SHEET 2026 SOLVED QUESTIONS PREMIUM
BUNDLE
◉ a nurse is taking a newborn to a mother following circumcision.
Which of the following actions should the nurse take for security
purposes?
a. ask the mother to state her full name
b. look at the name on the NB's bassinet
c. match ID bands of mother and NB
d. compare name on the bassinet and room #.
Answer: c. each time a NB is take from mom, the mother's
identification band should be verified against NB's identification
band
◉ a nurse is preparing to adm. vit. K injection to a NB. Which of the
following responses should the nurse make to the NB's mother
regarding why this medication is given.
a. it assists w/ blood clotting
b. it promotes maturation of the bowel
c. it is a preventative vaccine
d. it provides immunity.
,Answer: a. vitamin K deficient in a NB because the colon is sterile.
until bacteria re present to simulate vitamin K production, The NB is
at risk fro hemorrhagic disease
◉ a nurse is caring for a NB immediately following birth. Which of
the following interventions is highest priority?
a. initiating BF
b. performing initial bath
c. giving vitamin K
d. covering NB's head w/ cap.
Answer: D. the greatest RF for a NB is cold stress. The highest
priority intervention is to prevent heat loss. covering the NB head
w/ cap's prevents cold stress due to excessive evaporative heat loss.
◉ A NB was not dried completely. Which of the following
mechanisms should the nurse understand causes heat loss?.
Answer: c. evaporation is the loss of heat that occurs when a liquid is
converted to a vapor. IN a NB heat loss, by evaporation occurs as a
result of vaporization of the moisture from the skin.
◉ a nurse is preparing to administer prophylactic eye ointment to a
NB to prevent ophthalmia neonatorum. Which of the following
medications should the nurse anticipate administrating?
a. ofloxacin
, b. nystatin
c. erythromycin
d. ceftriaxone.
Answer: c. one medication of choice for ophthalmia neonatorum is
erythromycin ophthalmic ointment. this antibiotic provides
prophylaxis against gonorrhea and chlamydia
◉ a nurse is teaching another nurse how to bathe a NB and observes
a bluish marking across the NB's lower back. The nurse should
include which of the following information in the teaching?
a. this is frequently seen in NB who have dark skin
b. this is a finding indicating hyperbilirubinemia
c. this is a forceps mark from an operative delivery
d. this is related to prolonged birth or trauma during delivery.
Answer: a. mongolian spots are commonly found over lumbosacral
area of NB who have dark skin of african americans, asian, or native
american origin
◉ a nurse is completing an assessment. Which of the following data
indicated the NB is adapting to extra uterine life (SATA)
a. expiratory grunting
b.inspiratory nasal flaring
c. apnea for 10 seconds periods
d. obligatory nose breathing