should i be a neonatal nurse quiz

While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Document the findings B. apply warm, moist heat to the breasts. 18. C. 120 and 160 D. Leathery, cracked, and wrinkled skin. 39. The aim of therapy in RDS is to support the disease until the disease runs its course with the subsequent development of surfactant. The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. If loading fails, click here to try again. There is no haste in cutting the cord. The priority nursing diagnosis for the neonate is. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn? C. call the laboratory to collect a PKU screening test 24. A woman delivers a 3,250 g neonate at 42 weeks’ gestation. D. Wash the cord with soap and water each day during a tub bath. To allow for close observation for worsening respiratory distress, the neonate should be kept unclothed in the radiant warmer. If this activity does not load, try refreshing your browser. D. Thrombosis. These neonates are usually very alert. A. D. Incessant crying. The client asks her husband to give the baby a bottle of water. The area appears healed with no drainage or erythema present. One out of nine mothers do not carry to full term (37 or more weeks), and roughly 100,000 babies end up in an NICU each year. The nurse determines that the client does not understand the instructions when she says, “All neonates should be in an approved car seat when in an automobile.”, “It’s acceptable to prop the infant’s bottle once in a while.”, “Pillows should not be used in the infant’s crib.”, “Infants should never be left unattended on an unguarded surface.”. Turning on the overhead radiant warmer 25. Altered sleep patterns are caused by disturbances in the CNS from alcohol exposure in utero. Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated. A. B. It usually resolves in 3-6 weeks The nursery nurse should carefully monitor which of the babies for hypothermia? In addition to a master’s or doctoral degree, candidates benefit from obtaining neonatal certification from the Neonatal Intensive Care Nursing Certification Corporation. Ineffective thermoregulation related to fluctuating  environmental temperatures. Four full-term babies were admitted to the neonatal nursery. Answer: C. “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”. A. Activate the code blue or emergency system C. apply an antibiotic ointment to the stump. C. Quickly tie and cut the umbilical cord Answer: B. The other options are also important, although they are of lower priority. 5. Answer: A. Respiratory distress syndrome is diagnosed, and the physician prescribes surfactant replacement therapy. Neonates of mothers with diabetes are at risk for which complication following birth? “It’s acceptable to prop the infant’s bottle once in awhile.” B. continue to clean the stump with alcohol for one week. The questions are best and smart but it can’t be downloaded so can you help me how can i download it? Whichever is your field of expertise or interest, the ICU will provide the most rigorous of all training, experience wise. D. Jaundice within the first 24 hours of life. The primary critical observation for Apgar scoring is the: A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. B. C. Immediately take the newborn’s temperature according to hospital policy C. Set up the intravenous line with 5% dextrose in water P.O. The nurse is preparing to measure the head circumference of the infant. When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact? Which condition or treatment best ensures lung maturity in an infant? The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?”  The nurse recognizes the need for further instruction about infant feeding and tells her, A. A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. Vitamin K can be given up to 4 hours after birth. Answer: B. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. wear a tight fitting bra or breast binder. The nurse should position the baby with head lower than chest and rub the infant’s back to stimulate crying to promote oxygenation. C. Evaporation Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is preventing which type of heat loss? D. give him a bath in an infant tub now. C. “Pillows should not be used in the infant’s crib.” C. Increase the temperature setting on the radiant warmer The nurse is aware that a neonate of a mother with diabetes is at risk for what complication? Answer: D. Respirations, pulse, temperature. Which of the following nursing actions would be most appropriate? The client talks to the baby and picks him up when he cries. A newborn infant born to a woman using drugs is irritable. To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include: Monitoring for the passage of meconium each shift, Instituting phototherapy for 30 minutes every 6 hours, Substituting breastfeeding for formula during the 2nd day after birth, Supplementing breastfeeding with glucose water during the first 24 hours. The presence of a barrel chest with grunting. A baby is born precipitously in the ER. Answer: B. D. Vernix caseosa covering the body. Vitamin K is prescribed for a neonate. A. Candida albicans The nurse instructs a primipara about safety considerations for the neonate. Which of the following nursing actions would be most appropriate? Answer:D. give him a bath in an infant tub now. Neonatal Nurses: Warriors who fight alongside our babies…leading the battle to keep our babies alive. When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority? A client has just given birth at 42 weeks’ gestation. Hyperactivity is a characteristic generally noted. C. Desquamation of the epidermis Circle the amount of bloody drainage on the dressing and reassess in 30 minutes. Which Nursing Specialty in Demand Should I Pursue? A. When performing an assessment on a neonate, which assessment finding is most suggestive of hypothermia? Covering the neonate’s head with a cap helps prevent cold stress due to excessive evaporative heat loss from the neonate’s wet head. Answer: B. Potential for infection related to lack of immunity. Spend your time wisely! A newborn’s mother is alarmed to find small amounts of blood on her infant girl’s diaper. Discussing the matter with her in a non-threatening manner Vitamin K is necessary for the body to synthesize coagulation factors. contact the nurse midwife for a lactation suppressant. Take our short quiz to learn what nursing specialty is best suited for your nursing career! As a teacher, you may find yourself nursing concerns beyond the lesson plans and class assignments. Subscribe to Notes on Nursing, our monthly news digest. Finding help online is nearly impossible. cpigney. A. wear a tight fitting bra or breast binder. You are given one minute per question. Being a neonatal nurse tends to be a job with a lot of pressure, so you need to learn as much as possible about the candidate's personality and goals. “All neonates should be in an approved car seat when in an automobile.” Potential for infection related to lack of immunity. