RNC - LOW RISK NEONATAL NURSING
EXAM WITH COMPLETE SOLUTIONS
Normal jskin jassessment j- jcorrect janswers j-Acrocyanosis jwith jdecreased jperipheral
jpulses, jfacial jbruising jand/or jpetechiae
Normal jhead jassessment j- jcorrect janswers j-Large jin jrelation jto jbody jsize, jcranial
jmolding, jcaput jsuccedaneum
Normal jnewborn jlung jassessment j- jcorrect janswers j-RR j40-60/min, jcoarse jrales,
jprolonged jexpiration jphase
Normal jnewborn jheart jassessment j- jcorrect janswers j-HR j120-160, jmay jpeak jup jto
j180 jbpm jwhen jstimulated, jloud jS2, jsplit jS2, jsoft jsystolic jmurmur j(L j—> jR jshunt
jfrom jPDA)
,Normal jnewborn jGI jtract jassessment j- jcorrect janswers j-Bowel jsounds jwill jlikely
jappear jwithin j15 jminutes jof jbirth, jmeconium jpassage jwithin j24 jhrs jof jbirth
Normal jnewborn jkidneys j- jcorrect janswers j-Urine jpassage jwithin j24 jhrs jof jbirth
Normal jnewborn jlimb jassessment j- jcorrect janswers j-Positional joddities jfrom
jintrauterine jpositioning j(e.g., jlegs jup jin jfrank jbreech jposition)
Newborn jS/S jof jHypoglycemia j- jcorrect janswers j-Apnea, jPallor, jJittery, jIrritability,
jWeak jhigh-pitched jcry, jHypothermia, jLabile jtemps, jLethargy, jPoor jfeeding, jVomiting,
jCyanosis, jSeizures
Causes jof jHypoglycemia j- jcorrect janswers j-(Other jthan jdelayed jfeeding): jIUGR jor
jprematurity, jInborn jerrors jof jmetabolism jor jglycogen jstorage jdisease, jHypothermia
jor jpolycythemia, jAdrenal jhemorrhage, jCHF, jHyperinsulinism
HELLP jSyndrome j- jcorrect janswers j-May jbe jassociated jwith jPIH; jsymptoms:
jhemolysis, jelevated jliver jenzymes, jlow jplatelet jcount; jthe jclient jis jat jrisk jfor
jhemorrhage, jpulmonary jedema, jand jhepatic jrupture
Gestational jHypertension j- jcorrect janswers j-Transient jelevation jof jblood jpressure
joccurring jfor jthe jfirst jtime jafter jmid-pregnancy jwithout jproteinuria jor jother jsigns jof
jpreeclampsia j(postpartum jperiod: jends jby j12 jweeks: jGest jHTN. jbeyond j12 jweeks:
jChronic jHTN).
GBS j(group jB jstrep) j- jcorrect janswers j-Group jB jstreptococcus j(GBS) jis ja jtype jof
jbacterial jinfection jthat jcan jbe jfound jin ja jpregnant jwoman's jvagina jor jrectum. jThis
jbacteria jis jnormally jfound jin jthe jvagina jand/or jrectum jof jabout j25% jof jall jhealthy,
jadult jwomen. jWomen jwho jtest jpositive jfor jGBS jare jsaid jto jbe jcolonized
The j30-week-gestation jfetus jof ja jprimagravid jmother jhas jbeen jdiagnosed jin jutero
jwith jan jomphalocele. jWhich jof jthe jfollowing jprocedures jshould jthe jnurse janticipate?
j- jcorrect janswers j-Karyotyping jvia jamniocentesis; jOmphalocele jand jgastroschisis
jare jboth jcommonly jassociated jwith jaccompanying jdefects jor jchromosomal
jabnormalities. jAn jamniocentesis jwill jlikely jbe jperformed jand jkaryotyping jdone jto
jidentify jany jchromosomal jabnormalities.
