NCLEX Question of the Week #10: Newborn Health -
Basic Care and Comfort
Introduction
Welcome b.to b.the b.tenth b.installment b.of b.our b.NCLEX b.Question b.of b.the b.Week b.series.
b.This b.week, b.we b.focus b.on b.Newborn b.Health, b.specifically b.Basic b.Care b.and b.Comfort.
b.Newborn b.nursing b.care b.is b.a b.high-yield b.area b.on b.the b.NCLEX-RN b.and b.NCLEX-PN
b.exams. b.Topics b.include b.promoting b.thermoregulation, b.teaching b.parents b.about
b.umbilical b.cord b.and b.circumcision b.care, b.understanding b.newborn b.reflexes, b.and
b.ensuring b.proper b.feeding b.and b.elimination b.patterns. b.Use b.these b.NCLEX-style
b.questions b.with b.rationales b.to b.test b.your b.knowledge b.and b.build b.confidence b.for
b.exam b.day.
Question 1 b.
A b.nurse b.in b.the b.delivery b.room b.is b.assisting b.with b.the b.delivery b.of b.a b.newborn
b.infant. b.After b.the b.delivery, b.the b.nurse b.prepares b.to b.prevent b.heat b.loss b.in b.the
b.newborn b.resulting b.from b.evaporation b.by:
A. b.Warming b.the b.crib b.pad
B. b.Turning b.on b.the b.overhead b.radiant b.warmer
C. b.Closing b.the b.doors b.to b.the b.room
D. b.Drying b.the b.infant b.in b.a b.warm b.blanket
Correct b.Answer: b.D
Rationale: b.Evaporation b.is b.the b.loss b.of b.heat b.through b.the b.conversion b.of b.liquid b.to
b.vapor. b.Newborns b.are b.wet b.with b.amniotic b.fluid b.at b.birth; b.as b.this b.fluid b.evaporates
b.from b.the b.skin, b.significant b.heat b.loss b.occurs. b. Drying b.the b.infant b.thoroughly b.with b.a
b.warm b.blanket b.is b.the b.most b.direct b.and b.effective b.method b.to b.prevent b.evaporative
b.heat b.loss. b.Additional b.measures b.include b.drying b.the b.hair, b.applying b.a b.cap, b.and
b.placing b.the b.newborn b.skin-to-skin b.on b.the b.mother’s b.abdomen. b.Warming b.the b.crib
b.pad b.(A) b.prevents b.conductive b.heat b.loss. b.Turning b.on b.the b.radiant b.warmer b.(B)
, b.prevents b.radiant b.heat b.loss. b.Closing b.doors b.(C) b.prevents b.convective b.heat b.loss b.from
b.air b.currents. b.
Question 2 b.
A b.nurse b.is b.assessing b.a b.newborn’s b.umbilical b.cord. b.Which b.finding b.requires
b.immediate b.intervention?
A. b.Slight b.redness b.at b.the b.base
B. b.Clear b.drainage
C. b.Foul b.odor b.and b.purulent b.discharge
D. b.Dry b.and b.slightly b.wrinkled b.appearance
Correct b.Answer: b.C
Rationale: b.A b.foul b.odor b.with b.purulent b.(yellow/green) b.discharge b.indicates b.an
b.umbilical b.cord b.infection, b.known b.as b.omphalitis. b.This b.condition b.requires b.immediate
b.medical b.intervention, b.including b.possible b.antibiotics, b.to b.prevent b.systemic b.spread
b.in b.the b.vulnerable b.newborn. b.Slight b.redness b.(A) b.can b.be b.normal b.immediately b.after
b.cord b.separation. b.Clear b.drainage b.(B) b.is b.also b.normal b.during b.the b.drying b.process. b.A
b.dry, b.wrinkled b.appearance b.(D) b.indicates b.normal b.healing b.and b.cord b.drying. b.Parent
b.teaching b.should b.emphasize b.keeping b.the b.cord b.clean, b.dry, b.and b.folding b.the b.diaper
b.below b.the b.stump. b.
Question 3 b.
A b.nurse b.is b.evaluating b.a b.full-term b.newborn b.who b.is b.12 b.hours b.old. b.The
b.mother b.reports b.that b.the b.infant b.has b.had b.no b.wet b.diapers b.since b.birth. b.Which
b.action b.should b.the b.nurse b.take b.first?
