Newborn Nursing care NCLEX Quiz 2

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Quizzes Created: 468 | Total Attempts: 2,466,971

Questions: 10 | Attempts: 18,819 | Updated: Mar 22, 2023

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Newborn Nursing care NCLEX Quiz 2 - Quiz

This Newborn Nursing care NCLEX Quiz 2 is here to test your understanding of newborn nursing and how good you are in this. All questions are shown, but the results will only be given after you’ve finished the quiz. If you are studying this subject, then we expect you to score at least 70 percent on this quiz. So, are you ready for the challenge that we have given to you? Let us see as you take it!

Questions and Answers

1.

A nursing instructor asked a nursing student about the procedure for administering erythromycin ointment into the eyes of a neonate. The instructor finds that the student has to research this procedure further if the student states:
- A.
  
  “I will cleanse the neonate’s eyes before instilling ointment.”
- B.
  
  “I will flush the eyes after instilling the ointment.”
- C.
  
  “I will instill the eye ointment into each of the neonate’s conjunctival sacs within one hour after birth.”
- D.
  
  “Administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and parent-infant attachment and bonding can occur.”
Correct Answer
B. “I will flush the eyes after instilling the ointment.”

Explanation
The correct answer is "I will flush the eyes after instilling the ointment." This statement is incorrect because flushing the eyes after instilling the ointment can wash away the medication and reduce its effectiveness. The correct procedure is to cleanse the neonate's eyes before instilling the ointment and then wait for a specific period of time before flushing the eyes, if necessary.

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2.

A baby is born precipitously in the ER. What should be the initial action of the nurses?
- A.
  
  Establish an airway for the baby
- B.
  
  Check the condition of the fundus.
- C.
  
  Quickly cut the umbilical cord.
- D.
  
  Move baby to the birthing unit
Correct Answer
A. Establish an airway for the baby

Explanation
When a baby is born precipitously in the ER, the initial action of the nurses should be to establish an airway for the baby. This is because ensuring that the baby has a clear and open airway is crucial for their survival and proper breathing. It is important to prioritize this action to prevent any potential respiratory distress or complications that may arise from a blocked airway. Checking the condition of the fundus, cutting the umbilical cord, or moving the baby to the birthing unit can be done after the airway has been established.

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3.

What is the primary critical observation for Apgar scoring?
- A.
  
  Heart rate
- B.
  
  Respiratory rate
- C.
  
  Presence of meconium
- D.
  
  Evaluation of the Moro reflex
Correct Answer
A. Heart rate

Explanation
The primary critical observation for Apgar scoring is the heart rate. Apgar scoring is a method used to quickly assess the health of a newborn baby. It evaluates five vital signs: heart rate, respiratory rate, muscle tone, reflex irritability, and skin color. However, the heart rate is considered the most important observation as it provides crucial information about the baby's circulatory system and overall well-being.

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4.

In what sequence should the nurse measure the vital signs when performing a newborn assessment?
- A.
  
  Pulse, respirations, temperature
- B.
  
  Temperature, pulse, respirations
- C.
  
  Respirations, temperature, pulse
- D.
  
  Respirations, pulse, temperature
Correct Answer
D. Respirations, pulse, temperature

Explanation
The correct sequence for measuring vital signs during a newborn assessment is to first measure respirations, followed by pulse, and then temperature. This order is important because measuring respirations requires the least amount of contact with the baby, minimizing any potential disturbance. Measuring pulse comes next as it still requires minimal contact but may cause slight disruption. Finally, measuring temperature requires the most contact and can be the most uncomfortable for the baby, so it is done last.

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5.

What's the normal heart rate range of an infant within 3 minutes after birth?
- A.
  
  100 and 180
- B.
  
  130 and 170
- C.
  
  120 and 160
- D.
  
  100 and 130
Correct Answer
C. 120 and 160

Explanation
The normal heart rate range of an infant within 3 minutes after birth is between 120 and 160 beats per minute.

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6.

How high can the expected respiratory rate of a neonate be within three minutes of birth?
- A.
  
  50
- B.
  
  60
- C.
  
  80
- D.
  
  100
Correct Answer
B. 60

Explanation
The expected respiratory rate of a neonate within three minutes of birth can be as high as 60. This means that the newborn can have up to 60 breaths per minute during this time period. It is important to monitor the respiratory rate of neonates as any abnormalities can indicate potential health issues.