A j38-week-gestation jnewborn jis jvigorous jat jbirth. jThe jinfant jis jdried, jwrapped jin
jwarm jblankets jand jplaced jon jthe jmother's jchest. jAt j6 jminutes jof jlife, jthe jinfant jstill
jappears jcyanotic. jAccording jto jrecommended jpractice jguidelines, jwhich jof jthe
jfollowing jshould jthe jnurse jperform jFIRST? j- jcorrect janswers j-Check jthe jinfant's
jpulse joximeter jreading
Feedback
Recommended jpractice jguidelines jfor jneonatal jresuscitation jutilize jpulse joximeter
jreadings jto jdetermine jif jan jinfant jis jwithin jacceptable jsaturation jrange jfor jminutes jof
jlife. jUse jof j100% joxygen jis jdiscouraged.
,A j39-week-gestation jnewborn jmale jweighing j3.3 jkg j(7.3 jlbs.) jis jadmitted jto jthe
jnewborn jnursery jfollowing ja jcesarean jsection. jHow jmany jkilocalories j(kcal) jshould
jthis jinfant jconsume jto jmeet jthe javerage jdaily jrequirement? j- jcorrect janswers j-330
jkcal/day
Feedback
Term jnewborns jrequire japproximately j100 jkcal/kg/day. jPremature jinfants jrequire
japproximately j120-150 jkcal/kg/day.
A jnurse jis jdeveloping ja jteaching jplan jfor jthe jfamily jof jan jinfant jbeing jdischarged
jhome jwith ja jgastrostomy jtube j(G-tube). jWhich jof jthe jfollowing jsteps jshould jbe
jtaken jFIRST? j- jcorrect janswers j-Assess jthe jfamily's jcurrent jknowledge jbase
Feedback
Assessment jis jthe jfirst jstep jin jthe jnursing jprocess. jIn jorder jto jfacilitate jlearning, jthe
jlearner's jknowledge jand jskills jshould jbe jassessed jbefore ja jteaching jplan jis jformed.
A jclient jhas jarrived jat jthe jlabor jand jdelivery junit jin jactive jlabor. jThe jnursing
jassessment jreveals ja jhistory jof jgenital jherpes jwith jactive jlesions jin jthe jgenital jtract
jat jpresent. jThe jnurse jplans jto: j- jcorrect janswers j-Prepare jthe jclient jfor ja jcesarean
jdelivery
Feedback
A jcesarean jdelivery jcan jreduce jthe jrisk jof jneonatal jinfection jwith ja jmother jin jlabor
jwho jhas jherpetic jgenital jtract jlesions. jStandard jprecautions jshould jbe jmaintained.
A j3-day-old, jformer j35-week-gestation jfemale jinfant jborn jto ja jmother jwith ja jhistory
jof jmethadone juse jis jbeginning jto jshow jsigns jof jneonatal jabstinence jsyndrome
j(NAS). jNursing jsupport jmeasures jfor jthis jinfant jshould jinclude jall jof jthe jfollowing
jEXCEPT: j- jcorrect janswers j-Encouraging jbottle jfeeding
Feedback
Breastfeeding jis jencouraged jfor jbonding, jand jmay jalso jhelp jalleviate jsome jof jthe
jinfant's jsymptoms jof jmethadone jwithdrawal. jBottle jfeeding jshould jonly jbe
jencouraged jif jthe jinfant jis jnot jdemonstrating jadequate jweight jgain jwith
jbreastfeeding jalone, jor jif jthe jinfant jis jshowing jother jadverse jreactions jto
jbreastfeeding. jBreastfeeding jshould jnot jbe jencouraged jwhen jthe jmother jhas ja
jhistory jof jillicit jdrug juse.