A. b.Document b.the b.finding b.as b.normal
B. b.Encourage b.the b.mother b.to b.breastfeed b.more b.frequently
C. b.Assess b.the b.infant’s b.bladder b.by b.palpation
D. b.Notify b.the b.healthcare b.provider b.immediately
Basic Care and Comfort
Introduction
Welcome b.to b.the b.tenth b.installment b.of b.our b.NCLEX b.Question b.of b.the b.Week b.series.
b.This b.week, b.we b.focus b.on b.Newborn b.Health, b.specifically b.Basic b.Care b.and b.Comfort.
b.Newborn b.nursing b.care b.is b.a b.high-yield b.area b.on b.the b.NCLEX-RN b.and b.NCLEX-PN
b.exams. b.Topics b.include b.promoting b.thermoregulation, b.teaching b.parents b.about
b.umbilical b.cord b.and b.circumcision b.care, b.understanding b.newborn b.reflexes, b.and
b.ensuring b.proper b.feeding b.and b.elimination b.patterns. b.Use b.these b.NCLEX-style
b.questions b.with b.rationales b.to b.test b.your b.knowledge b.and b.build b.confidence b.for
b.exam b.day.
Question 1 b.
A b.nurse b.in b.the b.delivery b.room b.is b.assisting b.with b.the b.delivery b.of b.a b.newborn
b.infant. b.After b.the b.delivery, b.the b.nurse b.prepares b.to b.prevent b.heat b.loss b.in b.the
b.newborn b.resulting b.from b.evaporation b.by:
A. b.Warming b.the b.crib b.pad
B. b.Turning b.on b.the b.overhead b.radiant b.warmer
C. b.Closing b.the b.doors b.to b.the b.room
D. b.Drying b.the b.infant b.in b.a b.warm b.blanket
Correct b.Answer: b.D
Rationale: b.Evaporation b.is b.the b.loss b.of b.heat b.through b.the b.conversion b.of b.liquid b.to
b.vapor. b.Newborns b.are b.wet b.with b.amniotic b.fluid b.at b.birth; b.as b.this b.fluid b.evaporates
b.from b.the b.skin, b.significant b.heat b.loss b.occurs. b. Drying b.the b.infant b.thoroughly b.with b.a
b.warm b.blanket b.is b.the b.most b.direct b.and b.effective b.method b.to b.prevent b.evaporative
b.heat b.loss. b.Additional b.measures b.include b.drying b.the b.hair, b.applying b.a b.cap, b.and
b.placing b.the b.newborn b.skin-to-skin b.on b.the b.mother’s b.abdomen. b.Warming b.the b.crib
b.pad b.(A) b.prevents b.conductive b.heat b.loss. b.Turning b.on b.the b.radiant b.warmer b.(B)
, b.prevents b.radiant b.heat b.loss. b.Closing b.doors b.(C) b.prevents b.convective b.heat b.loss b.from
b.air b.currents. b.
Question 2 b.
A b.nurse b.is b.assessing b.a b.newborn’s b.umbilical b.cord. b.Which b.finding b.requires
b.immediate b.intervention?
A. b.Slight b.redness b.at b.the b.base
B. b.Clear b.drainage
C. b.Foul b.odor b.and b.purulent b.discharge
D. b.Dry b.and b.slightly b.wrinkled b.appearance
Correct b.Answer: b.C
Rationale: b.A b.foul b.odor b.with b.purulent b.(yellow/green) b.discharge b.indicates b.an
b.umbilical b.cord b.infection, b.known b.as b.omphalitis. b.This b.condition b.requires b.immediate
b.medical b.intervention, b.including b.possible b.antibiotics, b.to b.prevent b.systemic b.spread
b.in b.the b.vulnerable b.newborn. b.Slight b.redness b.(A) b.can b.be b.normal b.immediately b.after
b.cord b.separation. b.Clear b.drainage b.(B) b.is b.also b.normal b.during b.the b.drying b.process. b.A
b.dry, b.wrinkled b.appearance b.(D) b.indicates b.normal b.healing b.and b.cord b.drying. b.Parent
b.teaching b.should b.emphasize b.keeping b.the b.cord b.clean, b.dry, b.and b.folding b.the b.diaper
b.below b.the b.stump. b.
Question 3 b.
A b.nurse b.is b.evaluating b.a b.full-term b.newborn b.who b.is b.12 b.hours b.old. b.The
b.mother b.reports b.that b.the b.infant b.has b.had b.no b.wet b.diapers b.since b.birth. b.Which
b.action b.should b.the b.nurse b.take b.first?
A. b.Document b.the b.finding b.as b.normal
B. b.Encourage b.the b.mother b.to b.breastfeed b.more b.frequently
C. b.Assess b.the b.infant’s b.bladder b.by b.palpation
D. b.Notify b.the b.healthcare b.provider b.immediately
