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,Question 1
Complications of Phototherapy
Question: A newborn receiving phototherapy for hyperbilirubinemia has
decreased urinary output. What is the most appropriate nursing intervention?
A. Document as a normal side effect of phototherapy
B. Increase frequency of feeding to promote hydration
C. Stop phototherapy and notify healthcare provider immediately
D. Monitor vital signs every hour
Correct Answer: B
Rationale: Phototherapy increases insensible water loss, which may cause
dehydration and decreased urinary output. Increasing feeding frequency helps
prevent dehydration and promotes diuresis. Stopping phototherapy is only
warranted if severe complications arise.
Question 2
Complications of Pregnancy
Question: A pregnant client at 32 weeks gestation reports frequent headaches,
visual disturbances, and swelling of her face and fingers. What is the priority
nursing action?
A. Advise the client to rest and increase fluid intake
B. Assess blood pressure and notify the healthcare provider immediately
C. Administer acetaminophen for headache relief
D. Encourage light exercise and monitor symptoms
Correct Answer: B
Rationale: These symptoms suggest preeclampsia with severe features. Immediate
blood pressure assessment and provider notification are critical to prevent
eclampsia or other complications.
Question 3
Symptoms of Gonorrhea
Question: Which symptoms in a female client should raise suspicion for
gonorrhea infection?
A. Vaginal discharge, abdominal pain, low back pain, irregular/painful
,menstrual cycles
B. Fever, chills, and nausea
C. Weight gain and increased appetite
D. Constipation and abdominal distention
Correct Answer: A
Rationale: Gonorrhea often presents with vaginal discharge (which can be
purulent), pelvic or abdominal pain, and irregular menstruation due to infection
and inflammation of the reproductive tract. Early identification and treatment are
important to prevent complications like pelvic inflammatory disease.
Question 4
Normal Newborn Lab Values – Platelets
Question: What is the normal platelet count range for a newborn?
A. 80,000-120,000
B. 150,000-300,000
C. 300,000-450,000
D. 50,000-100,000
Correct Answer: B
Rationale: Newborn platelet counts fall within a similar range to adults
(150,000-300,000). Values outside this range may indicate bleeding or clotting
disorders requiring evaluation.
Question 5
Normal Hemoglobin for Newborn
Question: What is the expected normal hemoglobin range for a newborn?
A. 10-14 g/dL
B. 14-24 g/dL
C. 6-10 g/dL
D. 24-30 g/dL
Correct Answer: B
*Rationale: Newborns generally have higher hemoglobin levels due to intrauterine
hypoxia and increased red blood cell mass. Values between 14-24 g/dL are
considered normal at birth.*
, Question 6
Normal Hematocrit for Newborn
Question: The nurse expects a newborn’s normal hematocrit to fall within
what range?
A. 30-40%
B. 44-64%
C. 65-85%
D. 20-30%
Correct Answer: B
Rationale: Hematocrit levels are higher in newborns compared to adults,
reflecting their increased oxygen needs and fetal erythropoiesis, generally ranging
from 44-64%.
Question 7
Normal WBC for Newborn
Question: What is the normal white blood cell count range for a newborn?
A. 4,000-11,000
B. 9,000-30,000
C. 15,000-45,000
D. 2,000-6,000
Correct Answer: B
*Rationale: Newborns have an elevated WBC count due to the stress of birth and
transition outside the womb; normal range is higher compared to adults at
9,000-30,000/mm³.*
Question 8
Diet Education for Pregnant Women – Calcium
Question: Which instruction regarding calcium intake should the nurse give
to a pregnant client?
A. Increase calcium intake to at least 2,500 mg per day
B. Limit calcium intake to avoid preterm labor