OB Newborn NCLEX questions

The nurse is changing the diaper of a 1-day-old full-term female newborn in notes that the genitalia are red and swollen in that a thick white mucoid vaginal discharge is present. Based on these findings the nurse determines that which action would be best?

Document the findings

The nurse is caring for a newborn following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which nursing action would be appropriate?

Document the findings

A newborn infant has coarctation of the aorta (COA). The nurse should expect to note which findings in the infant?

Bounding radial pulses and absent or week femoral and pedal pulses

The nurse palpates the anterior fontanelle of a newborn and notes that it feels soft. What does this data indicate to the nurse?

A normal finding

The nurse performs a blood glucose test on a newborn infant whose mother has diabetes and obtains a reading of 50 mg/dL. What does the results indicate to the nurse?

A normal level

A newborn is diagnosed with a hiatal hernia. The mother of the newborn asks the nurse to explain the diagnosis. The nurse bases the response on which characteristic of this disorder?

A portion of the stomach protrudes through the esophageal hiatus of the diaphragm

Which safety measures should be implemented at delivery and when working in the newborn nursery?

Adhere to standard precautions, instruct the parents to not release their newborn to anyone wearing improper identification, fingerprint the mother in the footprint the infant on the identification card before removing the infant from the delivery room

The nurse prepares to administer erythromycin ophthalmic ointment to a newborn immediately after delivery. The nurse understands that this appointment is characterized by which description?

Affective in protecting the newborn from neisseria gonorrhea and chlamydia

The nurse is assisting in caring for a newborn whose mother is Rh negative. Which is important for the nurse to include when planning the newborn's care?

Ask about the newborn's blood type and direct coombs

A newborn is transferred to the NICU with an admitting diagnosis of esophageal atresia accompanied by a distal tracheoesophageal fistula. When assisting to care for the newborn, my priority concern should be which?

Aspiration

The nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother should be taught which intervention?

Begin with the eyes and face

The nurse discusses infant feeding options with a client following a vaginal delivery of a 6 lb. full-term infant. The mother has been diagnosed with HIV. Which is that appropriate method of feeding for this client?

Bottle feeding with a tolerated formula

The nurse is caring for a 3-hour-old infant and notes that the infant has not eaten since birth, is jittery, and has a week cry. The mother states that she can't get the baby to eat which action should the nurse take first?

Check the blood glucose level

The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan?

Circumcision has been delayed to save tissue for surgical repair

The nurse is assisting in checking the reflexes on a neonate. In eliciting the Moro reflex, the nurse should perform which action?

Clap the hand or slap on the mattress

The nurse is assisting in providing a class to new mothers on newborn care. In teaching cord care, the nurse makes which suggestion to the new mothers?

Clean around the cord with plain water as needed until the cord falls off

The nurse is collecting data on a newborn with a diagnosis of a hiatal hernia. which findings should the nurse expect you know and the infant?

Coughing, wheezing, and short periods of apnea

A nursing instructor is observing a nursing student caring for a newborn with a diagnosis of bladder exstrophy. The nursing student provide appropriate care to the infant by which action?

Covering the bladder with a sterile nonadhering moist dressing

An 8-day-old infant is irritable? High-pitched persistent cry? And a temperature of 99.4°F. The infant is also tachypneic and diaphoretic, continues to lose weight, and is hyperactive to environmental stimuli. The nurse determines that these behaviors may be consistent with what problem?

Drug withdrawal

The nurse is reviewing the record of a newborn and notes that the healthcare provider has documented the presence of cephalhematoma. Based on this documentation, the nurse expects to observe which indication on data collection of the infant?

Edema caused from bleeding below the brains periosteum

The nurse is assisting in caring for a newborn with RDS. Which initial action should the nurse plan to best facilitate bonding between the nrewborn and parents?

Encourage the parents to touch their newborn

Nursing student is preparing to instill a medication into the eyes of a newborn as a preventative measure against ophthalmia neonatorum. The nursing instructor asked the student to identify the Medication for the prophylaxis of ophthalmia neonatorum and gonococcal infection. The student correctly identifies which medication?

Erythromycin

In caring for a preterm newborns skin, which special characteristics should the nurse expect to note?

Fin and gelatinous skin with decreased amounts of subcutaneous fat and an open posture

A client delivers a viable neonate who is given APGAR scores of 8 and 9 at 1 and 5 minutes. How does the nurse characterize the neonate's physical condition?

Good

The nurse is instructing a postpartum client with endometriosis about preventing the spread of infection to the newborn. Which statement should the nurse make to the client?

Hands should be washed thoroughly before holding the infant

A breast-feeding mother with lactose intolerance asks the nurse about dietary measures. Which food should the nurse instruct the mother to avoid?

Hard cheeses

The nurse is planning for the nursery room admission of a large for gestational age (LGA) infant. In getting ready to care for this infant, the nurse prepares equipment for which diagnostic test?

Heel stick blood glucose

The nurses assignment is to visit a new mother at home who was recently discharged from the hospital. Which finding should the nurse expect to note and a healthy breast-feeding mother and newborn?

