NSG 4525 NEONATE QUESTIONS AND ANSWERS
A nurse is caring for a client who is 6 hr postpartum. The client is Rh-negative and her
newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the
provider. Which of the following is an appropriate response by the nurse? - Answers - "It
detects Rh-positive antibodies in the mother's blood."
A nurse in the newborn nursery is caring for a group of newborns. Which of the
following newborns requires immediate intervention? - Answers - A newborn who is 12
hr post-delivery and has a temperature of 37.5 C (99.5 F)
A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the
following findings should the nurse expect? - Answers - Dry, cracked skin
A nurse is preparing to assess a newborn who is postmature. Which of the following
findings should the nurse expect? (Select all that apply.) - Answers - Cracked, peeling
skin
Positive Moro reflex
A nurse on the labor and delivery unit is caring for a newborn immediately following
birth. Which of the following actions by the nurse reduces evaporative heat loss by the
newborn? - Answers - Drying the newborn's skin thoroughly
A nurse is completing a home visit to a mother who is 3 days postpartum and
breastfeeding her newborn. The mother expresses concern about the amount of weight
the newborn has lost since birth. Which of the following is a response the nurse should
make? - Answers - "The cause might be too short or infrequent feedings."
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of
the following instructions should the nurse include? - Answers - Give a sponge bath until
the cord stump falls off.
A nurse is assisting with the care of a newborn immediately following birth. Which of the
following medications should the nurse anticipate administering? (Select all that apply.)
- Answers - Vitamin K injection
Hepatitis B immunization
Antibiotic ointment
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates
is within the expected reference range for a newborn? - Answers - 48/min
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is
available in 1 mg/0.5 mL. How much should the nurse administer? - Answers - 0.5
, A nurse is assisting a client with breastfeeding. The nurse explains that which of the
following reflexes will promote the newborn latch? - Answers - Rooting
A nurse is caring for a new mother who is concerned that her newborn's eyes cross.
Which of the following statements is a therapeutic response by the nurse? - Answers -
"This occurs because newborns lack muscle control to regulate eye movement."
A nurse is caring for a preterm newborn who is an incubator to maintain a neutral
thermal environment. The father of the newborn asks the nurse why this is necessary.
Which of the following responses should the nurse make? - Answers - "Preterm
newborns lack adequate temperature control mechanisms."
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the
nurse include in the plan of care to prevent jaundice? - Answers - Initiate early feeding.
A nurse is completing a newborn gestation age assessment. Which of the following
findings should be recorded as part of this assessment on the newborn? - Answers -
Plantar creases over 2/3 of sole
A nurse is caring for a client who just delivered a newborn. Following the delivery, which
nursing action should be done first to care for the newborn? - Answers - Clear the
respiratory tract.
A nurse is observing a new mother bathing her newborn son for the first time. For which
of the following actions should the nurse intervene? - Answers - The mother plans to
use a cotton-tipped swab to clean the nares.
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes
mellitus. The nurse should recognize which of the following newborn complications as
the priority focus of care? - Answers - hypoglycemia
A nurse is completing discharge instructions for a new mother and her 2-day-old
newborn. The mother asks, "How will I know if my baby gets enough breast milk?"
Which of the following responses should the nurse make? - Answers - "Your baby
should we 6 to 8 diapers per day."
A nurse is teaching the parent of a newborn about car seat use. Which of the following
information should the nurse include? - Answers - "Position the newborn at a 45-degree
angle in the car seat."
A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the
following statements by the parent indicates understanding of the teaching? - Answers -
"I should wait to give fruit juice until my baby is 6 months of age."
A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if
she can take the newborn to the mother's room. Which of the following is an appropriate
A nurse is caring for a client who is 6 hr postpartum. The client is Rh-negative and her
newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the
provider. Which of the following is an appropriate response by the nurse? - Answers - "It
detects Rh-positive antibodies in the mother's blood."
A nurse in the newborn nursery is caring for a group of newborns. Which of the
following newborns requires immediate intervention? - Answers - A newborn who is 12
hr post-delivery and has a temperature of 37.5 C (99.5 F)
A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the
following findings should the nurse expect? - Answers - Dry, cracked skin
A nurse is preparing to assess a newborn who is postmature. Which of the following
findings should the nurse expect? (Select all that apply.) - Answers - Cracked, peeling
skin
Positive Moro reflex
A nurse on the labor and delivery unit is caring for a newborn immediately following
birth. Which of the following actions by the nurse reduces evaporative heat loss by the
newborn? - Answers - Drying the newborn's skin thoroughly
A nurse is completing a home visit to a mother who is 3 days postpartum and
breastfeeding her newborn. The mother expresses concern about the amount of weight
the newborn has lost since birth. Which of the following is a response the nurse should
make? - Answers - "The cause might be too short or infrequent feedings."
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of
the following instructions should the nurse include? - Answers - Give a sponge bath until
the cord stump falls off.
A nurse is assisting with the care of a newborn immediately following birth. Which of the
following medications should the nurse anticipate administering? (Select all that apply.)
- Answers - Vitamin K injection
Hepatitis B immunization
Antibiotic ointment
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates
is within the expected reference range for a newborn? - Answers - 48/min
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is
available in 1 mg/0.5 mL. How much should the nurse administer? - Answers - 0.5
, A nurse is assisting a client with breastfeeding. The nurse explains that which of the
following reflexes will promote the newborn latch? - Answers - Rooting
A nurse is caring for a new mother who is concerned that her newborn's eyes cross.
Which of the following statements is a therapeutic response by the nurse? - Answers -
"This occurs because newborns lack muscle control to regulate eye movement."
A nurse is caring for a preterm newborn who is an incubator to maintain a neutral
thermal environment. The father of the newborn asks the nurse why this is necessary.
Which of the following responses should the nurse make? - Answers - "Preterm
newborns lack adequate temperature control mechanisms."
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the
nurse include in the plan of care to prevent jaundice? - Answers - Initiate early feeding.
A nurse is completing a newborn gestation age assessment. Which of the following
findings should be recorded as part of this assessment on the newborn? - Answers -
Plantar creases over 2/3 of sole
A nurse is caring for a client who just delivered a newborn. Following the delivery, which
nursing action should be done first to care for the newborn? - Answers - Clear the
respiratory tract.
A nurse is observing a new mother bathing her newborn son for the first time. For which
of the following actions should the nurse intervene? - Answers - The mother plans to
use a cotton-tipped swab to clean the nares.
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes
mellitus. The nurse should recognize which of the following newborn complications as
the priority focus of care? - Answers - hypoglycemia
A nurse is completing discharge instructions for a new mother and her 2-day-old
newborn. The mother asks, "How will I know if my baby gets enough breast milk?"
Which of the following responses should the nurse make? - Answers - "Your baby
should we 6 to 8 diapers per day."
A nurse is teaching the parent of a newborn about car seat use. Which of the following
information should the nurse include? - Answers - "Position the newborn at a 45-degree
angle in the car seat."
A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the
following statements by the parent indicates understanding of the teaching? - Answers -
"I should wait to give fruit juice until my baby is 6 months of age."
A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if
she can take the newborn to the mother's room. Which of the following is an appropriate