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7.

The nurse knows that a healthy newborn’s respirations are:
- A.
  
  Regular, abdominal, 40-50 per minute. deep
- B.
  
  Irregular, abdominal, 30-60 per minute. shallow
- C.
  
  Irregular, initiated by chest wall, 30-60 per minute. deep
- D.
  
  Regular, initiated by the chest wall, 40-60 per minute. shallow
Correct Answer
B. Irregular, abdominal, 30-60 per minute. shallow

Explanation
The correct answer is "Irregular, abdominal, 30-60 per minute. shallow." This is because healthy newborns have immature respiratory systems, which result in irregular breathing patterns. Their respirations are primarily abdominal, as the diaphragm is the main muscle used for breathing at this stage. The respiratory rate can vary between 30-60 breaths per minute, and the breaths are typically shallow.

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8.

What should the plan of care include to help limit the development of hyperbilirubinemia in the neonate?
- A.
  
  Monitoring for the passage of meconium each shift
- B.
  
  Instituting phototherapy for 50 minutes within 6 hours
- C.
  
  Substituting breastfeeding
- D.
  
  Supplementing breastfeeding with glucose water
Correct Answer
A. Monitoring for the passage of meconium each shift

Explanation
To limit the development of hyperbilirubinemia in the neonate, monitoring for the passage of meconium each shift should be included in the plan of care. Meconium is the first stool of a newborn, and the presence of meconium indicates that the baby's digestive system is functioning properly. If meconium is not passed within the expected timeframe, it may indicate an obstruction or other issues that can lead to hyperbilirubinemia. Therefore, monitoring for the passage of meconium helps to identify any potential problems early on and take appropriate measures to prevent hyperbilirubinemia.

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9.

If a newborn has small, whitish pinpoint spots over the nose. which the nurse is aware are caused by retained sebaceous secretions, the nurse should identify it as:
- A.
  
  Milia
- B.
  
  Lanugo
- C.
  
  Whiteheads
- D.
  
  Mongolian spots
Correct Answer
A. Milia

Explanation
Milia are small, whitish pinpoint spots that appear on the nose of a newborn. These spots are caused by retained sebaceous secretions. Lanugo refers to fine, downy hair that covers a newborn's body. Whiteheads are small, acne-like bumps that occur when the pores become clogged with oil and dead skin cells. Mongolian spots are bluish-gray birthmarks that are commonly found on the buttocks or lower back of newborns. Therefore, the correct identification for the given description is Milia.

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10.

What should the newborns have when they have been on formula for 36-48 hours?
- A.
  
  Screening for PKU
- B.
  
  Vitamin K injection
- C.
  
  Test for necrotizing enterocolitis
- D.
  
  Heel stick for blood glucose level
Correct Answer
A. Screening for PKU

Explanation
Newborns who have been on formula for 36-48 hours should have screening for PKU. PKU stands for Phenylketonuria, which is a genetic disorder that affects the body's ability to break down an amino acid called phenylalanine. Early detection and treatment of PKU is crucial to prevent intellectual disabilities and other health issues. Therefore, it is important to screen newborns for PKU within the first few days of life.

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Current Version
Mar 22, 2023

Quiz Edited by
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Sep 11, 2017

Quiz Created by
Santepro

Newborn Nursing care NCLEX Quiz 2

A nursing instructor asked a nursing student about the procedure for administering erythromycin ointment into the eyes of a neonate. The instructor finds that the student has to research this procedure further if the student states:

A baby is born precipitously in the ER. What should be the initial action of the nurses?

What is the primary critical observation for Apgar scoring?

In what sequence should the nurse measure the vital signs when performing a newborn assessment?

What's the normal heart rate range of an infant within 3 minutes after birth?

How high can the expected respiratory rate of a neonate be within three minutes of birth?

The nurse knows that a healthy newborn’s respirations are:

What should the plan of care include to help limit the development of hyperbilirubinemia in the neonate?

If a newborn has small, whitish pinpoint spots over the nose. which the nurse is aware are caused by retained sebaceous secretions, the nurse should identify it as:

What should the newborns have when they have been on formula for 36-48 hours?