Hey mother breast-feeding with a newborn in a tummy-to-tummy position without signs of cracked nipples; the baby demonstrates bursts of sucking followed by a pause and swallow

The nurse has provided instructions to the mother of a newborn that is not circumcised about measures to clean the penis. Which statement by the mother shows understanding?

I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions

The nurse reinforces discharge instructions to the mother of a 5-day-old postterm newborn who required ventilatory support for three days for meconium aspiration. Which statement indicates that the mother needs further teaching?

I understand that my baby will be susceptible to contracting all respiratory infections throughout his childhood

A pregnant HIV positive woman delivers a baby. The nurse provides guidance to help the client make decisions regarding newborn care. Which statement by the woman indicates that additional guidance is needed?

I will breastfeed, especially for the first 6 weeks postpartum

The nurse is reinforcing instructions to the mother of an infant about post circumcision care. The nurse determines that teaching has been effective when the mother states which?

I will observe for signs of bleeding with each diaper change

The nurse is caring for a newborn diagnosed with hyperbilirubinemia. Which action is recommended for a newborn who is being breast-fed when diagnosed with hyperbilirubinemia?

Increase the frequency of breast-feeding

The nurse is reviewing the procedure for vitamin K injection in the newborn with a nursing student. Which information should the nurse provide to the student?

Inject into skin that has been cleansed with alcohol

A student nurse examines an Asian American infants eyes in notes that the infant eyes are crossed. Which statement by the student to the nurse indicates an understanding of this finding?

It probably isn't strabismus but appears that way because of the child ethnic background

A woman with type one diabetes is in labor. Based on the knowledge of insulin and diabetes and pregnancy, the nurse will be prepared to care for a newborn infant who is likely to have which complication?

Macrosomia

The nurse is assigned to assist with caring for a neonate born to a mother who is HIV positive. The nurse understands that which should be included in the care plan:

Maintaining standard precautions at all times while caring for the neonate

The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term neonate admitted to the newborn nursery. The nurse determines that which additional sign would be consistent with fetal alcohol syndrome?

Microcephaly circumference appropriate for gestational age

The nurse is caring for a NeoNate with fetal alcohol syndrome. The nurse includes which priority intervention in the care plan for this newborn

Monitor NeoNate response to feedings and the weight gain pattern

The nurse is assisting in developing a care plan for a newborn with spina bifida. The nurse includes measures to monitor for increased ICP. Which action will detect the presence of an increase in ICP?

Monitoring the anterior fontanelle for bulging

The nurse is caring for a neonate that is 3 hours old and should assess for which signs and symptoms of cold stress?

Mottling of skin, increased respirations with apnea

A client ask the nurse why her newborn baby needs an injection of vitamin K. The nurse should make which statement to the client?

Newborns are deficient in vitamin K. This injection prevents your baby from abnormal bleeding

The nurse is caring for a newborn with RDS. Which data obtained by the nurse indicates potential complications associated with the disorder?

No audible breath sounds in left lung; heart sounds louder in R side of chest

The nurse is monitoring a newborn who was circumcised. The infant has a temp of 100.6* and the dressing at the area is saturated with a foul-smelling drainage. Which is the priority nursing action?

Notify the RN

The nurse is bathing a neonate and notices small dark calfs a fine hair on the new nudes lower back. Based on this observation, the nurse should take which action?

Notify the healthcare provider of the finding

The nurse is caring for a newborn whose mother had an elevated temperature during a prolonged labor. Which intervention should be important to include in the newborns care plan?

Observe vital signs and central nervous system status frequently during the first two days

After a newborn infant undergoes circumcision, which should the nurse include in the post procedure care plan?

Observing for bleeding and monitoring for pain

The nurse is admitting a newborn infant to the nursery and notes that the healthcare provider has documented that the newborn has an omphalocele. The nurse collects data, knowing that in this condition, the viscera are in which location?

Outside of the abdominal cavity but covered with a translucent sac

The nurse is assisting in collecting data on a large-for-gestational age (LGA) newborn. Which technique should the nurse anticipate being used to check for evidence of birth trauma?

Palpating the clavicles for a fracture

The nurse administers erythromycin ointment in the newborn's eyes and the mother asks why. The nurse should respond with:

Prevents ophthalmia neonatorum from occuring after delivery to a neonate born to a woman with an untreated gonococcal infection

A newborn has just been circumcised. Which describes how the nurse should expect the surgical site to appear?

Reddened, with a small amount of bloody drainage

The nurse reviews the ABG report on a newborn with RDS who was recently weaned from the ventilator and placed in an oxygen hood at 50% oxygen. The results indicate a pH of 7.25, PaO2 of 80 mm Hg, PaCO2 of 50 mm Hg, and HCO3- of 24 mEq. Which interpretation should the nurse make of these results?

Respiratory acidosis

A concerned mother of a newborn with a cleft lip asks the nurse when the surgical repair will occur. Which is an appropriate nursing response?

Surgical repair is usually around 6 to 12 weeks of age

The nurse in the newborn nursery is assisting in monitoring a preterm newborn for respiratory distress syndrome. Which findings if noted in the newborn should alert the nurse to the possibility of the syndrome?

