Neonates Flashcards
(86 cards)
1
Q
- A 15 month old child is admitted for hypospadias repair. After surgery, which of the following instruction
should be given to the parents?
A. Limit activity for 2 weeks
B. Avoid apply ointment or powder
C. Give a child a diet that is high in protein
D. Isolate the child from other children with the infection
A
A
2
Q
- A two hour old newborn baby is given to the mother to start on breastfeeding. The mother is reluctant as
the thinks is too early for the baby. The mother finally agrees to breast feed the baby after the midwife has
discussed the advantages of early of breast feeding. Which of the following statement mad by the mother
suggests her correct understanding?
A. Improve natural immunity
B. Strengthens sucking reflex
C. Stimulates gut movement
A
A
3
Q
- A nurse is preparing a teaching session for elementary school students about the safety measures of
hazards. Which of the following is the most appropriate topics for safety measure for children at this age?
A. Sport activities
B. Riding bicycle
C. Swimming
D. Driving
A
B
4
Q
- Establishes baby’s hydrationA 11 month old boy with cleft lip & palate was discharged from the hospital
after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents
indicate appropriate understanding of the teaching instruction?
A. I should avoid that my infant’s cry’s as much as possible
B. I will use a spoon to feed my child after the surgery
C. I will put my child in his abdomen after feeding
D. I will use lotion to ease my child’s lip irritation
A
A
5
Q
- A newborn born by elective caesarian section under general anesthesia ter
28 weeks of pregnancy. His weight is 850 gm, and he is in (20) th percentile in
intrauterine growth chart. He is admitted to Neonatal tensive Care Unit.
Which of the following is the classification of this newborn according to
stational age and birth weight using intrauterine growth chart?
A. He is appropriate for gestational age
B. He is extremely low birth weight
C. He is small for gestational age
D. He is very low birth weight.
A
A
6
Q
- A baby born at 38 weeks of gestation with birth weight 1800 gram. which of
the following is the classification of this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Small for gestational age
A
D
7
Q
- A baby born at 24 weeks of gestation with birth weight 1000 gram and at 90th . which of the following is the
classification of this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Large for gestational age
A
D
8
Q
- A baby born at 29 weeks of gestation with birth weight 950 gram. which of the following is the classification of
this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Small for gestational age
A
D
9
Q
- Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing
46, XY?
A. Normal male
B. Abnormal male
C. Normal female
D. Abnormal female
A
A
10
Q
- Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing
46, XX?
A. Normal male
B. Abnormal male
C. Normal female
D. Abnormal female
A
C
11
Q
- To measure fatal heat rate fetus daily activity through ?
A. Doppler sound
B. Weighting measures
C. Non-stress test
D. Daily fetus kicks
A
D
12
Q
- Immediately following the birth of a full-term newborn, which of the following is the priority nursing
diagnosis for this newborn?
A. airway clearance related to nasal & oral secretions
B. ineffective thermoregulation related to environmental factors
C. risk for imbalance fluid volume related t weak sucking reflex
D. risk for injury related to immature defense mechanisms
A
A
13
Q
- A full term newborn is admitted to NICU with a diagnosis of meningocele. Which of the following admission
assessment is needed?
A. Specific gravity of urine
B. Head circumference
C. Weight and length
D. Palpation of the abdomen
A
B
14
Q
- A nurse is caring for a full term newborn who was delivered five minutes ago. The infant’s Apgar score was 8
at one minutes and five minutes. Which of the following has the highest priority ?
A. Assessing the infant’s red reflex
B. Preventing heat loss from the infant
C. Maintaining the infant in the supine position
D. Administering humidified oxygen to the infant
A
B
15
Q
- A30week gestational preterm admitted to NICU 2hours ago the neonate starts to have grunting ,nasal flaring
which of the following the nurse recognize regarding signs and symptoms?
A. Neonate has RDS
B. It is normally in the first 24 hours of birth
C. This is not significant unless become cyanosis
D. Neonate has hypoglycaemia
A
A
16
Q
- A 30 weeks of gestational age preterm is admitted to the neonatal intensive care unit 2 hours . the neonate
starts to have grunting tachypnea, and nasal flaring. Which of the following is responsible factors for diagnosis of
the premature ?
A. Bronchial spasm
B. Immature bronchioles
C. Lack of surfactant
D. Pulmonary over load
A
C
17
Q
- A 7 years old child is admitted to pediatric medical. Ward his urine analysis result revealed massive
proteinuria. T he child was diagnosed with Nephrotic Syndrome. Which of the following medication can prevent
the relapses of the child condition?
