MN 580 EXAM 4 2026 SOLVED QUESTIONS
ANSWERS GRADED A PLUS EVIDENCE BASED
PRACTICE HANDBOOK
◉ A 5 day old infant comes in for a newborn checkup. On
assessment of the newborn, you note that the skin is jaundice in
color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this
is moms first child. She states baby is having trouble latching on. A
bilirubin level is sent and comes back at 18. You identify this
newborn to be dehydrated and is most likely to have breast milk
jaundice. Which nursing intervention(s) will be required for this
baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above.
Answer: 4. All of the above
◉ Apgar scores measure heart rate, respiratory rate, reflex
irritability, color and :
1. Rigidity
,2. Muscle tone
3. Birth weight
4. Capillary refill.
Answer: 2. Muscle tone
◉ Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels.
Answer: 2. Depletion of glucose levels
◉ A mother has just delivered her new baby a few hours ago. She
asks the nurse if she can bathe the baby because he has blood on
him. The best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets
wait till later in the day.
4. Sure, but why dont you feed the baby.
,Answer: 3. Its important that we not bathe the baby too soon after
birth. Lets wait till later in the day
◉ A 4 week old infant is brought to the ED. Mom states that the baby
hasnt been eating well and has had decreased diapers for 2 days.
The baby has been sleeping more and has been hard to wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic
and temperature is 35.4 rectally. What is an important lab value to
check? Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
4. PTT.
Answer: 3. Blood glucose
◉ A pregnant woman with a history of a clotting disorder is
required to selfadminister heparin during her pregnancy. After
delivery, the infant will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
4. High blood sugar.
, Answer: 2. Decrease Vitamin K
◉A
part of injury prevention is making and keeping infant
appointments.
The required checkups and vaccinations are at:
1. 3 months, 6 months, 9 months
2. 2 months, 4 months, 6 months and 1 year
3. 2 months, 4 months, 6 month, 9 months and 1 year
4. 2 months, 4 months, 9 months and 1 year.
Answer: 3. 2 months, 4 months, 6 month, 9 months and 1 year
◉ You are taking care of an infant who was admitted with
dehydration. His weight is 6kg. You have been watching his I & Os.
What would you expect the infants urinary output to be in order to
maintain adequate
hydration?
1. 0.52 ml/kg/hr
2. 0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matter.
ANSWERS GRADED A PLUS EVIDENCE BASED
PRACTICE HANDBOOK
◉ A 5 day old infant comes in for a newborn checkup. On
assessment of the newborn, you note that the skin is jaundice in
color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this
is moms first child. She states baby is having trouble latching on. A
bilirubin level is sent and comes back at 18. You identify this
newborn to be dehydrated and is most likely to have breast milk
jaundice. Which nursing intervention(s) will be required for this
baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above.
Answer: 4. All of the above
◉ Apgar scores measure heart rate, respiratory rate, reflex
irritability, color and :
1. Rigidity
,2. Muscle tone
3. Birth weight
4. Capillary refill.
Answer: 2. Muscle tone
◉ Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels.
Answer: 2. Depletion of glucose levels
◉ A mother has just delivered her new baby a few hours ago. She
asks the nurse if she can bathe the baby because he has blood on
him. The best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets
wait till later in the day.
4. Sure, but why dont you feed the baby.
,Answer: 3. Its important that we not bathe the baby too soon after
birth. Lets wait till later in the day
◉ A 4 week old infant is brought to the ED. Mom states that the baby
hasnt been eating well and has had decreased diapers for 2 days.
The baby has been sleeping more and has been hard to wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic
and temperature is 35.4 rectally. What is an important lab value to
check? Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
4. PTT.
Answer: 3. Blood glucose
◉ A pregnant woman with a history of a clotting disorder is
required to selfadminister heparin during her pregnancy. After
delivery, the infant will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
4. High blood sugar.
, Answer: 2. Decrease Vitamin K
◉A
part of injury prevention is making and keeping infant
appointments.
The required checkups and vaccinations are at:
1. 3 months, 6 months, 9 months
2. 2 months, 4 months, 6 months and 1 year
3. 2 months, 4 months, 6 month, 9 months and 1 year
4. 2 months, 4 months, 9 months and 1 year.
Answer: 3. 2 months, 4 months, 6 month, 9 months and 1 year
◉ You are taking care of an infant who was admitted with
dehydration. His weight is 6kg. You have been watching his I & Os.
What would you expect the infants urinary output to be in order to
maintain adequate
hydration?
1. 0.52 ml/kg/hr
2. 0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matter.
