NURS NEWBORN REVIEW TEST
A nurse places a newborn under a radiant heat warmer after birth. The purpose of this
action is to prevent which of the following in the newborn? - CORRECT ANSWER-cold
stress
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her
newborn. Which of the following responses should the nurse provide? - CORRECT
ANSWER-feeding an infant can feel a little intimidating at first, but I'll stay and help you
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Which of the following assessments is the nurse's priority? - CORRECT ANSWER-
Respiratory distress
A nurse is completing an assessment of a 1 month old newborn. Which of of the
following developmental skills is an expected finding? - CORRECT ANSWER-Follows
movements of objects with eyes
A nurse is caring for a client who has just delivered a newborn. The nurse notes
secretions bubbling out of the newborn's nose and mouth. Which of the following
actions is the nurse's priority? - CORRECT ANSWER-suction the mouth with a bulb
syringe
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral
thermal environment. The father of the newborn asks the nurse why this is necessary.
Which of the following response should the nurse make? - CORRECT ANSWER-
preterm newborns lack adequate temperature control mechanisms
A nurse is assessing a newborn. Which of the following should the nurse understand is
a clinical manifestation of pyloric stenosis? - CORRECT ANSWER-projectile vomiting
after feedings
A nurse is preparing to administer oxygen via hood therapy to a newborn who was born
at 30 weeks of gestation. Which of the following is an appropriate nursing action when
providing care to this infant? - CORRECT ANSWER-maintain O2 sat between 93-95%
A nurse is caring for a client who has rubella at the time of delivery and asks why her
newborn is being placed in isolation. Which of the following response by the nurse is
appropriate? - CORRECT ANSWER-the newborn might be actively shedding the virus
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of
the following instructions should the nurse include? - CORRECT ANSWER-give a
sponge bath until the cord stump falls off
, A nurse in a clinic is caring for a client who is 3 weeks postpartum following the brith of
a healthy newborn. The client reports feeling "down" and sad, having no energy, and
wanting to cry. Which of the following is a priority action by the nurse? - CORRECT
ANSWER-ask the client if she has considered harming her newborn
A nurse is caring for a newborn who has myelomenigocele. Which of the following
nursing goals has the priority in the care of this infant? - CORRECT ANSWER-maintain
the integrity of the sac
A nurse is completing the admission assessment of a newborn. Which of the following
anatomical landmarks should the nurse use when measuring the newborn's chest
circumference? - CORRECT ANSWER-nipple line
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of
the following is the priority intervention the nurse should include in the newborn's plan of
care? - CORRECT ANSWER-monitor blood glucose levels
A nurse is providing teaching about phenylketonuria (PKU) testing to the parent of a
newborn. Which of the following statements by the parent indicates a need for additional
teaching? - CORRECT ANSWER-my baby will be placed under special lights if the test
result is positive
A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a
newborn weighting 9 lb 6 oz. The nurse should recognize that this client is at risk for
which of the following postpartum complications? - CORRECT ANSWER-uterine atony
A nurse is teaching the parent of a newborn about bottle feeding. Which of the following
statement by the parent indicates a need for further instruction? - CORRECT ANSWER-
I will tip the nipple so air is present as baby sucks
A nurse is caring for a preterm newborn who has nasogastric tube and who recently
began intermittent gavage feedings of formula. The nurse notes increased abdominal
distention, lethargy, bloody stools, and increasing gastric residuals before feedings. The
nurse should suspect which of the following? - CORRECT ANSWER-necrotizing
enterocolitis
A nurse is assisting a client with breastfeeding. The nurse explains that which of the
following reflexes will promote the newborn to latch? - CORRECT ANSWER-rooting
A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition? -
CORRECT ANSWER-placental insufficiency
A nurse places a newborn under a radiant heat warmer after birth. The purpose of this
action is to prevent which of the following in the newborn? - CORRECT ANSWER-cold
stress
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her
newborn. Which of the following responses should the nurse provide? - CORRECT
ANSWER-feeding an infant can feel a little intimidating at first, but I'll stay and help you
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Which of the following assessments is the nurse's priority? - CORRECT ANSWER-
Respiratory distress
A nurse is completing an assessment of a 1 month old newborn. Which of of the
following developmental skills is an expected finding? - CORRECT ANSWER-Follows
movements of objects with eyes
A nurse is caring for a client who has just delivered a newborn. The nurse notes
secretions bubbling out of the newborn's nose and mouth. Which of the following
actions is the nurse's priority? - CORRECT ANSWER-suction the mouth with a bulb
syringe
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral
thermal environment. The father of the newborn asks the nurse why this is necessary.
Which of the following response should the nurse make? - CORRECT ANSWER-
preterm newborns lack adequate temperature control mechanisms
A nurse is assessing a newborn. Which of the following should the nurse understand is
a clinical manifestation of pyloric stenosis? - CORRECT ANSWER-projectile vomiting
after feedings
A nurse is preparing to administer oxygen via hood therapy to a newborn who was born
at 30 weeks of gestation. Which of the following is an appropriate nursing action when
providing care to this infant? - CORRECT ANSWER-maintain O2 sat between 93-95%
A nurse is caring for a client who has rubella at the time of delivery and asks why her
newborn is being placed in isolation. Which of the following response by the nurse is
appropriate? - CORRECT ANSWER-the newborn might be actively shedding the virus
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of
the following instructions should the nurse include? - CORRECT ANSWER-give a
sponge bath until the cord stump falls off
, A nurse in a clinic is caring for a client who is 3 weeks postpartum following the brith of
a healthy newborn. The client reports feeling "down" and sad, having no energy, and
wanting to cry. Which of the following is a priority action by the nurse? - CORRECT
ANSWER-ask the client if she has considered harming her newborn
A nurse is caring for a newborn who has myelomenigocele. Which of the following
nursing goals has the priority in the care of this infant? - CORRECT ANSWER-maintain
the integrity of the sac
A nurse is completing the admission assessment of a newborn. Which of the following
anatomical landmarks should the nurse use when measuring the newborn's chest
circumference? - CORRECT ANSWER-nipple line
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of
the following is the priority intervention the nurse should include in the newborn's plan of
care? - CORRECT ANSWER-monitor blood glucose levels
A nurse is providing teaching about phenylketonuria (PKU) testing to the parent of a
newborn. Which of the following statements by the parent indicates a need for additional
teaching? - CORRECT ANSWER-my baby will be placed under special lights if the test
result is positive
A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a
newborn weighting 9 lb 6 oz. The nurse should recognize that this client is at risk for
which of the following postpartum complications? - CORRECT ANSWER-uterine atony
A nurse is teaching the parent of a newborn about bottle feeding. Which of the following
statement by the parent indicates a need for further instruction? - CORRECT ANSWER-
I will tip the nipple so air is present as baby sucks
A nurse is caring for a preterm newborn who has nasogastric tube and who recently
began intermittent gavage feedings of formula. The nurse notes increased abdominal
distention, lethargy, bloody stools, and increasing gastric residuals before feedings. The
nurse should suspect which of the following? - CORRECT ANSWER-necrotizing
enterocolitis
A nurse is assisting a client with breastfeeding. The nurse explains that which of the
following reflexes will promote the newborn to latch? - CORRECT ANSWER-rooting
A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition? -
CORRECT ANSWER-placental insufficiency
