RNC - Low Risk Neonatal Nursing exam
questions with correct answers
Normal skin assessment -CORRECT ANSWERS ✔✔Acrocyanosis with
\/| \/| \/| \/| \/| \/|
decreased peripheral pulses, facial bruising and/or petechiae
\/| \/| \/| \/| \/| \/| \/|
Normal head assessment -CORRECT ANSWERS ✔✔Large in relation to body
\/| \/| \/| \/| \/| \/| \/| \/| \/|
size, cranial molding, caput succedaneum
\/| \/| \/| \/| \/|
Normal newborn lung assessment -CORRECT ANSWERS ✔✔RR 40-60/min,
\/| \/| \/| \/| \/| \/| \/|
coarse rales, prolonged expiration phase
\/| \/| \/| \/| \/|
Normal newborn heart assessment -CORRECT ANSWERS ✔✔HR 120-160,
\/| \/| \/| \/| \/| \/| \/|
may peak up to 180 bpm when stimulated, loud S2, split S2, soft systolic
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
murmur (L —> R shunt from PDA)
\/| \/| \/| \/| \/| \/| \/|
Normal newborn GI tract assessment -CORRECT ANSWERS ✔✔Bowel sounds
\/| \/| \/| \/| \/| \/| \/| \/|
will likely appear within 15 minutes of birth, meconium passage within 24 hrs
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
of birth
\/| \/|
Normal newborn kidneys -CORRECT ANSWERS ✔✔Urine passage within 24
\/| \/| \/| \/| \/| \/| \/| \/|
hrs of birth
\/| \/| \/|
Normal newborn limb assessment -CORRECT ANSWERS ✔✔Positional
\/| \/| \/| \/| \/| \/|
oddities from intrauterine positioning (e.g., legs up in frank breech position)
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
,Newborn S/S of Hypoglycemia -CORRECT ANSWERS ✔✔Apnea, Pallor, Jittery, \/| \/| \/| \/| \/| \/| \/| \/|
Irritability, Weak high-pitched cry, Hypothermia, Labile temps, Lethargy, Poor
\/| \/| \/| \/| \/| \/| \/| \/| \/|
feeding, Vomiting, Cyanosis, Seizures
\/| \/| \/| \/|
Causes of Hypoglycemia -CORRECT ANSWERS ✔✔(Other than delayed
\/| \/| \/| \/| \/| \/| \/|
feeding): IUGR or prematurity, Inborn errors of metabolism or glycogen
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
storage disease, Hypothermia or polycythemia, Adrenal hemorrhage, CHF,
\/| \/| \/| \/| \/| \/| \/| \/|
Hyperinsulinism
\/|
HELLP Syndrome -CORRECT ANSWERS ✔✔May be associated with PIH;
\/| \/| \/| \/| \/| \/| \/| \/|
symptoms: hemolysis, elevated liver enzymes, low platelet count; the client is
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
at risk for hemorrhage, pulmonary edema, and hepatic rupture
\/| \/| \/| \/| \/| \/| \/| \/| \/|
Gestational Hypertension -CORRECT ANSWERS ✔✔Transient elevation of \/| \/| \/| \/| \/| \/|
blood pressure occurring for the first time after mid-pregnancy without
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
proteinuria or other signs of preeclampsia (postpartum period: ends by 12
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
weeks: Gest HTN. beyond 12 weeks: Chronic HTN).
\/| \/| \/| \/| \/| \/| \/| \/|
GBS (group B strep) -CORRECT ANSWERS ✔✔Group B streptococcus (GBS) is
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
a type of bacterial infection that can be found in a pregnant woman's vagina or
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
rectum. This bacteria is normally found in the vagina and/or rectum of about
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
25% of all healthy, adult women. Women who test positive for GBS are said to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
be colonized
\/| \/|
The 30-week-gestation fetus of a primagravid mother has been diagnosed in
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
utero with an omphalocele. Which of the following procedures should the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
nurse anticipate? -CORRECT ANSWERS ✔✔Karyotyping via amniocentesis;
\/| \/| \/| \/| \/| \/| \/|
, Omphalocele and gastroschisis are both commonly associated with
\/| \/| \/| \/| \/| \/| \/| \/|
accompanying defects or chromosomal abnormalities. An amniocentesis will
\/| \/| \/| \/| \/| \/| \/| \/|
likely be performed and karyotyping done to identify any chromosomal
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
abnormalities.
\/|
A 38-week-gestation newborn is vigorous at birth. The infant is dried,
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
wrapped in warm blankets and placed on the mother's chest. At 6 minutes of
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
life, the infant still appears cyanotic. According to recommended practice
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
guidelines, which of the following should the nurse perform FIRST? -
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
CORRECT ANSWERS ✔✔Check the infant's pulse oximeter reading
\/| \/| \/| \/| \/| \/| \/|
Feedback
Recommended practice guidelines for neonatal resuscitation utilize pulse \/| \/| \/| \/| \/| \/| \/|
oximeter readings to determine if an infant is within acceptable saturation
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
range for minutes of life. Use of 100% oxygen is discouraged.
