latest Version 2024/2025
A newborn who was delivered 2 hours ago is being assessed in the nursery.Upon
exam,the nurse notes a flattened nasal bridge ,wide set eyes,low set ears , and overall
decrease in tone.Given these exam findings , what diagnostic tests would the nurse
ineanticipate that the physician will order.
a. Hemoglobin electrophoresis.
b. Chromosomal blood testing
c. Computed tomography ( ct) of the brain.
d. Meconium toxicology testing. - ✔✔b. Chromosomal blood testing
Calculate a client's total intake in milliliters (ml) from 0700 to 1500.continious IV infusion of
lactated Ringer's 125 ml/hr .oral intake ½ of green tea, 8 oz glass apple juice 1/2bowl cream
of
wheat. - ✔✔1504
The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz .newborn
24
hours ago.the client is noted to have lost consciousness on her way to the bathroom what is
the
priory nursing assessment for the client.
a. Assess ability to void
b. Assess the fundus
c. Assess blood pressure and heart rate
d. Call the provider - ✔✔c. Assess blood pressure and heart rate
A postpartum woman ( gravida 1 , para ) asks the nurse immediately after delivery if she
should request rooming-in with her infant.which of the following responses by the nurse
would
be correct.
,a. This puts too much responsibility on a first-time mother
b. It depends on whether you breastfeed or not
c. Rooming-in allows increased maternal-newborn contact
d. Resting for the first 3 days postpartum will be better for you - ✔✔c. Rooming-in allows
increased maternal-newborn contact
A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly.How should the nurse
nurse administer this medication to the newborn.
a. Administer the medication in the deltoid muscle
b. Administer the medication into the vastus lateralis
c. Provide the medication immediately before breastfeeding
d. Notify the physician for swelling and irritation at the injection site - ✔✔b. Administer the
medication into the vastus lateralis
When assessing a newborn ,the apgar score assesses the ability of the newborn to transition
to extra uterine life.which of the following does the apgar score assess.( select all that apply)
a. Gender
b. Color
c. Heart rate
d. Birth time
e. Respirations - ✔✔b
c
e
A newborn infant has loose,yellow stools,the infant appears healthy , but his mother is
concerned that this means he is allergic to breast milk.which of the following is the nurse's
best
response.
a. Try burping the infant more frequently
b. breasteed infants stool are normally loose
, c. Consider changing to a soybean formula
d. You may need to have the infant investigated for bile duct disease. - ✔✔b. breasteed
infants stool are normally loose
The newborn's birthweight is 8 lb 8 oz.what is the weight in kg ( round to the nearest tenth)
- ✔✔3.9
A neonatal is assessing a 2-hour old male newborn.she notes that the urethra meatus is not
midline ,but displaced on the dorsal surface( top side) of the penis,what is the medical term.
a. Hypospadias
b. Undescended testicle
c. Epispadias
d. Varicocele. - ✔✔c. Epispadias
The nurse is evaluating a new mother's ability to effectively breastfeed her infant.which
criteria indicates that the mother should be able to breastfeed independently select all that
apply.
a. Nipples are everted
b. Breasts are soft and nontender
c. The mother holds the infant close to her breast in a football hold
d. Infant swallows spontaneously are frequently
e. Nurses place pillows under the baby for support. - ✔✔a
b
d
In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy and that assessment of this client
should include which of the following evaluation for the development of venous
thromboembolism .which of the following should be included in this evaluation.
a. Observe the distal upper extremities for swelling /edema