What condition can result from a long, difficult labor and is characterized by a localized, soft area on the newborn's head?
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Question 2 of 94
A student nurse is caring for an infant who was just circumcised. What assessment finding should the student report to the registered nurse?
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Question 3 of 94
An infant at term was born at 0105 hours. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?
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Question 4 of 94
A mother asks the newborn nursery RN why her newborn's eyes are yellow. Which offers the mother the most accurate explanation?
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Question 5 of 94
A mother worries about her infant feeling pain during a heel stick for a blood test. What action by the nurse is best?
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Question 6 of 94
Which finding should be most concerning immediately following delivery of a newborn?
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Question 7 of 94
A nursing student is measuring a newborn babys head circumference. Which action by the student demonstrates good understanding of this procedure?
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Question 8 of 94
A neonates 5-minute Apgar assessment reveals the following: active motion; pulse
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Question 9 of 94
The nurse is assessing an infant's extrusion reflex. To perform this correctly, what steps does the nurse take?
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Question 10 of 94
A home health nurse visits a 2-week-old infant and observes the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. Given these assessment findings, what instruction should the nurse give the parent?
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Question 11 of 94
The nurse notes swelling in the scrotum of a newborn infant. Transillumination reveals a reddish-yellow reflection. What action by the nurse is best?
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Question 12 of 94
The average newborn sleeps how many hours in a 24-hour period?
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Question 13 of 94
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
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Question 14 of 94
When assessing a newborn baby
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Question 15 of 94
Which statement is most accurate regarding delivery of a newborn?
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Question 16 of 94
The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?
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Question 17 of 94
A nurse is providing care to several neonates. In giving the infants prophylactic medication to prevent ophthalmia neonatorum
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Question 18 of 94
The community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?
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Question 19 of 94
Transient tachypnea of the neonate develops due to what pathophysiologic phenomenon?
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Question 20 of 94
The nurse is explaining to a mother that her newborn's blood test indicates a high level of unconjugated bilirubin, which causes jaundice. Which information doesn't the nurse present to the mother?
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Question 21 of 94
The nurse notices that a 6-hour-old newborn patient’s urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
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Question 22 of 94
The nurse is assisting a newborn's primary care provider with the performance of a circumcision. Which intervention is used to manage the neonate's pain?
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Question 23 of 94
Which woman is most likely to continue breastfeeding beyond 6 months?
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Question 24 of 94
What is a routine health provider visiting schedule for a newborn in their first year of life, beginning at 1 month of age?
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Question 25 of 94
Blood flow connection between the systemic, aorta, pulmonary blood flow, and pulmonary artery is which fetal shunt?
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Question 26 of 94
The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment?
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Question 27 of 94
Vitamin K is given to the newborn to:
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Question 28 of 94
The nurse is providing discharge teaching to a woman who delivered her first child 2 days ago. The nurse understands that additional information is needed if the client makes which statement?
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Question 29 of 94
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent’s LMP. What assessment finding of the genitalia confirms this gestational age?
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Question 30 of 94
The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?
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Question 31 of 94
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive an exceptionally good rating by reacting to what? Select all that apply.
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Question 32 of 94
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
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Question 33 of 94
What condition can result from a long, difficult labor and is characterized by a localized, soft area on the newborn’s head?
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Question 34 of 94
A nurse is preparing to discharge an infant who has developmental dysplasia of the hip (DDH). What discharge instruction would be most important?
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Question 35 of 94
Parents of a newborn are asking the nurse why their baby has to have a shot. Which is the nurse's best response?
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Question 36 of 94
How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
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Question 37 of 94
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
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Question 38 of 94
The newborn nursery nurse knows that infant behavior is best assessed by which of the following?
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Question 39 of 94
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
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Question 40 of 94
The Apgar assessment tells the nurses and clinicians on the labor and delivery unit what information about the newborn?
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Question 41 of 94
Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?
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Question 42 of 94
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
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Question 43 of 94
The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:
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Question 44 of 94
Which behaviors should be alarming to the newborn nursery nurse and reported to the practitioner for further assessment?
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Question 45 of 94
Which method is correct for obtaining a blood glucose reading on a newborn?
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Question 46 of 94
What is acrocyanosis in the newborn?
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Question 47 of 94
The nurse determines the gestational age of an infant to be 40 weeks. Which characteristics are most likely to be observed? (Select all that apply.)
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Question 48 of 94
The nurse completes an initial newborn examination. The nurses findings include the following: heart rate 136 beats/minute; respiratory rate 64 breaths/minute; temperature 98.2F (36.8C). The nurse also documents a heart murmur,absence of bowel sounds symmetry of ears and eyes no grunting or nasal flaring and full range of movement of all extremities. Which finding requires immediate consultation with the health-care provider?
