Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the priority nursing action when a newborn has nasal flaring and grunting?
✔✔Provide immediate respiratory support and notify the provider
Which assessment finding indicates effective breastfeeding in a newborn?
✔✔Audible swallowing and steady weight gain
What is the first action if a postpartum mother reports heavy vaginal bleeding?
✔✔Massage the uterine fundus to promote contraction
Which newborn reflex disappears around 4 months of age?
✔✔Moro reflex
What is the primary nursing concern with a child experiencing dehydration from gastroenteritis?
✔✔Maintaining fluid and electrolyte balance
1
,Which vaccine is contraindicated in an immunocompromised child?
✔✔Live attenuated vaccines such as MMR
What is the best way to reduce the risk of sudden infant death syndrome (SIDS)?
✔✔Place the infant on their back to sleep
What is the first sign of hypoglycemia in a newborn?
✔✔Jitteriness or tremors
Which nursing intervention is important for a toddler with croup?
✔✔Provide cool, humidified air to reduce airway swelling
What is the priority assessment for a child with asthma exacerbation?
✔✔Respiratory rate and oxygen saturation
Which sign indicates pyloric stenosis in an infant?
✔✔Projectile vomiting after feeding
2
,What is the most important teaching point for parents giving liquid iron to a toddler?
✔✔Administer with a straw or dropper to avoid tooth staining
Which complication is a concern for a newborn with untreated jaundice?
✔✔Kernicterus
What should the nurse do if a child with sickle cell crisis reports sudden severe chest pain?
✔✔Suspect acute chest syndrome and notify the provider immediately
Which maternal infection is most associated with congenital hearing loss in newborns?
✔✔Cytomegalovirus (CMV)
What is the expected weight change for a newborn in the first week of life?
✔✔A loss of up to 10% of birth weight
Which nursing intervention supports bonding in the immediate postpartum period?
✔✔Encourage skin-to-skin contact between mother and newborn
3
, What is the priority action if a postpartum mother develops signs of infection at the episiotomy
site?
✔✔Report findings and initiate prescribed antibiotics
Which congenital heart defect causes a machine-like murmur in infants?
✔✔Patent ductus arteriosus
What is the safest sleeping position for a newborn with reflux?
✔✔On their back with head elevated slightly
What is the priority nursing action when a child presents with epiglottitis?
✔✔Do not attempt to visualize the throat and secure the airway immediately
Which sign indicates possible developmental dysplasia of the hip in an infant?
✔✔Asymmetrical gluteal folds
What is the best pain management technique for a 4-year-old after surgery?
✔✔Offer distraction such as storytelling, music, or play
4