A. Antibiotics
B. Corticosteroids
C. Diuretics
D. Immunosuppressive
A
D
18
Q
- An infant was admitted with patent Ductus arteriosus. Indomethacin 0.2mg/kg with prostaglandin inhibitor
via intravenous route was prescribed for him. Which of the following is the function of indomethacin?
A. Assist closure of ductus arteriosus
B. Prevent infection
C. Improve tissue perfusion
D. Preserve hormone level
A
A
19
Q
- A newborn is diagnosed with Ventricular Septal Defect (VSD) Which of the following information should the
nurse give to the newborn’s mother?
A. Cyanosis will occur most of the time during sleeping
B. Breast feeding is not recommended for your child
C. The defect might close spontaneously after 6 months
D. Blood pressure is different on the child’s arm and the leg
A
C
20
Q
- A 10 years old child had an appendectomy yesterday. Which pain scale should the nurse use to assess child
pain?
A. Numeric
B. Faces
C. FLACC
D. Cries
A
B
21
Q
- Infant mortality is a critical indicator of children health status. Which of the following statements probably
describes the “ infant mortality “ term?
A. Deaths of infant during the first year of the life per 100 live births
B. Death of infants during the first year of life per 1000 live births
C. Death of infants during the first year of life per 10000 live births
D. Death of infants during the first year of life per 10000 live births
A
B
22
Q
- A child with rheumatic fever is having sever pain , tenderness and swelling in his left joint what should the
nurse do to alleviate his pain?
A. Apply heat on the affected joint
B. Put the joint in flexion position
C. Apply clod compresses to the joints
D. Ask the child to walk for 15 minutes
A
C
23
Q
- 9 YEAR old child is admitted to the Postoperative Care Unit following in heart transplant. The nurse
administers cyclosporine by intravenous infusion. Fifteen minutes later the child has difficult breathing, his skin
feels cold and clammy and he appears restless. Which of the following is the most appropriate initial nursing
action?
A. Ensure airway patency
B. Administer oxygen therapy
C. Discontinue intravenous infusion
D. Administer intramuscular epinephrine
A
C
24
Q
- A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory
Distress (RDS) and the doctor ordered administrating surfactant Surfactant should be given by which of the
following routes?
A. Intravenous
B. Subcutaneous
C. Intramuscular
D. Endtracheal
A
D
25
466. A 7 year old child is assessed with a urinary tract infection BP 99/55 TEMP 36.4 . which of the following is
the most appropriate nursing action?
A. Notify the physician immediately
B. Notify the nurse manager immediately
C. Document the findings in the nurse note
D. Put the patient in Trendelenburg position
C
26
467. In an education session with pregnant mothers, the midwife explains the purpose of amniotic fluid sac or the
water bag. After the completion, the midwife is revising the concepts by asking questions. Which of the
following statement made by the mothers is most appropriate regarding the fluid bag.
A. It provides the baby with immunity against diseases
B. It provides important nutrition and fluid to the baby
C. It protects and maintains baby's temperature
D. It protects the baby from harmful chemicals in mother's blood
C
27
468. A23-year-old gravid 1 ,para 0 mother is presented to the Antenatal clinic. The health educator educates group
of mothers in the waiting area. Which information regarding fetal circulation the educator should stress on?
A. One umbilical artery and one umbilical vein
B. One umbilical artery and two umbilical veins
C. Two umbilical arteries and one umbilical vein
D. Two umbilical arteries and two umbilical veins
C
28
469. 37 weeks of gestation neonate is admitted to the Neonatal Intensive Care Unit immediate after delivery
because the mother has fever in the last 2 days before delivery. Which of the following is most expected finding
for neonatal sepsis?
A. decreased urinary output
B. poor feeding
C. stable body weight
D. sudden hyperthermia
D
29
470. Which of organism can cause neonate to develop septicemia including respiratory distress apnea and
hypotension within 12 hours of birth
A. Escherichia coli
B. Cytomegalovirus
C. variclla zoster virus
D. Group B streptococcuss
D
30
471. while a nurse is assessing an infant born 11 hours ago caesarean section, she auscultated moist lung sounds.
Which of the following is the most likely interpretation?
A. Abnormal finding
B. Normal finding
C. Pneumothorax
D. Surfactant aspiration
B
31
472. Lanugo hair is fine hair in preterm baby less than 30weeks
32
473. Vernix caseosa, also known as vernix, is the waxy or cheese-like white
substance found coating the skin of newborn human babies. It is produced
by dedicated cells and is thought to have some protective roles during
fetal development and for a few hours after birth.
