C
EXAM GUIDE WITH VERIFIED QUESTIONS AND ANSWERS LATEST
EDITION 2025/2026
Terms in this set (31)
1. A newborn with Answer: A
severe meconium Rationale: If conventional measures are ineffective, then the
aspiration syndrome nurse would need to prepare the
(MAS) is not newborn for ECMO. Hyperoxygenation, ventilatory support, and
responding to direct tracheal suctioning are
conventional treatment. Which typically used initially to promote tissue perfusion. However, if
measure would the nurse these are ineffective, ECMO
anticipate as possibly would be the next step.
necessary for this
newborn?
A. extracorporeal membrane
oxygenation (ECMO)
B. respiratory support with a
ventilator
C. insertion of a laryngoscope
for deep suctioning
D. replacement of an endotracheal
tube via X-ray
2. A nurse is providing care Answer: C
to a newborn. The nurse Rationale: Manifestations of sepsis are typically nonspecific and
suspects that the newborn is may include hypothermia
developing (temperature instability), oliguria or anuria, lack of interest in feeding, and
lethargy.
sepsis based on which assessment
finding?
A. increased urinary output
B. interest in feeding
C. temperature instability
D. wakefulness
,3. A nurse is providing care to a Answer: B
newborn who is receiving Rationale: During phototherapy, the newborn's eyes are covered
phototherapy. Which action to protect them from the lights.
would The newborn is turned every 2 hours to expose all areas of the
the nurse most likely include in the body to the lights and is kept
plan of care? undressed, except for the diaper area, to provide maximum body
A. keeping the newborn in the exposure to the lights. Fluid
supine position intake is increased to allow for added fluid, protein, and calories.
B. covering the newborn's eyes
while under the bililights
C. ensuring that the newborn is
covered or clothed
D. reducing the amount of fluid
intake to 8 ounces daily
4. A newborn has been Answer: D
diagnosed with a group B Rationale: Most often, a newborn develops a group B streptococcus
streptococcal infection shortly infection during the birthing
after birth. The process when the newborn comes into contact with an infected birth canal.
Improper hand
nurse understands that the
washing, contaminated formula, and nonsterile catheter insertion
newborn most likely acquired
would most likely lead to a
this infection from which
late-onset infection, which typically occurs in the nursery due to
cause?
A. improper hand washing
horizontal transmission.
B. contaminated formula
C. nonsterile catheter insertion
D. mother's birth canal
5. Which action would be most Answer: A
appropriate for the nurse to take Rationale: When an anomaly is identified at or after birth,
when a newborn has an parents need to be informed promptly
unexpected anomaly at birth? and given a realistic appraisal of the severity of the condition,
A. Show the newborn to the
the prognosis, and treatment
parents as soon as possible options so that they can participate in all decisions concerning their
while explaining the defect. child. Removing the
B. Remove the newborn from the newborn from the area or telling them that the newborn needs to
birthing area immediately. go to the nursery immediately is
C. Inform the parents that there is inappropriate and would only add to the parents' anxieties and
nothing wrong at the moment. fears. Telling them that nothing is
D.Tell the parents that the newborn
wrong is inappropriate because it violates their right to know.
, must
go to the nursery immediately.
6. The nurse prepares to Answer: B
administer a gavage feeding Rationale: For the newborn with transient tachypnea, the newborn's
for a newborn with respiratory rate is high,
transient tachypnea increasing the oxygen demand. Thus, measures are initiated to reduce this
demand.
based on the understanding that
Gavage
this type of feeding is
feedings are one way to do so. With transient tachypnea, enzyme
necessary because:
activity and kidney function are
A. lactase enzymatic activity
not affected. This condition typically resolves within 72
is not adequate.
hours. The risk for hyperbilirubinemia is
B. oxygen demands need to be
reduced. not increased.
C. renal solute lead must be
considered.
D. hyperbilirubinemia is likely to
develop.
