NEWBORN NURSING CARE AND ASSESSMENT EXAM 2 COMPLETE Q&A’S WITH RATIONALES GUARANTEED PASS | RATED A+

NEWBORN NURSING CARE AND ASSESSMENT EXAM 2 COMPLETE Q&A’S WITH RATIONALES GUARANTEED PASS | RATED A+

1. A client has just given birth at 42 weeks’ gestation. When assessing the neonate, which
physical finding is expected?
o A. A sleepy, lethargic baby
o B. Lanugo covering the body
o C. Desquamation of the epidermis
o D. Vernix caseosa covering the body
Correct Answer: C. Desquamation of the epidermis.
ï‚· Option C: Postdate fetuses lose the vernix caseosa, and the epidermis may
become desquamated.
ï‚· Option A: These neonates are usually very alert.
ï‚· Option B: Lanugo is missing in the postdate neonate.
2. After reviewing the client’s maternal history of magnesium sulfate during labor, which
condition would the nurse anticipate as a potential problem in the neonate?
ï‚· A. Hypoglycemia
ï‚· B. Jitteriness
ï‚· C. Respiratory depression
ï‚· D. Tachycardia
Correct Answer: C. Respiratory depression.
ï‚· Option C: Magnesium sulfate crosses the placenta and adverse neonatal effects
are respiratory depression, hypotonia, and Bradycardia.
3. Neonates of mothers with diabetes are at risk for which complication following birth?
ï‚· A. Atelectasis
ï‚· B. Microcephaly
ï‚· C. Pneumothorax
ï‚· D. Macrosomia
Correct Answer: D. Macrosomia.
ï‚· Option D: Neonates of mothers with diabetes are at increased risk for
macrosomia (excessive fetal growth) as a result of the combination of the
increased supply of maternal glucose and an increase in fetal insulin.
4. By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is
preventing which type of heat loss?
ï‚· A. Conduction
ï‚· B. Convection
ï‚· C. Evaporation
ï‚· D. Radiation
Correct Answer: B. Convection.
ï‚· Option B: Convection heat loss is the flow of heat from the body surface to the
cooler air.
5. A neonate has been diagnosed with caput succedaneum. Which statement is correct about this
condition?
ï‚· A. It usually resolves in 3-6 weeks
ï‚· B. It doesn’t cross the cranial suture line
ï‚· C. It’s a collection of blood between the skull and the periosteum
ï‚· D. It involves swelling of tissue over the presenting part of the presenting
head
Correct Answer: D. It involves swelling of tissue over the presenting part of the presenting
head.
ï‚· Option D: Caput succedaneum is the swelling of tissue over the presenting part
of the fetal scalp due to sustained pressure; it resolves in 3-4 days.
6. The most common neonatal sepsis and meningitis infections seen within 24 hours after birth
are caused by which organism?
ï‚· A. Candida albicans
ï‚· B. Chlamydia trachomatis
ï‚· C. Escherichia coli
ï‚· D. Group B beta-hemolytic streptococci
Correct Answer: D. Group B beta-hemolytic streptococci.
ï‚· Option D: Transmission of Group B beta-hemolytic streptococci to the fetus
results in respiratory distress that can rapidly lead to septic shock.
7. When attempting to interact with a neonate experiencing drug withdrawal, which behavior
would indicate that the neonate is willing to interact?
ï‚· A. Gaze aversion
ï‚· B. Hiccups
ï‚· C. Quiet alert state
ï‚· D. Yawning

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