33
474. An 11 years old child has been diagnosed with type 1 diabetes
mellitus . which of the following education should the nurse explain about the exercise?
A. Extra insulin is require during exercise
B. Extra snacks are needed before exercise
C. Exercise will increase blood glucose
D. Exercise should be restricted
B
34
475. newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained
sebaceous secretions. When charting this observation, the nurse identifies it as:
A. Milia
B. Lanugo
C. Whiteheads
D. Mongolian spots
A
35
476. A 25 years old primipara is admitted for labor . the infant is delivered by forceps because of breech
presentation and full body assessment shows alrage blue macular marking over left buttocks which o the
following the most likely cause ?
A. Echymosis
B. Nervus flames
C. Telangiectasia nevi
D. Mongolian spots
D
36
477. A nurse was observing the stool color for a newborn on the first day after
delivery. What is the expected color of stool for this newborn?
A. Brown
B. Light green
C. Light brown
D. Brownish green
D
37
478. An infant with developmental dysplasia of the hip is discharging with a Pavlik harness. Which of the following
instructions should the nurse give to the infant's parents
A. Put the baby's diaper over the harness
B. Fasten the straps for at least 2 hours every day
C. Press both legs together before applying the harness
D. Soft, thin clothing should be worn under the harness
D
38
479. A neonatal is admitted to the NICU with a meningomyelocele. HR130 .. RR 28….. TEM 36.7 which of the
following action the nurse should perform to prevent infection of the meningomyelocele sac ?
A. Wash the sac with betadine every shift
B. Expose the defect to the room air
C. Apply antibiotic cream every 24 hours
D. Cover he sac with moist sterile saline dressing
D
39
480. A baby born at 38 weeks of gestational with birth weight 1800gram. Which of the following is the
classification of this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Small for gestational age
D
40
481. 24 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with
respirator distress syndrome de 1.
hart rate 140 /min
respiratory rate 77 /min
Temperature 36.5
Which of the following method of feeding is recommended to promote with of this premature?
A. Enteral feeding of breast milk
B. Enteral feeding of premature formula
C. Oral breast feeding
D. Oral premature formula
A
41
482. A newborn is delivered by the midwife. The umbilical cord i cut safely by following necessary aseptic
techniques. Furth newborn is to be taken. Which of the following intervention is the most desired?
A. Assess sucking response
B. Increase mother child bonding
C. Assess and record APGAR score
D. Keep dry and maintain thermoregulation
D
42
483. A 2-year-old child is admitted to pediatric ward. The mother cannot stay the child and she will visit him in the
weakened only. Which of the following nursing action indicates an understanding of the emotional needs this
child?
A. Give her a warm bath to calm down
B. Allow the child to suck on a pacifier
C. Ask the parents to bring the child favorite toy
D. Tell he parents that frequently visiting is unnecessary
C
43
484. When assess newborn wight in scale the nurse must avoid heat loss by;
A. Radiation
B. Evaporation
C. Conduction
D. Convection
C
44
485. A nurse is caring for a newborn in Well Born Nursery she warps the baby with blanket and ensures the
nursey temperature is suitable for the babies. What type of heat loss is the nurse preventing?
A. Radiation
B. Conduction
C. Convention
D. Evaporation
C
45
486. A mother is asking the nurse how is sickle cell could be deducted. Which of the following is at test detected
sickle cell disease of traits?
A. Hemoglobin electrophoresis
B. Bone marrow aspiration
C. Complete blood count
D. Free erythrocyte protoporphyrin
A
46
487. An 11-year-old child has been diagnosis with diabetes insipidus?
A. Posterior pituitary
B. Adrenal medulla
C. Anterior pituitary
D. Adrenal cortex
A
47
488. A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set
ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital
anomaly associated with the this disease?
A. Developmental dysplasia of hip (DDH)
B. Congenital heart disease
C. Hypospadias
D. Pyloric stenosis
B
48
489. A neonate is admitted to the neonatal care unit with a meningomyelocele HR 130 RR 28 TEM 36.7 which of
the following actions should the nurse perform to prevent infection of the meningomyelocele sac?
A. Wash the sac with betadine every shift
B. Expose the defect the room air
C. Apply antibiotic cream every 24 hours
D. Cover the sac with sterile dressing
D
49
490. If full term infant weight 3 kg at birth, approximately should the infant weight be at 12 months old ?
A. 7 kg
B. 9 kg
C. 11kg
D. 13kg
B
50
491. A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this
baby is risk to develop which of the following?