EXAM GUIDE WITH VERIFIED QUESTIONS AND ANSWERS LATEST
EDITION 2025/2026
Terms in this set (31)
1. A newborn with Answer: A
severe meconium Rationale: If conventional measures are ineffective, then the
aspiration syndrome nurse would need to prepare the
(MAS) is not newborn for ECMO. Hyperoxygenation, ventilatory support, and
responding to direct tracheal suctioning are
conventional treatment. Which typically used initially to promote tissue perfusion. However, if
measure would the nurse these are ineffective, ECMO
anticipate as possibly would be the next step.
necessary for this
newborn?
A. extracorporeal membrane
oxygenation (ECMO)
B. respiratory support with a
ventilator
C. insertion of a laryngoscope
for deep suctioning
D. replacement of an endotracheal
tube via X-ray
2. A nurse is providing care Answer: C
to a newborn. The nurse Rationale: Manifestations of sepsis are typically nonspecific and
suspects that the newborn is may include hypothermia
developing (temperature instability), oliguria or anuria, lack of interest in feeding, and
lethargy.
sepsis based on which assessment
finding?
A. increased urinary output
B. interest in feeding
C. temperature instability
D. wakefulness
,3. A nurse is providing care to a Answer: B
newborn who is receiving Rationale: During phototherapy, the newborn's eyes are covered
phototherapy. Which action to protect them from the lights.
would The newborn is turned every 2 hours to expose all areas of the
the nurse most likely include in the body to the lights and is kept
plan of care? undressed, except for the diaper area, to provide maximum body
A. keeping the newborn in the exposure to the lights. Fluid
supine position intake is increased to allow for added fluid, protein, and calories.
B. covering the newborn's eyes
while under the bililights
C. ensuring that the newborn is
covered or clothed
D. reducing the amount of fluid
intake to 8 ounces daily
4. A newborn has been Answer: D
diagnosed with a group B Rationale: Most often, a newborn develops a group B streptococcus
streptococcal infection shortly infection during the birthing
after birth. The process when the newborn comes into contact with an infected birth canal.
Improper hand
nurse understands that the
washing, contaminated formula, and nonsterile catheter insertion
newborn most likely acquired
would most likely lead to a
this infection from which
late-onset infection, which typically occurs in the nursery due to
cause?
A. improper hand washing
horizontal transmission.
B. contaminated formula
C. nonsterile catheter insertion
D. mother's birth canal
5. Which action would be most Answer: A
appropriate for the nurse to take Rationale: When an anomaly is identified at or after birth,
when a newborn has an parents need to be informed promptly
unexpected anomaly at birth? and given a realistic appraisal of the severity of the condition,
A. Show the newborn to the
the prognosis, and treatment
parents as soon as possible options so that they can participate in all decisions concerning their
while explaining the defect. child. Removing the
B. Remove the newborn from the newborn from the area or telling them that the newborn needs to
birthing area immediately. go to the nursery immediately is
C. Inform the parents that there is inappropriate and would only add to the parents' anxieties and
nothing wrong at the moment. fears. Telling them that nothing is
D.Tell the parents that the newborn
wrong is inappropriate because it violates their right to know.
, must
go to the nursery immediately.
6. The nurse prepares to Answer: B
administer a gavage feeding Rationale: For the newborn with transient tachypnea, the newborn's
for a newborn with respiratory rate is high,
transient tachypnea increasing the oxygen demand. Thus, measures are initiated to reduce this
demand.
based on the understanding that
Gavage
this type of feeding is
feedings are one way to do so. With transient tachypnea, enzyme
necessary because:
activity and kidney function are
A. lactase enzymatic activity
not affected. This condition typically resolves within 72
is not adequate.
hours. The risk for hyperbilirubinemia is
B. oxygen demands need to be
reduced. not increased.
C. renal solute lead must be
considered.
D. hyperbilirubinemia is likely to
develop.
