The nurse would most appropriately: A. Wrap the tape measure around the infant’s head and measure just above the eyebrows. C. Substituting breastfeeding for formula during the 2nd day after birth Soon after delivery a neonate is admitted to the central nursery. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. apply an antibiotic ointment to the stump. parts: 29 danielle . D. Intramuscular injection. This sequence is least disturbing. B. B. Take our short quiz to learn what nursing specialty is best suited for your nursing career! B. Neonatal nursing requires a minimum of an associate degree in nursing (ADN). To the right individuals, it can also provide a satisfying and rewarding career. Answer: B. EXAM TIP: When dealing with an NCLEX question, right away eliminate the obvious incorrect options, then analyze the remaining choices and select the option that best answers the problem. 7. A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. D. Vernix caseosa covering the body. The other options are not necessary. B. By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is preventing which type of heat loss? 33. A baby is born precipitously in the ER. When caring for a neonate experiencing drug withdrawal, the nurse needs to be alert for distress signals from the neonate. A nurse in a newborn nursery is performing an assessment of a newborn infant. Watch. Give the initial bath The nurse is aware that a neonate of a mother with diabetes is at risk for what complication? The baby whose mother cultured positive for group B strep during her third trimester b. 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. “It’s acceptable to prop the infant’s bottle once in a while.”. 18. One out of nine mothers do not carry to full term (37 or more weeks), and roughly 100,000 babies end up in an NICU each year. The mother asks the nurse why her newborn infant needs the injection. The nurse should position the baby with head lower than chest and rub the infant’s back to stimulate crying to promote oxygenation. Screening for PKU C. Whiteheads Which of the following nursing actions should be performed initially? If loading fails, click here to try again. Ready to put on your scrubs and begin your nursing career but not sure what nursing path to take? A. Conduction 29. As you gain more experience, you might be able to apply for jobs as a nurse consultant. Touching with the stethoscope and inserting the thermometer increase anxiety and elevate vital signs. The length of nursing shifts varies depending on the work environment. Answer: D. It involves swelling of tissue over the presenting part of the presenting head. A. Activate the code blue or emergency system Neonates of mothers with diabetes are at risk for which complication following birth? A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome? During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Practice Mode: This is an interactive version of the Text Mode. Please wait while the activity loads. While the day-to-day work of nursing and teaching may seem very different, the careers have more in common than you might think. Some nurses decide to move into management or clinical academic research. A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. Neonates of mothers with diabetes are at risk for which complication following birth? 9. Hiccups D. Yawning. This 50-item NCLEX style exam will test your knowledge on care of the newborn. Apply peroxide to the cord with each diaper change, Cover the cord with petroleum jelly after bathing, Wash the cord with soap and water each day during a tub bath. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn? When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority? A client has just given birth at 42 weeks’ gestation. BLS estimates do not represent entry-level wages and/or salary. C. Vastus lateralis The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism? Which condition or treatment best ensures lung maturity in an infant? 44. “The baby is not able to swallow cereal, because he is too small.” 23. A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. D. The client asks the nurse to recommend a good child care manual. A. Meconium in the amniotic fluid 20. 1. Maternal & Neonatal Nursing Vocabulary 40 Terms. D. Supplementing breastfeeding with glucose water during the first 24 hours. When the baby is brought to the nursery, the priority of care is to, A. clean the umbilical cord with Betadine to prevent infection 130 and 170 As a nurse, you'll be responsible for educating patients about health and wellness. Hypothermic neonates become bradycardic proportional to the degree of core temperature. after the infant has taken sterile water without complications. Vitamin K is prescribed for a neonate. 42. 15. D. Set the radiant warmer control temperature at 36.5* C (97.6*F). The infant is overloaded easily by sensory stimulation. A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. wear a tight fitting bra or breast binder. A. Wrap the neonate warmly and place her in an open crib By now the newborn will have ingested an ample amount of the amino acid phenylalanine, which, if not metabolized because of a lack of the liver enzyme, can deposit injurious metabolites into the bloodstream and brain; early detection can determine if the liver enzyme is absent. 14. D. Notify the physician of the need for a cardiac consult. 