A jterm jinfant jis jdiagnosed jwith jintrauterine jgrowth jrestriction. jWhich jof jthe jfollowing
jwould jbe ja jprimary jfactor jin jdetermining jif jthis jinfant's jgrowth jrestriction jis
jsymmetrical jor jasymmetrical? j- jcorrect janswers j-Head jcircumference
Feedback
Symmetrical jgrowth jrestriction jresults jin jhead jcircumference jproportional jto jinfant
jbody jsize jand jusually jrepresents jfetal jetiology jthat jspans jall jtrimesters.
jAsymmetrical jgrowth jrestriction jis jgenerally jhead-sparing jand jinfants jwill jhave jlarger
jhead jcircumference jto jbody jsize jratios. jAsymmetrical jgrowth jrestriction jusually
jrepresents jmaternal jetiologies jthat jaffect jthird jtrimester jgrowth jand jdevelopment.
, An jobstetric jpractitioner jorders jan jindirect jCoombs jtest jto jdetermine jthe jpossibility jof
jmaternal-fetal jblood jinteraction. jThe jnurse jshould: j- jcorrect janswers j-Draw jthe
jmother's jblood
Feedback
An jindirect jCoombs jtest jperformed jfor jobstetric jpurposes jevaluates ja jmother's jblood
j(usually jRh jnegative) jfor jfree-flowing jantibodies jagainst jforeign jred jblood jcells
j(usually jthose jwith jpositive jRh jfactor). jA jdirect jCoombs jtest jis jperformed jon jthe
jinfant's jblood.
A jnurse jis jperforming jan jassessment jon ja j43-week-gestation jmale jinfant. jWhich
jphysical jcharacteristic jshould jthe jnurse jexpect jto jobserve? j- jcorrect janswers j-
Desquamation
Feedback
The jpost-term jinfant j(born jafter jthe j42nd jweek jof jgestation) jexhibits jdry, jpeeling,
jcracked, jalmost jleather-like jskin jover jthe jbody, jwhich jis jcalled jdesquamation.
A j39-week jgestation jnewborn, jweighing j4.8 jkg j(10.6 jlbs.) jwith jApgar jscores jof j8 jat j1
jminute jand j9 jat j5 jminutes jfollowing jcesarean jdelivery, jis jexhibiting jtremors jof jthe
jhands jand jfeet jand jan jincreased jrespiratory jrate. jThis jinfant jis jlikely jdemonstrating:
j- jcorrect janswers j-Symptoms jof jhypoglycemia
Feedback
Large jinfants jrequire jhigher jcaloric jintake jto jmaintain jtheir jglycogen jstores.
jSymptoms jof jhypoglycemia jcan jinclude jlimb jtremors jand jtachypnea.
Based jon jmaternal jhistory jand jcurrent jpresentation, ja j6-day-old jterm jinfant jis
jsuspected jof jhaving jherpes jsimplex jmeningitis. jWhich jof jthe jfollowing jsets jof
jfindings jis jlikely jto jappear jin jthis jpatient's jcerebrospinal jfluid j(CSF)? j- jcorrect
janswers j-Elevated jRBCs, jnormal jglucose, jelevated jprotein
Feedback
Anticipated jCSF jfindings jfor jacute jviral jencephalitis jinclude jelevated jWBCs jand
jRBCs, jelevated jprotein, jand jnormal jor jdecreased jglucose jlevels. jViral jcultures jare
jrarely jpositive jand jshould jnot jbe jrelied jupon jfor jdiagnosis.
Which jof jthe jfollowing jneonatal jfactors jis jcorrelated jwith ja jhigher jrisk jof jdisorganized
jinfant jbehavioral jstates, jdevelopmental jdelays, jand jdifficulties jin jmother-infant
jrelationships? j- jcorrect janswers j-Lower-than-normal jweight jfor jgestational jage
Feedback
Small-for-gestational-age j(SGA) jinfants jare jat jhigher jrisk jfor jbehavioral,
jdevelopmental, jand jrelationship jdelays jthan jinfants jat jnormal jweights jfor jtheir
jgestational jage. jExtremely jlow jbirth jweight j(ELBW) jinfants jare jat jeven jhigher jrisk.
