NRS 3026 FINAL Exam (Latest )
Questions & Answers 100% Correct
- OAKLAND UNIVERSITY
While caring for a post-term infant, the nurse recognizes that the elevated hematocrit
level most likely results from:
a. hypoxia in utero.
b. underproduction of red blood cells.
c. increased breakdown of red blood cells.
d. the normal expected shift from fetal hemoglobin to normal hemoglobin. - Correct
answer a
Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal
flaring and slight retractions are noted. The newborn is admitted to the neonatal
intensive care unit (NICU) for closer observation, with a diagnosis of transient
tachypnea (TTN). The parents are notified and become anxious because they have no
idea what this means in terms of medical condition. The best action that the nurse can
take at this time is to:
,a. refer them to the neonatologist for more information.
b. tell them not to worry because their infant will be monitored closely by trained staff.
c. explain to them that this often occurs following a birth but it will most likely resolve
in the next 24 to 48 hours.
d. tell them that they will be able to come and see their baby, which will help make
them feel better. - Correct answer c
While in utero, the fetus passes meconium. Based on this assessment, which nursing
diagnosis takes priority for the newborn at birth?
a. Risk for infection related to release of meconium
b. Risk for injury related to high-risk birth interventions, such as amino infusion
c. Risk for aspiration related to retained secretions
d. Risk for thermoregulation because of high-risk labor status - Correct answer c
Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?
,a. Direct Coombs test based on maternal blood sample
b. Indirect Coombs test based on infant cord blood sample
c. Infant bilirubin level
d. Maternal blood type - Correct answer c
Which of the following lab values indicates that an infant may have polycythemia?
a. Hb 18 g/dL, Hct 50%
b. Hb 25/dL, Hct 55%
c. Hb 20/dL, Hct 65%
d. Hb 30 g/dL, Hct 70% - Correct answer d
The nurse notes that the infant has been feeding poorly over the last 24 hours. She
should immediately assess for other signs of:
a. hyperglycemia.
b. neonatal infection.
c. hemolytic anemia.
, d. increased bilirubin levels. - Correct answer b
The priority assessment for the Rh-positive infant whose mother's indirect Coombs
test was positive at 36 weeks is:
a. skin color.
b. temperature.
c. respiratory rate.
d. blood glucose level. - Correct answer a
The nurse should be alert to a blood group incompatibility if:
a. both mother and infant are O-positive.
b. mother is A-positive and infant is A-negative.
c. mother is O-positive and infant is B-negative.
d. mother is B-positive and infant is O-negative. - Correct answer d
Which woman is most likely to continue breastfeeding beyond 6 months?
Questions & Answers 100% Correct
- OAKLAND UNIVERSITY
While caring for a post-term infant, the nurse recognizes that the elevated hematocrit
level most likely results from:
a. hypoxia in utero.
b. underproduction of red blood cells.
c. increased breakdown of red blood cells.
d. the normal expected shift from fetal hemoglobin to normal hemoglobin. - Correct
answer a
Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal
flaring and slight retractions are noted. The newborn is admitted to the neonatal
intensive care unit (NICU) for closer observation, with a diagnosis of transient
tachypnea (TTN). The parents are notified and become anxious because they have no
idea what this means in terms of medical condition. The best action that the nurse can
take at this time is to:
,a. refer them to the neonatologist for more information.
b. tell them not to worry because their infant will be monitored closely by trained staff.
c. explain to them that this often occurs following a birth but it will most likely resolve
in the next 24 to 48 hours.
d. tell them that they will be able to come and see their baby, which will help make
them feel better. - Correct answer c
While in utero, the fetus passes meconium. Based on this assessment, which nursing
diagnosis takes priority for the newborn at birth?
a. Risk for infection related to release of meconium
b. Risk for injury related to high-risk birth interventions, such as amino infusion
c. Risk for aspiration related to retained secretions
d. Risk for thermoregulation because of high-risk labor status - Correct answer c
Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?
,a. Direct Coombs test based on maternal blood sample
b. Indirect Coombs test based on infant cord blood sample
c. Infant bilirubin level
d. Maternal blood type - Correct answer c
Which of the following lab values indicates that an infant may have polycythemia?
a. Hb 18 g/dL, Hct 50%
b. Hb 25/dL, Hct 55%
c. Hb 20/dL, Hct 65%
d. Hb 30 g/dL, Hct 70% - Correct answer d
The nurse notes that the infant has been feeding poorly over the last 24 hours. She
should immediately assess for other signs of:
a. hyperglycemia.
b. neonatal infection.
c. hemolytic anemia.
, d. increased bilirubin levels. - Correct answer b
The priority assessment for the Rh-positive infant whose mother's indirect Coombs
test was positive at 36 weeks is:
a. skin color.
b. temperature.
c. respiratory rate.
d. blood glucose level. - Correct answer a
The nurse should be alert to a blood group incompatibility if:
a. both mother and infant are O-positive.
b. mother is A-positive and infant is A-negative.
c. mother is O-positive and infant is B-negative.
d. mother is B-positive and infant is O-negative. - Correct answer d
Which woman is most likely to continue breastfeeding beyond 6 months?