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Question 49 of 94
What organization developed the CJMM?
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Question 50 of 94
A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
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Question 51 of 94
An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?
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Question 52 of 94
The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?
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Question 53 of 94
A premature infant has been admitted to the NICU for both respiratory and nutritional support. When should the nurse begin discharge teaching to the family?
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Question 54 of 94
Which baby is at highest risk of skin infection upon discharge?
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Question 55 of 94
At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn's weight?
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Question 56 of 94
To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
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Question 57 of 94
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
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Question 58 of 94
A patient with blood group AB, whose husband has blood group O, has recently given birth. What is the main complication or test result to watch for in the newborn concerning ABO incompatibility?
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Question 59 of 94
Transient dermatologic conditions are common in newborns. What is the term for temporary, tiny white bumps or cysts on the newborn’s skin, usually on the face around the cheek, nose, or chin area?
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Question 60 of 94
Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?
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Question 61 of 94
Why is the Dubowitz/Ballard assessment tool used on newborns following delivery?
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Question 62 of 94
Upon discharge, parents of a newborn reveal their plans to take their newborn to the beach with them on a vacation when the newborn is 3 months old. Which statement by the nurse is the most appropriate?
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Question 63 of 94
In preparing a family for discharge from the perinatal unit, which method of nail care does the nurse teach as the preferred method?
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Question 64 of 94
The nurse in the neonate nursery notices a neonate, born 45 minutes ago, is unresponsive to external stimuli, and has a respiratory and heart rate below normal range. Which action does the nurse take?
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Question 65 of 94
How can the nurse caring for a patient with a neonatal loss practice self-care?
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Question 66 of 94
The nurse has access to the results of a karyotype sent out for their patient via an electronic medical record. The parents have accessed the results on their MyChart phone application and have asked the nurse what the results 45, X mean. What is the best response from the nurse?
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Question 67 of 94
A student nurse asks the newborn nursery nurse why so many babies prefer to be in a flexed position. What answer by the nurse is best?
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Question 68 of 94
What steps are included in the QSEN steps for rewarming a neonate at risk for cold stress? Select all that apply.
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Question 69 of 94
The nurse is evaluating the involution of a woman who is 3 days post partum. Which of the following finding would the nurse evaluate as normal?
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Question 70 of 94
When teaching umbilical cord care to a new parent, the nurse would include which information?
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Question 71 of 94
Which assessment finding of a newborn requires prompt action by the nurse?
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Question 72 of 94
At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn’s weight?
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Question 73 of 94
What directional order best describes the body progression of jaundice in the newborn infant?
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Question 74 of 94
A nurse is planning discharge needs to a family whose baby has just been born. Which statement is the most accurate regarding care of the umbilical cord?
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Question 75 of 94
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
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Question 76 of 94
Which assessment findings would the nurse expect to find on a newborn who delivered 24 hours ago?
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Question 77 of 94
A maculopapular rash with a red base and a small white papule in the center is commonly known as
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Question 78 of 94
What is the most serious consequence of propping an infant's bottle?
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Question 79 of 94
A student nurse is verbalizing disappointment in a new mothers seeming lack of interest in her newborn baby. The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant. What response by the registered nurse is best?
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Question 80 of 94
A nurse is providing discharge teaching to parents of a newborn. The baby had no medical problems and is healthy other than having failed an automated auditory brainstem response (AABR) hearing test conducted in the nursery. What information does the nurse provide?
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Question 81 of 94
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent's LMP. What assessment finding of the genitalia confirms this gestational age?
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Question 82 of 94
Which is the first step in assisting the breastfeeding mother to nurse her infant?
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Question 83 of 94
What does the nursing process describe?
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Question 84 of 94
Which finding would indicate a baby who may be considered preterm?
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Question 85 of 94
An infant weighing 4.1 kg was born 2 hours ago at 37 weeks of gestation. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of:
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Question 86 of 94
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
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Question 87 of 94
The nurse notices that a 6-hour-old newborn patient's urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
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Question 88 of 94
Which diagnosis is most appropriate for a newborn who has not voided within 24 hours after delivery?
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Question 89 of 94
When traveling in a car, where are infants the safest?
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Question 90 of 94
The nurse manager is planning a debriefing for several of the nurses after an IPFD. What should the manager expect?
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Question 91 of 94
Which statement is the most accurate regarding suctioning of the oral and nasal passages of a newborn?
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Question 92 of 94
The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest is delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe?
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Question 93 of 94
The nurse knows that newborns that are high-risk for delayed attachment with their parents/caregivers are at risk for what? Select all that apply.
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Question 94 of 94
The nurse is watching new parents suction their newborn. The baby begins gagging. What action should the nurse demonstrate to the parents?
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