A. Sudden death
B. Pathological jaundice
C. Infected umbilical cord
D. Increased intracranial pressure
B
51
492. A4 days old baby diagnosed with physiological jaundice . his father is distressed and wants to know why he
have this condition . what the nurse should the nurse tell the about the most prominent physiological jaundice
A. Immature hepatic function
B. Decrease milk intake
C. Rh incompatibility
D. Red blood cell enzyme defects
A
52
493. A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction
regarding feeding?
A. Feed glucose drinks
B. Breastfeed two hourly
C. Bottle feed till the bilirubin level reduce
D. Breastfeed alternatively with bottle feeds
B
53
494. Which action a nurse needs to include when caring for a newborn receiving phototherapy?
A. Expose all surfaces
B. Prevent stimulation
C. Cover the eyes with shield
D. Change position every four hourly
C
54
495. A baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination
revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol.
The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which
of following should the nurse consider as a priority during phototherapy of this newborn?
A. ensure proper fitting of eye covering (patches)
B. monitor bilirubin levels every 48 hours
C. feed the infant formula every 4 to 5 hours
D. avoid removing the infant from phototherapy
A
55
496. A nurse prepares to administer a vitamin K injection to a full term the mother wants to know the
importance of the injection Which of the following is the best nurse response to the mother
A. needed for blood clotting to prevent haemorrhage
B. accelerate the growth and development of infants
C. help in maintain healthy gut and passage of meconium
D. protect the infant from developing sever respiratory distress
A
56
497. A nurse is caring for child who is pot tonsillectomy and adenoidectomy the nurse should plan to assess which
of the following complication?
A. Pulmonary hypertension
B. Hemorrhage
C. Hearing loss
D. Orthopnea
B
57
498. Term baby boy is admitted to Neonatal Intensive Care Unit. Physical examination revealed flattened nose,
low set ears, upward slanting eyes, gle palmer crease. Which of the following is the possible diagnosis of the
new-born?
A. Cushing syndrome
B. Down syndrome
C. Intra-Uterine Growth Retardation
D. Congenital hypothyroidism
B
58
499. A nurse performing nursing care plan for a neonate after a birth, which intervention has the highest nursing
priority neonate?
A. btained a dextrostix
B. give the initial bath
C. Give the vitamin k injection
D. cover the neonate head with a cap
D
59
500. During physical assessment of a male infant genitalia, the nurse found that one of the testes are enlarged.
Which of the following could be the reason for swollen testes?
A. Chordee
B. Cryptorchidism
C. Hydrocele
D. Hypospadias
C
60
501. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them
to avoid which of the following before the hypospadias repair?
A. circumcision
B. drinking acidic juices
C. urinary catheterization
D. riding a bicycle
A
61
502. A6-year-old child is diagnosed with sickle. cell disease is admitted with severe pain in upper and lower
extremities. What type of crisis that the child experiences?
A. Sequestration
B. Aplastic Lae.
C. Vasoocclusive
D. Hyperhemolytic
c
62
503. Mother of a sickle cell anemia child is asking why her child can't go hiking with his friends.Which of the
following complications hiking can leads to ?
A. Enhance iron absorption
B. Decrease oxygen consumption
C. Inhibit hemoglobin production
D. Precipitate vaso-oclusive crisis
D
63
504. The nurse admits a client who is in sickle cell crisis. The nurse should prepare for which intervention as a
priority in the management of the client?
A. Pain management with an opioid
B. Intravenous fluid therapy
C. Oxygen administration
D. Blood transfusion
C
64
505. When performing a new-born assessment, the nurse should measure the vital signs in the following
sequence:
A. Pulse, respirations, temperature
B. Temperature, pulse, respirations
C. Respirations, temperature, pulse
D. Respirations, pulse , temperature
D
65
506. An infant arrives in the Emergency Department not breathing and does not have a pulse. When starting CPR,
which of the following arteries is appropriate to perform the pulse checks?
A. carotid
B. Radial
C. Brachial
D. termporal
C
66
507. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is
re a large amount of fresh blood.
Heart rate 110 /min
Respiratory rate 40 /min
Temperature 36.6C
Which of the following action should the nurse take?
A. Apply antibiotic ointment on the affected area
B. Give the infant another injection of vitamin K
C. Clean the area with betadine to prevent infection
D. Apply gentle pressure with a sterile gauze
D
67
508. A maternity nurse is performing a newborn assessment thirty minutes after delivery of a baby who did not
receive any prenatal care and has an unknown gestational age. The skin is extensively leathery, cracked and dry
and there is an absence of lanugo and vernix. How many weeks ’gestation is this neonate?