Tachypnea and Retractions

The nurse is monitoring a preterm newborn for RDS. Which findings in the newborn should alert the nurse to the possibility of this syndrome?

Tachypnea and retractions

The nurse is collecting data on a newborn admitted to the nursery with a diagnosis of subdural hematoma after a difficult vaginal delivery. Which intervention implemented by the nurse would indicate an understanding of a subdural hematoma?

Testing for equality of extremities when stimulating reflexes

While a client is holding and talking to her newborn immediately following delivery, she begins to cry. How does the nurse interpret the clients behavior?

The client is experiencing a normal response to birth

The nurse is caring for a newborn in the nursery and notes that the healthcare provider has documented that the child has Gastroschisis. The parents ask the nurse about the treatment for the disorder. Which statement should the nurse make to the parents?

The defect will be closed surgically after all of the contents have been returned to the abdominal cavity

The pregnant client who is anemic tells the nurse she is concerned about her baby's condition following delivery. The nurse should make which statement to address the client's concern?

The effects of anemia on your baby are difficult to predict, but lets review your care plan to ensure you are providing the best nutrition and growth potential

The nurse is reviewing the criteria for early discharge of a newborn with a new mother. Which data, if noted in the infant, indicates that the criterion for early discharge has not been met?

The infant has evidence of significant jaundice

The nurse is preparing to administer an injection of vitamin K to a newborn. When administering the injection, the nurse should select which injection site?,

The lateral aspect of the middle third of the Vastis lateralis muscle

The mother of a preterm baby asks the nurse why the baby is receiving a caffeine-type medication. Which answer should the nurse give to the mother?

The medication primarily decreases the number of apnea occurrences

A postpartum nurse has reinforced instructions to a new mother on how to bathe her newborn. The nurse demonstrates the procedure to the mother and on the following day asks the mother to perform the procedure. Which observation made by the nurse indicates that the mother is performing the procedure correctly?

The mother begins to wash the newborn by starting with the eyes and face

The nurse is caring for a neonate born to a mother who is addicted to drugs. The nurse expects to make which observation while caring for this neonate?

The neonate cries incessantly

The nurse is monitoring a newborn who was born to a drug addicted mother. Which findings should the nurse expect to note during data collection for this newborn?

The newborn is irritable, cries incessantly, difficult to console, and hyperextends and postures

The nurse is reviewing the healthcare record of a newborn admitted to the nursery; the newborn is suspected of having an imperforate anus . The nurse understands that which documented finding is an associated with this disorder?

The passage of bloody mucus stool

The nurse is planning to reinforce instructions about cord care to a new mother. The nurse should plan to tell the mother which about cord care?

The process of keeping the cord clean and dry will decrease bacterial growth

The mother of a newborn call the clinic and reports to the nurse that when she was cleansing the newborns umbilical cord the cord was moist and discharge was noted which nursing instruction to the mother is appropriate?

To bring the infant to the clinic

The nurse is preparing to feed a newborn the first feeding of sterile water. During the feeding the newborn suddenly begins to cough, choke, and become cyanotic. Based on the symptoms, the nurse my suspect that the newborn has which condition?

Tracheoesophageal fistula

In providing initial care to the newborn following delivery, what is the nurses priority action?

Turn the infants head to the side

The nurse is collecting data on a newborn in the delivery room. Which observation should the nurse expect to know when examining the umbilical cord of the newborn?

Two arteries and one vein (Ava)

The nurse and I delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn do to conduction by initiating which action?

Warming of the crib pad before placing the newborn in the crib

The nurse is caring for an infant with a diagnosis of hyperbilirubinemia. When explaining to the mother the use of phototherapy, the nurse should make which statement?

While undergoing phototherapy, your infant should wear an eye shield that is removed during feedings

The nurse educates a mother about her newborn's diagnosis of fetal alcohol syndrome. Which statement by the mother provides the nurse with assurance that the mother understands this syndrome?

Withdrawal symptoms include tremors, abnormal reflexes, and uncontrollable crying

The nurse the reviews the results of a bilirubin level on a 2-day-old jaundiced term newborn. The results indicate a total bilirubin level of 7.2 mg/dL. The newborns mother verbalizes concern over the results. On which interpretation of the bilirubin results does the nurse base a response?

Within acceptable ranges

The nurse is reinforcing instructions to a new mother about cord care and how to monitor for infection. The nurse should tell the mother that which is a sign of infection?

a moist cord with discharge

The nurse notes hypotonia, irritability, and a poor sucking reflex in a full term newborn. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which additional finding is consistent with FAS?

abnormal palmar creases

The nurse is assisting in caring for a postterm neonate immediately after admission to the nursery. The priority nursing action should be to monitor which?

blood glucose levels

After birth the nurse prevents hypothermia as a result of evaporation by performing which action?

drying the baby with a warm blanket

The nurse is preparing to care for a newborn who is receiving phototherapy. Which measures should be implemented?

monitor the skin temp closely, reposition the newborn q2h, cover the newborns eyes with shields or patches

The nurse should monitor for which signs associated with respiratory distress syndrome (RDS) in a preterm newborn?

tachypnea and retractions