An jinfant jis jbeing jplaced jprone jon ja jradiant jwarmer. jThe jmost jappropriate jlocation
jon jthe jinfant jfor jthe jservocontrol jthermistor jis jon jthe: j- jcorrect janswers j-Left jor jright
jflank jarea
Feedback
EXAM WITH COMPLETE SOLUTIONS
Normal jskin jassessment j- jcorrect janswers j-Acrocyanosis jwith jdecreased jperipheral
jpulses, jfacial jbruising jand/or jpetechiae
Normal jhead jassessment j- jcorrect janswers j-Large jin jrelation jto jbody jsize, jcranial
jmolding, jcaput jsuccedaneum
Normal jnewborn jlung jassessment j- jcorrect janswers j-RR j40-60/min, jcoarse jrales,
jprolonged jexpiration jphase
Normal jnewborn jheart jassessment j- jcorrect janswers j-HR j120-160, jmay jpeak jup jto
j180 jbpm jwhen jstimulated, jloud jS2, jsplit jS2, jsoft jsystolic jmurmur j(L j—> jR jshunt
jfrom jPDA)
,Normal jnewborn jGI jtract jassessment j- jcorrect janswers j-Bowel jsounds jwill jlikely
jappear jwithin j15 jminutes jof jbirth, jmeconium jpassage jwithin j24 jhrs jof jbirth
Normal jnewborn jkidneys j- jcorrect janswers j-Urine jpassage jwithin j24 jhrs jof jbirth
Normal jnewborn jlimb jassessment j- jcorrect janswers j-Positional joddities jfrom
jintrauterine jpositioning j(e.g., jlegs jup jin jfrank jbreech jposition)
Newborn jS/S jof jHypoglycemia j- jcorrect janswers j-Apnea, jPallor, jJittery, jIrritability,
jWeak jhigh-pitched jcry, jHypothermia, jLabile jtemps, jLethargy, jPoor jfeeding, jVomiting,
jCyanosis, jSeizures
Causes jof jHypoglycemia j- jcorrect janswers j-(Other jthan jdelayed jfeeding): jIUGR jor
jprematurity, jInborn jerrors jof jmetabolism jor jglycogen jstorage jdisease, jHypothermia
jor jpolycythemia, jAdrenal jhemorrhage, jCHF, jHyperinsulinism
HELLP jSyndrome j- jcorrect janswers j-May jbe jassociated jwith jPIH; jsymptoms:
jhemolysis, jelevated jliver jenzymes, jlow jplatelet jcount; jthe jclient jis jat jrisk jfor
jhemorrhage, jpulmonary jedema, jand jhepatic jrupture
Gestational jHypertension j- jcorrect janswers j-Transient jelevation jof jblood jpressure
joccurring jfor jthe jfirst jtime jafter jmid-pregnancy jwithout jproteinuria jor jother jsigns jof
jpreeclampsia j(postpartum jperiod: jends jby j12 jweeks: jGest jHTN. jbeyond j12 jweeks:
jChronic jHTN).
GBS j(group jB jstrep) j- jcorrect janswers j-Group jB jstreptococcus j(GBS) jis ja jtype jof
jbacterial jinfection jthat jcan jbe jfound jin ja jpregnant jwoman's jvagina jor jrectum. jThis
jbacteria jis jnormally jfound jin jthe jvagina jand/or jrectum jof jabout j25% jof jall jhealthy,
jadult jwomen. jWomen jwho jtest jpositive jfor jGBS jare jsaid jto jbe jcolonized
The j30-week-gestation jfetus jof ja jprimagravid jmother jhas jbeen jdiagnosed jin jutero
jwith jan jomphalocele. jWhich jof jthe jfollowing jprocedures jshould jthe jnurse janticipate?
j- jcorrect janswers j-Karyotyping jvia jamniocentesis; jOmphalocele jand jgastroschisis
jare jboth jcommonly jassociated jwith jaccompanying jdefects jor jchromosomal
jabnormalities. jAn jamniocentesis jwill jlikely jbe jperformed jand jkaryotyping jdone jto
jidentify jany jchromosomal jabnormalities.