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
A 39-week-gestation newborn male weighing 3.3 kg (7.3 lbs.) is admitted to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the newborn nursery following a cesarean section. How many kilocalories
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
(kcal) should this infant consume to meet the average daily requirement? -
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
CORRECT ANSWERS ✔✔330 kcal/day \/| \/| \/|
Feedback
Term newborns require approximately 100 kcal/kg/day. Premature infants
\/| \/| \/| \/| \/| \/| \/|
require approximately 120-150 kcal/kg/day.
\/| \/| \/| \/|
A nurse is developing a teaching plan for the family of an infant being
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
discharged home with a gastrostomy tube (G-tube). Which of the following
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
steps should be taken FIRST? -CORRECT ANSWERS ✔✔Assess the family's
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
current knowledge base
\/| \/| \/|
Feedback
, Assessment is the first step in the nursing process. In order to facilitate \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
learning, the learner's knowledge and skills should be assessed before a
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
teaching plan is formed.
\/| \/| \/| \/|
A client has arrived at the labor and delivery unit in active labor. The nursing
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
assessment reveals a history of genital herpes with active lesions in the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
genital tract at present. The nurse plans to: -CORRECT ANSWERS ✔✔Prepare
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the client for a cesarean delivery
\/| \/| \/| \/| \/| \/|
Feedback
A cesarean delivery can reduce the risk of neonatal infection with a mother in
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
labor who has herpetic genital tract lesions. Standard precautions should be
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
maintained.
\/|
A 3-day-old, former 35-week-gestation female infant born to a mother with a
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
history of methadone use is beginning to show signs of neonatal abstinence
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
syndrome (NAS). Nursing support measures for this infant should include all
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
of the following EXCEPT: -CORRECT ANSWERS ✔✔Encouraging bottle feeding
\/| \/| \/| \/| \/| \/| \/| \/| \/|
Feedback
Breastfeeding is encouraged for bonding, and may also help alleviate some of \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the infant's symptoms of methadone withdrawal. Bottle feeding should only
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
be encouraged if the infant is not demonstrating adequate weight gain with
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
breastfeeding alone, or if the infant is showing other adverse reactions to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
breastfeeding. Breastfeeding should not be encouraged when the mother has
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
a history of illicit drug use.
\/| \/| \/| \/| \/| \/|
A term infant is diagnosed with intrauterine growth restriction. Which of the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
following would be a primary factor in determining if this infant's growth
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
restriction is symmetrical or asymmetrical? -CORRECT ANSWERS ✔✔Head
\/| \/| \/| \/| \/| \/| \/| \/|
circumference
\/|
questions with correct answers
Normal skin assessment -CORRECT ANSWERS ✔✔Acrocyanosis with
\/| \/| \/| \/| \/| \/|
decreased peripheral pulses, facial bruising and/or petechiae
\/| \/| \/| \/| \/| \/| \/|
Normal head assessment -CORRECT ANSWERS ✔✔Large in relation to body
\/| \/| \/| \/| \/| \/| \/| \/| \/|
size, cranial molding, caput succedaneum
\/| \/| \/| \/| \/|
Normal newborn lung assessment -CORRECT ANSWERS ✔✔RR 40-60/min,
\/| \/| \/| \/| \/| \/| \/|
coarse rales, prolonged expiration phase
\/| \/| \/| \/| \/|
Normal newborn heart assessment -CORRECT ANSWERS ✔✔HR 120-160,
\/| \/| \/| \/| \/| \/| \/|
may peak up to 180 bpm when stimulated, loud S2, split S2, soft systolic
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
murmur (L —> R shunt from PDA)
\/| \/| \/| \/| \/| \/| \/|
Normal newborn GI tract assessment -CORRECT ANSWERS ✔✔Bowel sounds
\/| \/| \/| \/| \/| \/| \/| \/|
will likely appear within 15 minutes of birth, meconium passage within 24 hrs
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
of birth
\/| \/|
Normal newborn kidneys -CORRECT ANSWERS ✔✔Urine passage within 24
\/| \/| \/| \/| \/| \/| \/| \/|
hrs of birth
\/| \/| \/|
Normal newborn limb assessment -CORRECT ANSWERS ✔✔Positional
\/| \/| \/| \/| \/| \/|
oddities from intrauterine positioning (e.g., legs up in frank breech position)
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
,Newborn S/S of Hypoglycemia -CORRECT ANSWERS ✔✔Apnea, Pallor, Jittery, \/| \/| \/| \/| \/| \/| \/| \/|
Irritability, Weak high-pitched cry, Hypothermia, Labile temps, Lethargy, Poor
\/| \/| \/| \/| \/| \/| \/| \/| \/|
feeding, Vomiting, Cyanosis, Seizures
\/| \/| \/| \/|
Causes of Hypoglycemia -CORRECT ANSWERS ✔✔(Other than delayed
\/| \/| \/| \/| \/| \/| \/|
feeding): IUGR or prematurity, Inborn errors of metabolism or glycogen
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
storage disease, Hypothermia or polycythemia, Adrenal hemorrhage, CHF,
\/| \/| \/| \/| \/| \/| \/| \/|
Hyperinsulinism
\/|
HELLP Syndrome -CORRECT ANSWERS ✔✔May be associated with PIH;
\/| \/| \/| \/| \/| \/| \/| \/|
symptoms: hemolysis, elevated liver enzymes, low platelet count; the client is
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
at risk for hemorrhage, pulmonary edema, and hepatic rupture
\/| \/| \/| \/| \/| \/| \/| \/| \/|
Gestational Hypertension -CORRECT ANSWERS ✔✔Transient elevation of \/| \/| \/| \/| \/| \/|
blood pressure occurring for the first time after mid-pregnancy without
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
proteinuria or other signs of preeclampsia (postpartum period: ends by 12
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
weeks: Gest HTN. beyond 12 weeks: Chronic HTN).
