Newborn Nursing Care NCLEX Practice Questions!

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| By Santepro

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Quizzes Created: 460 | Total Attempts: 2,413,306

Questions: 10 | Attempts: 12,243 | Updated: Aug 12, 2024

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Questions and Answers

1.

The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?
- A.
  
  Candida albicans
- B.
  
  Chlamydia trachomatis
- C.
  
  Escherichia coli
- D.
  
  Group B beta-hemolytic streptococci
Correct Answer
D. Group B beta-hemolytic streptococci

Explanation
Transmission of Group B beta-hemolytic streptococci to the fetus results in respiratory distress that can rapidly lead to septic shock.

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2.

When attempting to interact with a neonate experiencing drug withdrawal. which behavior would indicate that the neonate is willing to interact?
- A.
  
  Gaze aversion
- B.
  
  Hiccups
- C.
  
  Quiet alert state
- D.
  
  Yawning
Correct Answer
C. Quiet alert state

Explanation
When caring for a neonate experiencing drug withdrawal. the nurse needs to be alert for distress signals from the neonate. Stimuli should be introduced one at a time when the neonate is in a quiet and alert state. Gaze aversion. yawning. sneezing. hiccups. and body arching are distress signals that the neonate cannot handle stimuli at that time.

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3.

When teaching umbilical cord care to a new mother. the nurse would include which information?
- A.
  
  Apply peroxide to the cord with each diaper change
- B.
  
  Cover the cord with petroleum jelly after bathing
- C.
  
  Keep the cord dry and open to air
- D.
  
  Wash the cord with soap and water each day during a tub bath
Correct Answer
C. Keep the cord dry and open to air

Explanation
Keeping the cord dry and open to air helps reduce infection and hastens drying.

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4.

A mother of a term neonate asks what the thick. white. cheesy coating is on his skin. Which correctly describes this finding?
- A.
  
  Lanugo
- B.
  
  Milia
- C.
  
  Nevus flammeus
- D.
  
  Vernix
Correct Answer
D. Vernix

Explanation
Vernix is a thick, white, cheesy coating that is commonly found on the skin of term neonates. It is a protective substance that develops in the womb and helps to protect the baby's skin from the amniotic fluid. Vernix is typically present at birth and gradually decreases over the first few days of life. It is a normal finding and does not require any treatment.

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5.

Which condition or treatment best ensures lung maturity in an infant?
- A.
  
  Meconium in the amniotic fluid
- B.
  
  Glucocorticoid treatment just before delivery
- C.
  
  Lecithin to sphingomyelin ratio more than 2:1
- D.
  
  Absence of phosphatidylglycerol in amniotic fluid
Correct Answer
C. Lecithin to spHingomyelin ratio more than 2:1

Explanation
Lecithin and sphingomyelin are phospholipids that help compose surfactant in the lungs; lecithin peaks at 36 weeks and sphingomyelin concentrations remain stable.

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6.

When performing nursing care for a neonate after a birth. which intervention has the highest nursing priority?
- A.
  
  Obtain a dextrostix
- B.
  
  Give the initial bath
- C.
  
  Give the vitamin K injection
- D.
  
  Cover the neonates head with a cap
Correct Answer
D. Cover the neonates head with a cap

Explanation
Covering the neonate’s head with a cap helps prevent cold stress due to excessive evaporative heat loss from the neonate’s wet head. Vitamin K can be given up to 4 hours after birth.

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7.

When performing an assessment on a neonate. which assessment finding is most suggestive of hypothermia?
- A.
  
  Bradycardia
- B.
  
  Hyperglycemia
- C.
  
  Metabolic alkalosis
- D.
  
  Shivering
Correct Answer
A. Bradycardia

Explanation
Hypothermic neonates become bradycardic proportional to the degree of core temperature. Hypoglycemia is seen in hypothermic neonates.

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8.

A woman delivers a 3.250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination if this neonate?
- A.
  
  Abundant lanugo
- B.
  
  Absence of sole creases
- C.
  
  Breast bud of 1-2 mm in diameter
- D.
  
  Leathery. cracked. and wrinkled skin
Correct Answer
D. Leathery. cracked. and wrinkled skin

Explanation
Neonatal skin thickens with maturity and is often peeling by post term.

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9.

A nurse is performing an initial assessment on a newborn. Which of the following findings would require immediate intervention?
- A.
  
  Heart rate of 140 beats per minute
- B.
  
  Respiratory rate of 50 breaths per minute
- C.
  
  Bluish discoloration of the hands and feet
- D.
  
  Nasal flaring and grunting
Correct Answer
D. Nasal flaring and grunting

Explanation
Nasal flaring and grunting in a newborn are signs of respiratory distress and require immediate intervention. These symptoms indicate that the newborn is having difficulty breathing, which can be life-threatening if not addressed promptly. The other options—heart rate of 140 beats per minute, respiratory rate of 50 breaths per minute, and bluish discoloration of the hands and feet (acrocyanosis)—are normal findings in a newborn and do not require immediate intervention.

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10.

Which neonatal behavior is most commonly associated with fetal alcohol syndrome (FAS)?
- A.
  
  Hypoactivity
- B.
  
  High birth weight
- C.
  
  Poor wake and sleep patterns
- D.
  
  High threshold of stimulation
Correct Answer
C. Poor wake and sleep patterns

Explanation
Altered sleep patterns are caused by disturbances in the CNS from alcohol exposure in utero. Hyperactivity is a characteristic generally noted. Low birth weight is a physical defect seen in neonates with FAS. Neonates with FAS generally have a low threshold for stimulation.

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Current Version
Aug 12, 2024

Quiz Edited by
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Sep 11, 2017

Quiz Created by
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Newborn Nursing care NCLEX Practice Questions!

The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?

When attempting to interact with a neonate experiencing drug withdrawal. which behavior would indicate that the neonate is willing to interact?

When teaching umbilical cord care to a new mother. the nurse would include which information?

A mother of a term neonate asks what the thick. white. cheesy coating is on his skin. Which correctly describes this finding?

Which condition or treatment best ensures lung maturity in an infant?

When performing nursing care for a neonate after a birth. which intervention has the highest nursing priority?

When performing an assessment on a neonate. which assessment finding is most suggestive of hypothermia?

A woman delivers a 3.250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination if this neonate?

A nurse is performing an initial assessment on a newborn. Which of the following findings would require immediate intervention?

Which neonatal behavior is most commonly associated with fetal alcohol syndrome (FAS)?