A. <30
B. 30-35
C. 36-40
D. >40
D
68
509. A nurse is caring for a female newborn who born with an imperforate anus. When assessing the newborns
urine, she should notify the doctor immediately if the newborn's urine contains which of the following?
A. meconium
B. sugar
C. albumin
D. crystals
A
69
510. A newborn has diagnosed Development Dysplasia of hip DDH and is using a Pavlik Harness as treatment .
A. Multiple
B. Acetabular dysplasia
C. Subluxation
D. Dislocation
D
70
511. Which of the Following Is the Most Commend Site to Obtain a Capillary blood sugar sample from neonate?
A. Earl ape
B. fingertip
C. Heel
D. Abdomen
C
71
512. A 6 years old preschool returned from the operating room after tonsillectomy. A nurse received the patient
from recovery room. Which position the nurse place the child post tonsillectomy?
A. Supine
B. Side lying
C. Low fowler
D. High fowler
B
72
513. female teenager was diagnosed with sickle cell anemia inform a nurse school arranged a hiking activity in
nearby mountains. She shows excitement while informing the nurse about her new water bottle for this trip.
What is the appropriate initial response by the nurse?
A. "what do your parents think?"
B. "you realize that this type of activity might cause you a pain crisis"
C. "you need to get approval from your doctor before attending this activity"
D. ."it is great that you are hydrating yourself in preparation of this activity
B
73
514. A child with thalassemia was given desferoxamine (Desferal);which of the following should alert the nurse to
notify the physician?
A. Decreased hearing
B. Hypertension
C. Red urine
D. Vomiting
A
74
515. A client is diagnosed as having secondary Cushing’s syndrome. The nurse knows that the client has most likely
been taking which medication:
A. Estrogen
B. Penicillin
C. Lovastatin
D. Prednisone
D
75
516. A nurse is planning to give a 5 year old child an intramuscular injection. Which of the following is the best
nursing intervention to minimize fear?
A. Show a cartoon video injection attention
B. Allow child to give injection to a doll
C. Observe another child receiving injection
D. Get parents to reassure child
B
76
517. A client who is breastfeeding her newborn requests assistance from the lactation nurse. Which reflex does the
nurse explain in order to assist with latching on?
A. Extrusion reflex
B. Rooting reflex
C. Swallowing reflex
D. Tonic neck reflex
B
77
518. A healthy baby is born normally via vaginal delivery and when transferred to newborn until the nurse
administered vitamin K intramuscularly. Which sits recommended for vitamin K injection ?
A. Biceps
B. Deltoid
C. Vastus lateralis
D. Gluteus maximus
C
78
519. The nurse determines that a client understands the purpose of a vitamin K injection for her new-born if the
client states that V K is administered for which purpose
A. New born lack vitamin
B. New born have low blood levels
C. New born lack intestinal bacteria
D. New born cannot produce vitamin k in the liver
C
79
520. A nurse is administering a shot of vitamin K to 30 days old infant . which of the following target area is the
most appropriate
A. Gluteus maximus
B. Gluteus minimus
C. Vastus lateralis
D. Vastus medialis
C
80
521. While a nurse is assessing the head of a newborn at the first hour after delivery , she observed a soft edema
over the vertex which crosses the suture line. Which of the following would be the proper nurses
interpretation?
A. Cephalohematoma
B. Hydrocephaly
C. Large head
D. Caput succedaneum
D
81
522. A mother asked the nurse that while she was changing the diaper for her female newborn, she noticed a brick
red stain on it. What is the best response by the nurse?
A. It is a sign of low iron excretion
B. It is expected in female newborn
C. It is due to medication given to the mother
D. it due to medication given to the newborn
B
82
523. A nurse is assessing a4-month-old formula fed infant .the parent reported that the infant was irritable, crying
excessively, not sleeping well, and vomiting, gastro esophageal reflux is expected. What nursing intervention
should the nurse expect to each parent ?
A. Place in an infant seat after eating
B. Give frequent feedings
C. Position the child in a swing
D. Thin formula with water
A
83
524. The normal systolic Bp for new Born:-
A. 40-60
B. 60-80
C. 80-100
D. 100-120
B
84
525. Neonatal mortality rate :
A. 1:100
B. 1:1000
C. 1:100000
D. 1:1000000
B
85
526. New born stomach capacity
A. 6ml
B. 12ml
C. 28ml.
A
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