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NCLEX 40 practice questions: OB/GYN Newborn

Which neonatal behavior is most commonly associated with fetal alcohol syndrome
(FAS)?
1. POOR WAKE AND SLEEP PATTERNS
2. High birth weight
3. High threshold of stimulation - Given
4. Hypoactivity
A woman delivers a 3.250 g neonate at 42 weeks gestation. Which physical finding
is expected during an examination if this neonate?
1. LEATHERY, CRACKED, AND WRINKLED SKIN - Given
2. Breast bud of 1-2 mm in diameter
3. Abundant lanugo
4. Absence of sole creases
A mother of a term neonate asks what the thick, white, cheesy coating is on his skin.
Which correctly describes this finding?
1. Milia - Given
2. Nevus flammeus
3. Lanugo
4. VERNIX
The nurse decides on a teaching plan for a new mother and her infant. The plan
should include:
1. Setting up a schedule for teaching the mother how to care for her baby
2. SHOWING BY EXAMPLE AND EXPLANATION HOW TO CARE FOR THE
INFANT - Given
3. Supplying the emotional support to the mother and encouraging her
independence
4. Discussing the matter with her in a non-threatening manner

When attempting to interact with a neonate experiencing drug withdrawal, which


behavior would indicate that the neonate is willing to interact?
1. Gaze aversion - Given
2. Hiccups
3. QUIET ALERT STATE
4. Yawning
When performing an assessment on a neonate, which assessment finding is most
suggestive of hypothermia?
1. Hyperglycemia
2. Shivering - Given
3. BRADYCARDIA
4. Metabolic alkalosis
After reviewing the clients maternal history of magnesium sulfate during labor, which
condition would the nurse anticipate as a potential problem in the neonate?
1. Hypoglycemia - Given
2. RESPIRATORY DEPRESSION
3. Jitteriness
4. Tachycardia
When teaching umbilical cord care to a new mother, the nurse would include which
information?
1. Cover the cord with petroleum jelly after bathing
2. Apply peroxide to the cord with each diaper change - Given
3. KEEP THE CORD DRY AND OPEN TO AIR
4. Wash the cord with soap and water each day during a tub bath
The most common neonatal sepsis and meningitis infections seen within 24 hours
after birth are caused by which organism?
1. Chlamydia trachomatis - Given
2. Escherichia coli

3. GROUP B BETA-HEMOLYTIC STREPTOCOCCI


4. Candida albicans
The nurse is aware that a neonate of a mother with diabetes is at risk for what
complication?
1. Anemia - Given
2. HYPOGLYCEMIA
3. Nitrogen loss
4. Thrombosis
Which condition or treatment best ensures lung maturity in an infant?
1. Absence of phosphatidylglycerol in amniotic fluid
2. Glucocorticoid treatment just before delivery - Given
3. Meconium in the amniotic fluid
4. LECITHIN TO SPHINGOMYELIN RATIO MORE THAN 2:1

When performing nursing care for a neonate after a birth, which intervention has the
highest nursing priority?
1. Give the vitamin K injection
2. COVER THE NEONATES HEAD WITH A CAP - Given
3. Give the initial bath
4. Obtain a dextrostix

Which action best explains the main role of surfactant in the neonate?
1. Helps maintain a rhythmic breathing pattern
2. Assists with ciliary body maturation in the upper airways - Given
3. Promotes clearing mucus from the respiratory tract
4. HELPS THE LUNGS REMAIN EXPANDED AFTER THE INITIATION OF
BREATHING

A healthy term neonate born by C-section was admitted to the transitional nursery 30
minutes ago and placed under a radiant warmer. The neonate has an axillary
temperature of 99.5*F, a respiratory rate of 80 breaths/minute, and a heel stick
glucose value of 60 mg/dl. Which action should the nurse take?
1. Wrap the neonate warmly and place her in an open crib
2. OBTAIN AN ORDER FOR IV FLUID ADMINISTRATION - Given
3. Increase the temperature setting on the radiant warmer
4. Administer an oral glucose feeding of 10% dextrose in water

While assessing a 2-hour old neonate, the nurse observes the neonate to have
acrocyanosis. Which of the following nursing actions should be performed initially?

1. DO NOTHING BECAUSE ACROCYANOSIS IS NORMAL IN THE NEONATE


2. Notify the physician of the need for a cardiac consult - Given
3. Immediately take the newborns temperature according to hospital policy
4. Activate the code blue or emergency system

A neonate has been diagnosed with caput succedaneum. Which statement is correct
about this condition?
1. It usually resolves in 3-6 weeks
2. Its a collection of blood between the skull and the periosteum - Given
3. It doesnt cross the cranial suture line
4. IT INVOLVES SWELLING OF TISSUE OVER THE PRESENTING PART OF
THE PRESENTING HEAD

A client with group AB blood whose husband has group O has just given birth. The
major sign of ABO blood incompatibility in the neonate is which complication or test
result?

1. Bleeding from the nose and ear


2. JAUNDICE WITHIN THE FIRST 24 HOURS OF LIFE - Given
3. Jaundice after the first 24 hours of life
4. Negative Coombs test
Neonates of mothers with diabetes are at risk for which complication following birth?
1. Atelectasis
2. Pneumothorax - Given
3. Microcephaly
4. MACROSOMIA
A client has just given birth at 42 weeks gestation. When assessing the neonate,
which physical finding is expected?
1. Lanugo covering the body
2. A sleepy, lethargic baby - Given
3. Vernix caseosa covering the body
4. DESQUAMATION OF THE EPIDERMIS
By keeping the nursery temperature warm and wrapping the neonate in blankets, the
nurse is preventing which type of heat loss?
1.

Conduction Given
2. Radiation
3. CONVECTION
4. Evaporation