\/| \/| \/| \/| \/| \/| \/| \/|
GBS (group B strep) -CORRECT ANSWERS ✔✔Group B streptococcus (GBS) is
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
a type of bacterial infection that can be found in a pregnant woman's vagina or
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
rectum. This bacteria is normally found in the vagina and/or rectum of about
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
25% of all healthy, adult women. Women who test positive for GBS are said to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
be colonized
\/| \/|
The 30-week-gestation fetus of a primagravid mother has been diagnosed in
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
utero with an omphalocele. Which of the following procedures should the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
nurse anticipate? -CORRECT ANSWERS ✔✔Karyotyping via amniocentesis;
\/| \/| \/| \/| \/| \/| \/|
, Omphalocele and gastroschisis are both commonly associated with
\/| \/| \/| \/| \/| \/| \/| \/|
accompanying defects or chromosomal abnormalities. An amniocentesis will
\/| \/| \/| \/| \/| \/| \/| \/|
likely be performed and karyotyping done to identify any chromosomal
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
abnormalities.
\/|
A 38-week-gestation newborn is vigorous at birth. The infant is dried,
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
wrapped in warm blankets and placed on the mother's chest. At 6 minutes of
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
life, the infant still appears cyanotic. According to recommended practice
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
guidelines, which of the following should the nurse perform FIRST? -
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
CORRECT ANSWERS ✔✔Check the infant's pulse oximeter reading
\/| \/| \/| \/| \/| \/| \/|
Feedback
Recommended practice guidelines for neonatal resuscitation utilize pulse \/| \/| \/| \/| \/| \/| \/|
oximeter readings to determine if an infant is within acceptable saturation
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
range for minutes of life. Use of 100% oxygen is discouraged.
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
A 39-week-gestation newborn male weighing 3.3 kg (7.3 lbs.) is admitted to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the newborn nursery following a cesarean section. How many kilocalories
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
(kcal) should this infant consume to meet the average daily requirement? -
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
CORRECT ANSWERS ✔✔330 kcal/day \/| \/| \/|
Feedback
Term newborns require approximately 100 kcal/kg/day. Premature infants
\/| \/| \/| \/| \/| \/| \/|
require approximately 120-150 kcal/kg/day.
\/| \/| \/| \/|
A nurse is developing a teaching plan for the family of an infant being
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
discharged home with a gastrostomy tube (G-tube). Which of the following
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
steps should be taken FIRST? -CORRECT ANSWERS ✔✔Assess the family's
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
current knowledge base
\/| \/| \/|
Feedback
, Assessment is the first step in the nursing process. In order to facilitate \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
learning, the learner's knowledge and skills should be assessed before a
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
teaching plan is formed.
\/| \/| \/| \/|
A client has arrived at the labor and delivery unit in active labor. The nursing
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
assessment reveals a history of genital herpes with active lesions in the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
genital tract at present. The nurse plans to: -CORRECT ANSWERS ✔✔Prepare
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the client for a cesarean delivery
\/| \/| \/| \/| \/| \/|
Feedback
A cesarean delivery can reduce the risk of neonatal infection with a mother in
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
labor who has herpetic genital tract lesions. Standard precautions should be
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
maintained.
\/|
A 3-day-old, former 35-week-gestation female infant born to a mother with a
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
history of methadone use is beginning to show signs of neonatal abstinence
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
syndrome (NAS). Nursing support measures for this infant should include all
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
of the following EXCEPT: -CORRECT ANSWERS ✔✔Encouraging bottle feeding
\/| \/| \/| \/| \/| \/| \/| \/| \/|
Feedback
Breastfeeding is encouraged for bonding, and may also help alleviate some of \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
the infant's symptoms of methadone withdrawal. Bottle feeding should only
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
be encouraged if the infant is not demonstrating adequate weight gain with
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
breastfeeding alone, or if the infant is showing other adverse reactions to
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
breastfeeding. Breastfeeding should not be encouraged when the mother has
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
a history of illicit drug use.
\/| \/| \/| \/| \/| \/|
A term infant is diagnosed with intrauterine growth restriction. Which of the
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
following would be a primary factor in determining if this infant's growth
\/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/| \/|
restriction is symmetrical or asymmetrical? -CORRECT ANSWERS ✔✔Head
\/| \/| \/| \/| \/| \/| \/| \/|
circumference
\/|
