NU 675 Exam 1 Questions & Answers
Rated 100% Correct!!!
Which assessment factor is NOT included in a 5-minute APGAR scrore? CORRECT
ANSWERS Pupillary response
During a newborn assessment, the NP notes a depressed anterior fontanel. What
concern would the NP most likely have about the examination finding? CORRECT
ANSWERS concern for poor feeding
a new mother who is on her fourth day of breastfeeding complains to the nurse
practitioner of sore breasts.
What would be the best instruction for this client related to this complaint? CORRECT
ANSWERS educate the mother that this is normal during the first week or 2 of
breastfeeding and the soreness will eventually go away
you are seeing a newborn for the initial exam and the mother is tearful and voices
concerns about jerking movements with stiffening and tightness of muscles in her baby,
she also reports the infant is nursing poorly. the infant has lost weight snce being
discharged home. the mother's delivery of tthis baby was traumatic, according to OB
records.
What is a crutical diagnosis to cinsider in this scenario? CORRECT ANSWERS cerebal
palsy
identify a common benign newborn rash that typically lasts between 5 and 14 days after
borth as depicted in the image below CORRECT ANSWERS erythema toxicum
a newborn infant who is small for gestational age is noted to have shortened palpebral
fissures and mucriceohaly with a small jaw.
what diagnosis would the NP be concerned for in this infant? CORRECT ANSWERS
fetal alcohol syndrome
what manuveris commonly used to assess for hip dysplagia in a newborn? CORRECT
ANSWERS barlow and ortolani tests
the NP is closely obesrving an infant born to a mother who experienced gestational
diabetes. the mother reports having difficulty breastfeeding the infant due to the inability
to arose the child and maintain wakefulness.
what immediate intervention should the NP take? CORRECT ANSWERS obtain a
capillary blood glucose level
a young couple brings their newborn in for evaluation of dark spots above the diaper
line on the infant's lower back. on exam, the spots are hyper pigmented and non-raised.
dad relates he has the same thing as a baby, and they gradually went away.
, what is the most reasonable explanation for this presentation? CORRECT ANSWERS
mongolian spots
which of the following is FALSE regarding physiological jaundice in newborns?
CORRECT ANSWERS phototherapy is usually indicated for these infants
during an examination of a 3-month old, the NP places the infant in the supine position
with the hips flexed 90 degrees and abducted while holding the legs by the thigh and
gently adducting the leg while applying downward lateral pressure.
what is the name of the supplementary exam commonly performed in conjunction with
the exam described? CORRECT ANSWERS ortoloni
when should the posterior fontanel be completely closed? CORRECT ANSWERS 3
months
which intervention is recommended preventative health measure for neonates?
CORRECT ANSWERS breastfeeding
the NP is evaluating a one-month old infant for concern of weight loss. the child's
mother reports that the baby projectile vomits after every feeding and appears to be
hungary "all of the time". on physical examination, the baby appears dehydrated and the
NP plaplates a small abdominal mass.
what differential would the NP most likely determine? CORRECT ANSWERS pyloric
stenosis
A new mother is breastfeeding her full term 4 week old infant. Wants to know whether
she should give the infant vitamin supplements. Is the best advice for this client?
CORRECT ANSWERS Breastfed infants add infants acquire vitamin D supplementation
beginning in the first few days of life
A 36 year old pregnant woman is seen with complaints of vaginal itching, burning, and
discharge. In a potassium hydroxide (KOH) wet mount of the vaginal discharge, the NP
notices hyphae. treatments would be most appropriate client as a first-line intervention?
CORRECT ANSWERS Clotrinazile nightly intravaginally x 7 days
What Characterizes Chadwicks sign? CORRECT ANSWERS blue coloration of the
cervix and vagina
The MP is evaluating a 22 year old female who is 20 weeks pregnant and has a positive
chlamydia test. What is the most appropriate treatment for this client? CORRECT
ANSWERS Azithromycin 1 gram Po in a single dose.
The nurse practitioner is seeing a pregnant clients in the clinic for a routine visit. The
client has several questions about Down syndrome. which chromosome a number of
normality is associated with Down Syndrome? CORRECT ANSWERS 21
Rated 100% Correct!!!