A j38-week-gestation jnewborn jis jvigorous jat jbirth. jThe jinfant jis jdried, jwrapped jin
jwarm jblankets jand jplaced jon jthe jmother's jchest. jAt j6 jminutes jof jlife, jthe jinfant jstill
jappears jcyanotic. jAccording jto jrecommended jpractice jguidelines, jwhich jof jthe
jfollowing jshould jthe jnurse jperform jFIRST? j- jcorrect janswers j-Check jthe jinfant's
jpulse joximeter jreading
Feedback
Recommended jpractice jguidelines jfor jneonatal jresuscitation jutilize jpulse joximeter
jreadings jto jdetermine jif jan jinfant jis jwithin jacceptable jsaturation jrange jfor jminutes jof
jlife. jUse jof j100% joxygen jis jdiscouraged.
,A j39-week-gestation jnewborn jmale jweighing j3.3 jkg j(7.3 jlbs.) jis jadmitted jto jthe
jnewborn jnursery jfollowing ja jcesarean jsection. jHow jmany jkilocalories j(kcal) jshould
jthis jinfant jconsume jto jmeet jthe javerage jdaily jrequirement? j- jcorrect janswers j-330
jkcal/day
Feedback
Term jnewborns jrequire japproximately j100 jkcal/kg/day. jPremature jinfants jrequire
japproximately j120-150 jkcal/kg/day.
A jnurse jis jdeveloping ja jteaching jplan jfor jthe jfamily jof jan jinfant jbeing jdischarged
jhome jwith ja jgastrostomy jtube j(G-tube). jWhich jof jthe jfollowing jsteps jshould jbe
jtaken jFIRST? j- jcorrect janswers j-Assess jthe jfamily's jcurrent jknowledge jbase
Feedback
Assessment jis jthe jfirst jstep jin jthe jnursing jprocess. jIn jorder jto jfacilitate jlearning, jthe
jlearner's jknowledge jand jskills jshould jbe jassessed jbefore ja jteaching jplan jis jformed.
A jclient jhas jarrived jat jthe jlabor jand jdelivery junit jin jactive jlabor. jThe jnursing
jassessment jreveals ja jhistory jof jgenital jherpes jwith jactive jlesions jin jthe jgenital jtract
jat jpresent. jThe jnurse jplans jto: j- jcorrect janswers j-Prepare jthe jclient jfor ja jcesarean
jdelivery
Feedback
A jcesarean jdelivery jcan jreduce jthe jrisk jof jneonatal jinfection jwith ja jmother jin jlabor
jwho jhas jherpetic jgenital jtract jlesions. jStandard jprecautions jshould jbe jmaintained.
A j3-day-old, jformer j35-week-gestation jfemale jinfant jborn jto ja jmother jwith ja jhistory
jof jmethadone juse jis jbeginning jto jshow jsigns jof jneonatal jabstinence jsyndrome
j(NAS). jNursing jsupport jmeasures jfor jthis jinfant jshould jinclude jall jof jthe jfollowing
jEXCEPT: j- jcorrect janswers j-Encouraging jbottle jfeeding
Feedback
Breastfeeding jis jencouraged jfor jbonding, jand jmay jalso jhelp jalleviate jsome jof jthe
jinfant's jsymptoms jof jmethadone jwithdrawal. jBottle jfeeding jshould jonly jbe
jencouraged jif jthe jinfant jis jnot jdemonstrating jadequate jweight jgain jwith
jbreastfeeding jalone, jor jif jthe jinfant jis jshowing jother jadverse jreactions jto
jbreastfeeding. jBreastfeeding jshould jnot jbe jencouraged jwhen jthe jmother jhas ja
jhistory jof jillicit jdrug juse.
A jterm jinfant jis jdiagnosed jwith jintrauterine jgrowth jrestriction. jWhich jof jthe jfollowing
jwould jbe ja jprimary jfactor jin jdetermining jif jthis jinfant's jgrowth jrestriction jis
jsymmetrical jor jasymmetrical? j- jcorrect janswers j-Head jcircumference
Feedback
Symmetrical jgrowth jrestriction jresults jin jhead jcircumference jproportional jto jinfant
jbody jsize jand jusually jrepresents jfetal jetiology jthat jspans jall jtrimesters.
jAsymmetrical jgrowth jrestriction jis jgenerally jhead-sparing jand jinfants jwill jhave jlarger
jhead jcircumference jto jbody jsize jratios. jAsymmetrical jgrowth jrestriction jusually
jrepresents jmaternal jetiologies jthat jaffect jthird jtrimester jgrowth jand jdevelopment.