12. Start the quiz by choosing one of these which describes you. D. “If you want him to gain weight, just double his daily intake of formula.”, 48. The area appears healed with no drainage or erythema present. We hope that your pregnancy and delivery go smoothly, but if the unexpected should occur, here are 15 important questions to ask: 1. D. “Some infants experience menstruation like bleeding when hormones from the mother are not available”, 43. C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes “It appears your baby has a kidney infection”, “Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk”, “The baby probably passed a small kidney stone”, “Some infants experience menstruation like bleeding when hormones from the mother are not available”. Answer: B. Irregular, abdominal, 30-60 per minute, shallow. A. as soon as possible after the infant’s birth. C. Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes Altered sleep patterns are caused by disturbances in the CNS from alcohol exposure in utero. The nurse is aware that a healthy newborn’s respirations are: A. With so many nursing specialties -- from a travel nurse to a scrub nurse to a midwife -- it's helpful to narrow down your choices and explore what's possible. Apply peroxide to the cord with each diaper change 31. Negative Coombs test A. wear a tight fitting bra or breast binder. D. Tachycardia. The client is breastfeeding her newborn. Neonatal … 2. An insulin-dependent diabetic delivered a 10-pound male. 37. 36. C. Irregular, initiated by chest wall, 30-60 per minute, deep Which correctly describes this finding? After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: The home health nurse visits the Cox family 2 weeks after hospital discharge. A. The Brazelton NEonatal Behavioral Assesssment Scale identifies, organizes and quantifies an infant''s behaviroal capacities and interactive behaviors. Newborn infants are vitamin K deficient because the bowel does not have the bacteria necessary for synthesizing fat-soluble vitamin K. The infant’s bowel does not have support the production of vitamin K until bacteria adequately colonizes it by food ingestion. About This Quiz & Worksheet. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the first 24 hours of life. Anemia His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Neonatal resuscitation is a process used to resuscitate newborns shortly after birth. - Quiz & Self-Assessment Test found the following related articles, links, and information useful. 11. In planning for the admission of this infant, the nurse’s highest priority should be to: Connect the resuscitation bag to the oxygen outlet, Turn on the apnea and cardiorespiratory monitors, Set up the intravenous line with 5% dextrose in water, Set the radiant warmer control temperature at 36.5* C (97.6*F). A. Hypotension and Bradycardia 30. As a nurse practitioner, you are able to apply to a neonatal nurse practitioner job openings. Low birth weight is a physical defect seen in neonates with FAS. D. Incessant crying. A neonate is admitted to a hospital’s central nursery. D. Cover the neonates head with a cap. C. Respiratory depression Breast feeding should be initiated within 2 hours after birth and every 2-4 hours thereafter. Switch to bottle feeding the baby for 2 weeks This will help you realize what personality type you have as a nurse, and it will reveal some specialties that may be a good match for you. B. Microcephaly Like the idea of nursing but not sure where to go next? C. Immediately take the newborn’s temperature according to hospital policy B. Convection Do nothing because acrocyanosis is normal in the neonate. The priority nursing diagnosis for the neonate is. 8. Helps maintain a rhythmic breathing pattern Document the findings Questions included in this exam are: diseases encountered by the neonate, APGAR scoring, assessment of the newborn and more. It also assessess habituation to stiuli, regulation of sleep and arousal changes, response to environmental objects, neuromotor integrity and physiological stability. B. Which of the following nursing actions would be most appropriate? A. She emphasizes that the optimum time to initiate lactation is. In this quiz, you will be asked about your personality and work preferences. Hypoglycemia is seen in hypothermic neonates. Acrocyanosis, or bluish discoloration of the hands and feet in the neonate (also called peripheral cyanosis), is a normal finding and shouldn’t last more than 24 hours after birth. B. 39. Answer: C. inspecting the posture, color, and respiratory effort. B. B. Chlamydia trachomatis B. Ever ask yourself “Is nursing for me?” or have people told you that you might make a good nurse? B. B. Triceps Discussing the matter with her in a non-threatening manner Keeping the newborn dry by drying the wet newborn infant will prevent hypothermia via evaporation. The infant may benefit from surfactant replacement therapy. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: A. Warming the crib pad Once you are finished, click the button below. Answer: B. B. determining chest circumference. It's tempting to try to handle mishaps on your own, for example, but it's far wiser to reach out and get help when needed. 38. C. Nevus flammeus The neonate’s liver cannot initially adjust to the changing glucose levels after birth. The nurse determines that the client does not understand the instructions when she says, A. Neonatal nurses have an incredible knack for this. B. Vitamin K injection Answer: C. Keep the cord dry and open to air. Nurse Salary 2020: How Much Do Registered Nurses Make? 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