NCLEX 3000-Maternal-The Neonate Test Questions with Verified Answers
1. (SELECT ALL THAT APPLY) The nurse must admin- (1) Clean the
ister erythromycin ophthalmic ointment 0.5% to a eyes before ad-
neonate born 30 minutes ago. How should the nurse ministration (2) Put
proceed? on gloves.(4) Open
the eyes by putting
a thumb and fin-
ger at the corner of
each lid and gently
pressing on the pe-
riorbital ridges. (5)
Spread the oint-
ment from the inner
canthus of the eye
to the outer can-
thus. (6) Wipe ex-
cess ointment from
the eyes after wait-
ing 1 minute.
2. A new mother is concerned because her breast-feed- "Breast milk is ideal
ing neonate wants to "nurse all the time." Which of for your baby, so his
the following responses is most appropriate to ad- stomach will digest
dress the mother's concerns regarding her neonate's it quickly, which re-
breast-feeding behavior? quires more feed-
ings."
3. A postpartum client plans to breast-feed her first exhibits a steady
child, a full-term neonate. She asks the nurse, "How weight gain.
will I know if my baby is getting enough to eat?" The
nurse informs her that nutritional intake is adequate
if the neonate:
4. The neonate of a client with type 1 diabetes mellitus lethargy
is at high risk for hypoglycemia. An initial sign the
nurse should recognize as indicating hypoglycemia
in a neonate is:
5. An appropriate-for-gestational-age neonate should
weigh:
, between the 10th
and the 99th per-
centiles for age.
6. A client plans to breast-feed her healthy, full-term the neonate will be
neonate. The nurse encourages her to start responsive and ea-
breast-feeding within 30 minutes of the neonate's ger to suck at this
birth because: time.
7. Which of the following describes how the nurse inter- A neonate who's in
prets a neonate's Apgar score of 8 at 5 minutes? good condition
8. It's difficult to awaken a neonate 3 hours after birth. normal progression
The nurse recognizes that this behavior indicates: into the sleep cycle.
9. Which finding in a neonate suggests hypothermia? Bradycardia
10. A client is concerned that her 2-day-old, breast-feed- the neonate latch-
ing neonate isn't gaining weight. The nurse should es onto the areola
teach the client that breast-feeding is effective if: and swallows audi-
bly.
11. At birth, a neonate weighs 7 lb, 3 oz. When assessing Risk for injury re-
the neonate 1 day later, the nurse obtains a weight lated to hyperbiliru-
of 7 lb and an axillary temperature of 98° F (36.7° binemia
C) and notes that the sclerae are slightly yellow. The
neonate has been breast-feeding once every 2 to 3
hours. Based on these findings, the nurse should
expect which nursing diagnosis to be added to the
plan of care?
12. Which of the following measurements reflects normal 110 to 130 calories
calorie intake for a neonate? per kg
13. The nurse is assessing a neonate. Health history Upturned nose
findings indicate that the mother drank 3 oz (89 ml)
or more of alcohol per day throughout pregnancy.
Which characteristic should the nurse expect to find
in the neonate?
1. (SELECT ALL THAT APPLY) The nurse must admin- (1) Clean the
ister erythromycin ophthalmic ointment 0.5% to a eyes before ad-
neonate born 30 minutes ago. How should the nurse ministration (2) Put
proceed? on gloves.(4) Open
the eyes by putting
a thumb and fin-
ger at the corner of
each lid and gently
pressing on the pe-
riorbital ridges. (5)
Spread the oint-
ment from the inner
canthus of the eye
to the outer can-
thus. (6) Wipe ex-
cess ointment from
the eyes after wait-
ing 1 minute.
2. A new mother is concerned because her breast-feed- "Breast milk is ideal
ing neonate wants to "nurse all the time." Which of for your baby, so his
the following responses is most appropriate to ad- stomach will digest
dress the mother's concerns regarding her neonate's it quickly, which re-
breast-feeding behavior? quires more feed-
ings."
3. A postpartum client plans to breast-feed her first exhibits a steady
child, a full-term neonate. She asks the nurse, "How weight gain.
will I know if my baby is getting enough to eat?" The
nurse informs her that nutritional intake is adequate
if the neonate:
4. The neonate of a client with type 1 diabetes mellitus lethargy
is at high risk for hypoglycemia. An initial sign the
nurse should recognize as indicating hypoglycemia
in a neonate is:
5. An appropriate-for-gestational-age neonate should
weigh:
, between the 10th
and the 99th per-
centiles for age.
6. A client plans to breast-feed her healthy, full-term the neonate will be
neonate. The nurse encourages her to start responsive and ea-
breast-feeding within 30 minutes of the neonate's ger to suck at this
birth because: time.
7. Which of the following describes how the nurse inter- A neonate who's in
prets a neonate's Apgar score of 8 at 5 minutes? good condition
8. It's difficult to awaken a neonate 3 hours after birth. normal progression
The nurse recognizes that this behavior indicates: into the sleep cycle.
9. Which finding in a neonate suggests hypothermia? Bradycardia
10. A client is concerned that her 2-day-old, breast-feed- the neonate latch-
ing neonate isn't gaining weight. The nurse should es onto the areola
teach the client that breast-feeding is effective if: and swallows audi-
bly.
11. At birth, a neonate weighs 7 lb, 3 oz. When assessing Risk for injury re-
the neonate 1 day later, the nurse obtains a weight lated to hyperbiliru-
of 7 lb and an axillary temperature of 98° F (36.7° binemia
C) and notes that the sclerae are slightly yellow. The
neonate has been breast-feeding once every 2 to 3
hours. Based on these findings, the nurse should
expect which nursing diagnosis to be added to the
plan of care?
12. Which of the following measurements reflects normal 110 to 130 calories
calorie intake for a neonate? per kg
13. The nurse is assessing a neonate. Health history Upturned nose
findings indicate that the mother drank 3 oz (89 ml)
or more of alcohol per day throughout pregnancy.
Which characteristic should the nurse expect to find
in the neonate?