, An jobstetric jpractitioner jorders jan jindirect jCoombs jtest jto jdetermine jthe jpossibility jof
jmaternal-fetal jblood jinteraction. jThe jnurse jshould: j- jcorrect janswers j-Draw jthe
jmother's jblood
Feedback
An jindirect jCoombs jtest jperformed jfor jobstetric jpurposes jevaluates ja jmother's jblood
j(usually jRh jnegative) jfor jfree-flowing jantibodies jagainst jforeign jred jblood jcells
j(usually jthose jwith jpositive jRh jfactor). jA jdirect jCoombs jtest jis jperformed jon jthe
jinfant's jblood.
A jnurse jis jperforming jan jassessment jon ja j43-week-gestation jmale jinfant. jWhich
jphysical jcharacteristic jshould jthe jnurse jexpect jto jobserve? j- jcorrect janswers j-
Desquamation
Feedback
The jpost-term jinfant j(born jafter jthe j42nd jweek jof jgestation) jexhibits jdry, jpeeling,
jcracked, jalmost jleather-like jskin jover jthe jbody, jwhich jis jcalled jdesquamation.
A j39-week jgestation jnewborn, jweighing j4.8 jkg j(10.6 jlbs.) jwith jApgar jscores jof j8 jat j1
jminute jand j9 jat j5 jminutes jfollowing jcesarean jdelivery, jis jexhibiting jtremors jof jthe
jhands jand jfeet jand jan jincreased jrespiratory jrate. jThis jinfant jis jlikely jdemonstrating:
j- jcorrect janswers j-Symptoms jof jhypoglycemia
Feedback
Large jinfants jrequire jhigher jcaloric jintake jto jmaintain jtheir jglycogen jstores.
jSymptoms jof jhypoglycemia jcan jinclude jlimb jtremors jand jtachypnea.
Based jon jmaternal jhistory jand jcurrent jpresentation, ja j6-day-old jterm jinfant jis
jsuspected jof jhaving jherpes jsimplex jmeningitis. jWhich jof jthe jfollowing jsets jof
jfindings jis jlikely jto jappear jin jthis jpatient's jcerebrospinal jfluid j(CSF)? j- jcorrect
janswers j-Elevated jRBCs, jnormal jglucose, jelevated jprotein
Feedback
Anticipated jCSF jfindings jfor jacute jviral jencephalitis jinclude jelevated jWBCs jand
jRBCs, jelevated jprotein, jand jnormal jor jdecreased jglucose jlevels. jViral jcultures jare
jrarely jpositive jand jshould jnot jbe jrelied jupon jfor jdiagnosis.
Which jof jthe jfollowing jneonatal jfactors jis jcorrelated jwith ja jhigher jrisk jof jdisorganized
jinfant jbehavioral jstates, jdevelopmental jdelays, jand jdifficulties jin jmother-infant
jrelationships? j- jcorrect janswers j-Lower-than-normal jweight jfor jgestational jage
Feedback
Small-for-gestational-age j(SGA) jinfants jare jat jhigher jrisk jfor jbehavioral,
jdevelopmental, jand jrelationship jdelays jthan jinfants jat jnormal jweights jfor jtheir
jgestational jage. jExtremely jlow jbirth jweight j(ELBW) jinfants jare jat jeven jhigher jrisk.
An jinfant jis jbeing jplaced jprone jon ja jradiant jwarmer. jThe jmost jappropriate jlocation
jon jthe jinfant jfor jthe jservocontrol jthermistor jis jon jthe: j- jcorrect janswers j-Left jor jright
jflank jarea
Feedback