Which assessment factor is NOT included in a 5-minute APGAR scrore? CORRECT
ANSWERS Pupillary response
During a newborn assessment, the NP notes a depressed anterior fontanel. What
concern would the NP most likely have about the examination finding? CORRECT
ANSWERS concern for poor feeding
a new mother who is on her fourth day of breastfeeding complains to the nurse
practitioner of sore breasts.
What would be the best instruction for this client related to this complaint? CORRECT
ANSWERS educate the mother that this is normal during the first week or 2 of
breastfeeding and the soreness will eventually go away
you are seeing a newborn for the initial exam and the mother is tearful and voices
concerns about jerking movements with stiffening and tightness of muscles in her baby,
she also reports the infant is nursing poorly. the infant has lost weight snce being
discharged home. the mother's delivery of tthis baby was traumatic, according to OB
records.
What is a crutical diagnosis to cinsider in this scenario? CORRECT ANSWERS cerebal
palsy
identify a common benign newborn rash that typically lasts between 5 and 14 days after
borth as depicted in the image below CORRECT ANSWERS erythema toxicum
a newborn infant who is small for gestational age is noted to have shortened palpebral
fissures and mucriceohaly with a small jaw.
what diagnosis would the NP be concerned for in this infant? CORRECT ANSWERS
fetal alcohol syndrome
what manuveris commonly used to assess for hip dysplagia in a newborn? CORRECT
ANSWERS barlow and ortolani tests
the NP is closely obesrving an infant born to a mother who experienced gestational
diabetes. the mother reports having difficulty breastfeeding the infant due to the inability
to arose the child and maintain wakefulness.
what immediate intervention should the NP take? CORRECT ANSWERS obtain a
capillary blood glucose level
a young couple brings their newborn in for evaluation of dark spots above the diaper
line on the infant's lower back. on exam, the spots are hyper pigmented and non-raised.
dad relates he has the same thing as a baby, and they gradually went away.
, what is the most reasonable explanation for this presentation? CORRECT ANSWERS
mongolian spots
which of the following is FALSE regarding physiological jaundice in newborns?
CORRECT ANSWERS phototherapy is usually indicated for these infants
during an examination of a 3-month old, the NP places the infant in the supine position
with the hips flexed 90 degrees and abducted while holding the legs by the thigh and
gently adducting the leg while applying downward lateral pressure.
what is the name of the supplementary exam commonly performed in conjunction with
the exam described? CORRECT ANSWERS ortoloni
when should the posterior fontanel be completely closed? CORRECT ANSWERS 3
months
which intervention is recommended preventative health measure for neonates?
CORRECT ANSWERS breastfeeding
the NP is evaluating a one-month old infant for concern of weight loss. the child's
mother reports that the baby projectile vomits after every feeding and appears to be
hungary "all of the time". on physical examination, the baby appears dehydrated and the
NP plaplates a small abdominal mass.
what differential would the NP most likely determine? CORRECT ANSWERS pyloric
stenosis
A new mother is breastfeeding her full term 4 week old infant. Wants to know whether
she should give the infant vitamin supplements. Is the best advice for this client?
CORRECT ANSWERS Breastfed infants add infants acquire vitamin D supplementation
beginning in the first few days of life
A 36 year old pregnant woman is seen with complaints of vaginal itching, burning, and
discharge. In a potassium hydroxide (KOH) wet mount of the vaginal discharge, the NP
notices hyphae. treatments would be most appropriate client as a first-line intervention?
CORRECT ANSWERS Clotrinazile nightly intravaginally x 7 days
What Characterizes Chadwicks sign? CORRECT ANSWERS blue coloration of the
cervix and vagina
The MP is evaluating a 22 year old female who is 20 weeks pregnant and has a positive
chlamydia test. What is the most appropriate treatment for this client? CORRECT
ANSWERS Azithromycin 1 gram Po in a single dose.
The nurse practitioner is seeing a pregnant clients in the clinic for a routine visit. The
client has several questions about Down syndrome. which chromosome a number of
normality is associated with Down Syndrome? CORRECT ANSWERS 21
