Newborn Nursing care NCLEX Quiz 2

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Santepro
S
Santepro
Community Contributor
Quizzes Created: 468 | Total Attempts: 2,581,569
| Attempts: 19,668
SettingsSettings
Please wait...
  • 1/10 Questions

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

    • Establish an airway for the baby
    • Check the condition of the fundus.
    • Quickly cut the umbilical cord.
    • Move baby to the birthing unit
Please wait...
About This 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!

Newborn Nursing care NCLEX Quiz 2 - Quiz

Quiz Preview

  • 2. 

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

    • 100 and 180

    • 130 and 170

    • 120 and 160

    • 100 and 130

    Correct Answer
    A. 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.

    Rate this question:

  • 3. 

    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:

    • Milia

    • Lanugo

    • Whiteheads

    • 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.

    Rate this question:

  • 4. 

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

    • 50

    • 60

    • 80

    • 100

    Correct Answer
    A. 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.

    Rate this question:

  • 5. 

    What is the primary critical observation for Apgar scoring?

    • Heart rate

    • Respiratory rate

    • Presence of meconium

    • 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.

    Rate this question:

  • 6. 

    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:

    • “I will cleanse the neonate’s eyes before instilling ointment.”

    • “I will flush the eyes after instilling the ointment.”

    • “I will instill the eye ointment into each of the neonate’s conjunctival sacs within one hour after birth.”

    • “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
    A. “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.

    Rate this question:

  • 7. 

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

    • Pulse, respirations, temperature

    • Temperature, pulse, respirations

    • Respirations, temperature, pulse

    • Respirations, pulse, temperature

    Correct Answer
    A. 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.

    Rate this question:

  • 8. 

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

    • Regular, abdominal, 40-50 per minute. deep

    • Irregular, abdominal, 30-60 per minute. shallow

    • Irregular, initiated by chest wall, 30-60 per minute. deep

    • Regular, initiated by the chest wall, 40-60 per minute. shallow

    Correct Answer
    A. 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.

    Rate this question:

  • 9. 

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

    • Monitoring for the passage of meconium each shift

    • Instituting phototherapy for 50 minutes within 6 hours

    • Substituting breastfeeding

    • 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.

    Rate this question:

  • 10. 

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

    • Screening for PKU

    • Vitamin K injection

    • Test for necrotizing enterocolitis

    • 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.

    Rate this question:

Quiz Review Timeline (Updated): Mar 22, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 11, 2017
    Quiz Created by
    Santepro
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.