NEWBORN NURSING CARE AND ASSESSMENT
NCLEX PRACTICE EXAM QUETIONS WITH
CORRECT DETAILED SOLUTIONS GRADED A+
A postpartum nurse is providing instructions to the mother of a newborn infant
with hyperbilirubinemia who is being breastfed. The nurse provides which most
appropriate instructions to the mother?
A. Switch to bottle-feeding the baby for 2 weeks
B. Stop breastfeeding and switch to bottle-feeding permanently
C. Feed the newborn infant less frequently
D. Continue to breastfeed every 2-4 hours --CORRECT ANSWER--D.
Continue to breastfeed every 2-4 hours
(Breastfeeding should be initiated within 2 hours after birth and every 2-4 hours
thereafter. Early feeding of newborns with hyperbilirubinemia promotes
intestinal movement and excretion of meconium which ultimately helps prevent
indirect bilirubin buildup. The other options are not necessary.)
A nurse on the newborn nursery floor is caring for a neonate. On assessment the
infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting.
Respiratory distress syndrome is diagnosed, and the physician prescribes
surfactant replacement therapy. The nurse would prepare to administer this
therapy by:
pg. 1
,A. Subcutaneous injection
B. Intravenous injection
C. Instillation of the preparation into the lungs through an endotracheal tube
D. Intramuscular injection --CORRECT ANSWER--C. Instillation of the
preparation into the lungs through an endotracheal tube
(The aim of therapy in RDS is to support the disease until the disease runs its
course with the subsequent development of surfactant. The infant may benefit
from surfactant replacement therapy. In surfactant replacement, an exogenous
surfactant preparation is instilled into the lungs through an endotracheal tube.)
A nurse prepares to administer a vitamin K injection to a newborn infant. The
mother asks the nurse why her newborn infant needs the injection. The best
response by the nurse would be:
A. "Your infant needs vitamin K to develop immunity."
B. "Vitamin K will protect your infant from having jaundice."
C. "Newborn infants are deficient in vitamin K, and this injection prevents your
infant from abnormal bleeding."
D. "Newborn infants have sterile bowels, and vitamin K promotes the growth of
bacteria in the bowel." --CORRECT ANSWER--C. "Newborn infants are
deficient in vitamin K, and this injection prevents your infant from abnormal
bleeding."
(Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin
K is administered to the newborn infant to prevent abnormal bleeding.)
pg. 2
, A nurse in a newborn nursery receives a phone call to prepare for the admission
of a 43-week-gestation newborn with Apgar scores of 1 and 4. In planning for
the admission of this infant, the nurse's highest priority should be to:
A. Connect the resuscitation bag to the oxygen outlet
B. Turn on the apnea and cardiorespiratory monitors
C. Set up the intravenous line with 5% dextrose in water
D. Set the radiant warmer control temperature at 36.5* C (97.6*F) --CORRECT
ANSWER--A. Connect the resuscitation bag to the oxygen outlet
(The highest priority on admission to the nursery for a newborn with low Apgar
scores is airway, which would involve preparing respiratory resuscitation
equipment.)
A nurse in a delivery room is assisting with the delivery of a newborn infant.
After the delivery, the nurse prepares to prevent heat loss in the newborn
resulting from evaporation by:
A. Warming the crib pad
B. Turning on the overhead radiant warmer
C. Closing the doors to the room
D. Drying the infant in a warm blanket --CORRECT ANSWER--D. Drying the
infant in a warm blanket
pg. 3
NCLEX PRACTICE EXAM QUETIONS WITH
CORRECT DETAILED SOLUTIONS GRADED A+
A postpartum nurse is providing instructions to the mother of a newborn infant
with hyperbilirubinemia who is being breastfed. The nurse provides which most
appropriate instructions to the mother?
A. Switch to bottle-feeding the baby for 2 weeks
B. Stop breastfeeding and switch to bottle-feeding permanently
C. Feed the newborn infant less frequently
D. Continue to breastfeed every 2-4 hours --CORRECT ANSWER--D.
Continue to breastfeed every 2-4 hours
(Breastfeeding should be initiated within 2 hours after birth and every 2-4 hours
thereafter. Early feeding of newborns with hyperbilirubinemia promotes
intestinal movement and excretion of meconium which ultimately helps prevent
indirect bilirubin buildup. The other options are not necessary.)
A nurse on the newborn nursery floor is caring for a neonate. On assessment the
infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting.
Respiratory distress syndrome is diagnosed, and the physician prescribes
surfactant replacement therapy. The nurse would prepare to administer this
therapy by:
pg. 1
,A. Subcutaneous injection
B. Intravenous injection
C. Instillation of the preparation into the lungs through an endotracheal tube
D. Intramuscular injection --CORRECT ANSWER--C. Instillation of the
preparation into the lungs through an endotracheal tube
(The aim of therapy in RDS is to support the disease until the disease runs its
course with the subsequent development of surfactant. The infant may benefit
from surfactant replacement therapy. In surfactant replacement, an exogenous
surfactant preparation is instilled into the lungs through an endotracheal tube.)
A nurse prepares to administer a vitamin K injection to a newborn infant. The
mother asks the nurse why her newborn infant needs the injection. The best
response by the nurse would be:
A. "Your infant needs vitamin K to develop immunity."
B. "Vitamin K will protect your infant from having jaundice."
C. "Newborn infants are deficient in vitamin K, and this injection prevents your
infant from abnormal bleeding."
D. "Newborn infants have sterile bowels, and vitamin K promotes the growth of
bacteria in the bowel." --CORRECT ANSWER--C. "Newborn infants are
deficient in vitamin K, and this injection prevents your infant from abnormal
bleeding."
(Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin
K is administered to the newborn infant to prevent abnormal bleeding.)
pg. 2
, A nurse in a newborn nursery receives a phone call to prepare for the admission
of a 43-week-gestation newborn with Apgar scores of 1 and 4. In planning for
the admission of this infant, the nurse's highest priority should be to:
A. Connect the resuscitation bag to the oxygen outlet
B. Turn on the apnea and cardiorespiratory monitors
C. Set up the intravenous line with 5% dextrose in water
D. Set the radiant warmer control temperature at 36.5* C (97.6*F) --CORRECT
ANSWER--A. Connect the resuscitation bag to the oxygen outlet
(The highest priority on admission to the nursery for a newborn with low Apgar
scores is airway, which would involve preparing respiratory resuscitation
equipment.)
A nurse in a delivery room is assisting with the delivery of a newborn infant.
After the delivery, the nurse prepares to prevent heat loss in the newborn
resulting from evaporation by:
A. Warming the crib pad
B. Turning on the overhead radiant warmer
C. Closing the doors to the room
D. Drying the infant in a warm blanket --CORRECT ANSWER--D. Drying the
infant in a warm blanket
pg. 3
