrome (Tremors, high pitched cry, diaphoresis, and seizure after 48 hours of
life are all indications of neonatal abstinence syndrome. Molly may also be
tachypenic, not feeding well, be congested and sneezing, along with many other
symptoms. She should be assessed regularly using a scoring tool to determine her
need for care. Molly should have minimal stimulation and be allowed to rest
during feedings.)
In the NICU, you're providing care for baby Jordan, who was delivered at 28
weeks 5 days about 8 days ago. On assessment, you notice he seems lethargic and
his abdomen is distended with visible bowel loops. His vital signs are blood
pressure 52/35 mmHg, pulse 183, respirations 86, temperature 35.4°C, blood
oxygenation 89%. What neonatal complication is Jordan experiencing? -
Necrotizing enterocolitis (Jordan is showing indications of necrotizing
enterocolitis (NEC), which is associated with decreased gastrointestinal blood
flow, or ischemia caused by other complications such as asphyxia and
polycythemia. Infants who are breastfed have lower risk of NEC. NEC is more
common in preterm neonates and can be fatal in up to 30% of cases. Abnormal
vital signs, abdominal distention, visible bowel loops, bloody stools, and emesis
are indications of NEC.)
Baby Miguel was born at 38 weeks 6 days, around 7 hours ago. His mother's
pregnancy was normal, but her delivery was difficult. Miguel had meconium
staining at delivery, and his Apgar scores were 5 at one minute, and 7 at five
minutes. You were also told in report that his temperature at delivery was 35.8°C,
