FINAL EXAM REVIEW NUR 113 WITH
COMPLETE SOLUTIONS | VERIFIED
B CORRECT ANSWERS A nurse is caring for a newborn who was born at 38 weeks of
gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight
and gestational age, the nurse should classify this neonate as which of the following?
A. Low birth weight
B. Appropriate for gestational age
C. Small for gestational age
D. Large for gestational age
D CORRECT ANSWERS A nurse is completing a newborn assessment and observes
small pearly white nodules on the roof of the newborn's mouth. This finding is a
characteristic of which of the following conditions?
A. Mongolian spots
B. Milia spots
C. Erythema toxicum
D. Epstein's pearls
D CORRECT ANSWERS A nurse is assessing the reflexes of a newborn. In checking
for the Moro reflex, the nurse should perform which of the following?
A. Hold the newborn vertically under arms and allow one foot to touch table.
B. Stimulate the pads of the newborn's hands with stroking or massage.
C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot.
D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk
to fall backward.
C D CORRECT ANSWERS A nurse is completing an assessment. Which of the
following data indicate the newborn is adapting to extrauterine life? (Select all that
apply.)
A. Expiratory grunting
B. Inspiratory nasal flaring
C. Apnea for 10-second periods
D. Obligatory nose breathing
E. Crackles and wheezing
A CORRECT ANSWERS A nurse is teaching a newly licensed nurse how to bathe a
newborn and observes a bluish brown marking across the newborn's lower back. The
nurse should include which of the following information in the teaching? A. "This is more
commonly seen in newborns who have dark skin."
B. "This is a finding indicating hyperbilirubinemia."
C. "This is a forceps mark from an operative delivery."
D. "This is related to prolonged birth or trauma during delivery."
, C CORRECT ANSWERS A nurse is ove ointment neonatorum. Which of the preparing
to to a newborn administer prophylactic to prevent ophthalmia following medicatione
should the nurse anticipate administering?
A. Ofloxacin
B. Nystatin
C. Erythromycin
D. Ceftriaxone
C CORRECT ANSWERS A newborn was not dried completely after birth. This places
the infant at risk for which of the following types of heat loss?
A. Conduction
B. Convection
C. Evaporation
D. Radiation
D CORRECT ANSWERS A nurse is caring for a newborn immediately following birth.
Which of the following nursing interventions is the highest priority? A. Initiating
breastfeeding
B. Performing the initial bath
C. Giving a vitamin K injection
D. Covering the newborn's head with a cap
A CORRECT ANSWERS A nurse is preparing to administer a vitamin K (phytonadione)
injection to a newborn. Which of the following responses should the nurse make to the
newborn's parent regarding why this medication is given?
A. "It assists with blood clotting."
B. "It promotes maturation of the bowel."
C. "It is a preventative vaccine."
D. "It provides immunity."
C CORRECT ANSWERS A nurse is taking a newborn to a parent following a
circumcision. Which of the following actions should the nurse take for security
purposes?
A. the parent to state their full name
B. look at the name on the newborns bassinet
C. match the parents identification band with the newborns band
D. Compare name on the bassinet and room number
D CORRECT ANSWERS A nurse is giving instructions to a parent about how to
breastfeed their newborn. Which of the following actions by the parent indicates
understanding of the teaching?
A. The parent places a few drops of water on their nipple before feeding.
B. The parent gently removes their nipple from the infant's mouth to break the suction.
C. When they are ready to breastfeed, the parent gently strokes the newborn's neck
with a finger.
D. When latched on, the infant's nose, cheek, and chin are touching the breast.
COMPLETE SOLUTIONS | VERIFIED
B CORRECT ANSWERS A nurse is caring for a newborn who was born at 38 weeks of
gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight
and gestational age, the nurse should classify this neonate as which of the following?
A. Low birth weight
B. Appropriate for gestational age
C. Small for gestational age
D. Large for gestational age
D CORRECT ANSWERS A nurse is completing a newborn assessment and observes
small pearly white nodules on the roof of the newborn's mouth. This finding is a
characteristic of which of the following conditions?
A. Mongolian spots
B. Milia spots
C. Erythema toxicum
D. Epstein's pearls
D CORRECT ANSWERS A nurse is assessing the reflexes of a newborn. In checking
for the Moro reflex, the nurse should perform which of the following?
A. Hold the newborn vertically under arms and allow one foot to touch table.
B. Stimulate the pads of the newborn's hands with stroking or massage.
C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot.
D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk
to fall backward.
C D CORRECT ANSWERS A nurse is completing an assessment. Which of the
following data indicate the newborn is adapting to extrauterine life? (Select all that
apply.)
A. Expiratory grunting
B. Inspiratory nasal flaring
C. Apnea for 10-second periods
D. Obligatory nose breathing
E. Crackles and wheezing
A CORRECT ANSWERS A nurse is teaching a newly licensed nurse how to bathe a
newborn and observes a bluish brown marking across the newborn's lower back. The
nurse should include which of the following information in the teaching? A. "This is more
commonly seen in newborns who have dark skin."
B. "This is a finding indicating hyperbilirubinemia."
C. "This is a forceps mark from an operative delivery."
D. "This is related to prolonged birth or trauma during delivery."
, C CORRECT ANSWERS A nurse is ove ointment neonatorum. Which of the preparing
to to a newborn administer prophylactic to prevent ophthalmia following medicatione
should the nurse anticipate administering?
A. Ofloxacin
B. Nystatin
C. Erythromycin
D. Ceftriaxone
C CORRECT ANSWERS A newborn was not dried completely after birth. This places
the infant at risk for which of the following types of heat loss?
A. Conduction
B. Convection
C. Evaporation
D. Radiation
D CORRECT ANSWERS A nurse is caring for a newborn immediately following birth.
Which of the following nursing interventions is the highest priority? A. Initiating
breastfeeding
B. Performing the initial bath
C. Giving a vitamin K injection
D. Covering the newborn's head with a cap
A CORRECT ANSWERS A nurse is preparing to administer a vitamin K (phytonadione)
injection to a newborn. Which of the following responses should the nurse make to the
newborn's parent regarding why this medication is given?
A. "It assists with blood clotting."
B. "It promotes maturation of the bowel."
C. "It is a preventative vaccine."
D. "It provides immunity."
C CORRECT ANSWERS A nurse is taking a newborn to a parent following a
circumcision. Which of the following actions should the nurse take for security
purposes?
A. the parent to state their full name
B. look at the name on the newborns bassinet
C. match the parents identification band with the newborns band
D. Compare name on the bassinet and room number
D CORRECT ANSWERS A nurse is giving instructions to a parent about how to
breastfeed their newborn. Which of the following actions by the parent indicates
understanding of the teaching?
A. The parent places a few drops of water on their nipple before feeding.
B. The parent gently removes their nipple from the infant's mouth to break the suction.
C. When they are ready to breastfeed, the parent gently strokes the newborn's neck
with a finger.
D. When latched on, the infant's nose, cheek, and chin are touching the breast.