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: The home health nurse visits the Cox family 2 weeks after hospital discharge. B. Tachypnea and retractions C. Substituting breastfeeding for formula during the 2nd day after birth Answer: C. “The infant’s digestive tract cannot handle complex carbohydrates like cereal.”, 48. Which neonatal behavior is most commonly associated with fetal alcohol syndrome (FAS)? A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Questions included in this exam are: diseases encountered by the neonate, APGAR scoring, assessment of the newborn and more. Leigh Anne O'Connor, a private lactation consultant, says, "Breastfeeding skills should be basic training for all health care professionals who work in pediatrics and obstetrics, particularly neonatal professionals." 35. This certification requires applicants to h… With experience you could progress to sister or matron within neonatal nursing. Hiccups The baby whose mother had gestational diabetes c. As you gain more experience, you might be able to apply for jobs as a nurse consultant. Normally the newborn’s breathing is abdominal and irregular in depth and rhythm; the rate ranges from 30-60 breaths per minute. Which statement is correct about this condition? Questions. On assessment the infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting. Neonates of mothers with diabetes are at risk for hypoglycemia due to increased insulin levels. The heart rate varies with activity; crying will increase the rate, whereas deep sleep will lower it; a rate between 120 and 160 is expected. The nurse provides which most appropriate instructions to the mother? The nurse instructs the client that if engorgement occurs the client should. 1. In Text Mode: All questions and answers are given for reading and answering at your own pace. Apply peroxide to the cord with each diaper change A. Atelectasis B. give the baby a bath B. A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. C. Instillation of the preparation into the lungs through an endotracheal tube The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which would involve preparing respiratory resuscitation equipment. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome? With so many nursing specialties -- from registered nurses to nurse practitioners to travel nurses -- it's helpful to narrow down your choices. B. Ascertain the condition of the fundus If you add the potential bonus that they can receive a year of $0.00 – $10,122 it brings the total to $45,207 – $113,531. 6. We hope that your pregnancy and delivery go smoothly, but if the unexpected should occur, here are 15 important questions to ask: 1. Take this 2 minute nursing specialty career quiz to match your personality to the nursing field that's best for you! Respiratory rate Touching with the stethoscope and inserting the thermometer increase anxiety and elevate vital signs. D. “Infants should never be left unattended on an unguarded surface.”, 49. A nurse prepares to administer the medication in which muscle site? A. Abundant lanugo - Quiz & Self-Assessment Test found the following related articles, links, and information useful. 35. A. Lanugo The infant is pink with slight acrocyanosis. When charting this observation, the nurse identifies it as: A. Milia C. Presence of meconium D. check the baby’s serum glucose level and administer glucose if < 40 mg/dL, 44. The client feeds the baby every three hours. You are given 1 minute and 20 seconds per question, a total of 66 minutes for this exam. D. It involves swelling of tissue over the presenting part of the presenting head. A neonatal nurse can earn between $46,166 and $100,755 a year. A neonate has been diagnosed with caput succedaneum. 29. The major sign of ABO blood incompatibility in the neonate is which complication or test result? Within 3 minutes after birth the normal heart rate of the infant may range between: The nurse decides on a teaching plan for a new mother and her infant. Be the first to get new content, exclusive features and great discounts from the Scrubs Mag team. B. If this sounds like you, here are the steps to take to become a neonatal/NICU nurse: 50. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn? A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. Which of the following nursing actions should be performed initially? Please wait while the activity loads. 49. 36. The industry you work in will affect your salary as a neonatal nurse. Obtaining a bachelor’s degree in nursing may give prospective nurses more employment opportunities and increased income. 8. ", "It involves swelling of tissue over the presenting part of the presenting head.". The respiratory rate is associated with activity and can be as rapid as 60 breaths per minute; over 60 breaths per minute are considered tachypneic in the infant. The home health nurse visits the Cox family 2 weeks after hospital discharge. Helps maintain a rhythmic breathing pattern A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. 6. Newborn infants are vitamin K deficient because the bowel does not have the bacteria necessary for synthesizing fat-soluble vitamin K. The infant’s bowel does not have support the production of vitamin K until bacteria adequately colonizes it by food ingestion. Which statement is correct about this condition? A. auscultate bowel sounds. To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include: A. 41. The nurse would prepare to administer this therapy by: Instillation of the preparation into the lungs through an endotracheal tube. 1325 Sumneytown Pike D. The client asks the nurse to recommend a good child care manual. Have you ever wondered what kind of nurse you should be? "It doesn’t cross the cranial suture line. C. contact the nurse midwife for a lactation suppressant. 9. B. Irregular, abdominal, 30-60 per minute, shallow Should I be a Nurse or a Teacher? Just to let you know Q38 said 3.250 g was the weight of the child….you should say 3,250 g (so a comma instead of a decimal). B. D. Move mother and baby to the birthing unit. The infant with respiratory distress syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions, or audible grunts. Answer: D. Group B beta-hemolytic streptococci. A. as soon as possible after the infant’s birth. 45. Obtain a dextrostix The plan should include: A. Switch to bottle feeding the baby for 2 weeks D. Set the radiant warmer control temperature at 36.5* C (97.6*F). C. Pneumothorax The neonate would have a positive Coombs test result. 30. Answer: C. Place the tape measure under the infant’s head, wrap around the occiput, and measure just above the eyes. A. C. “I will instill the eye ointment into each of the neonate’s conjunctival sacs within one hour after birth.” Magnesium sulfate crosses the placenta and adverse neonatal effects are respiratory depression, hypotonia, and Bradycardia. The client talks to the baby and picks him up when he cries. The client is breast-feeding her newborn. If the bleeding is excessive, the nurse would apply gentle pressure with sterile gauze. The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the first 24 hours of life. C. Feed the newborn infant less frequently 2. Answer: D. Cover the neonate’s head with a cap. D. Cover the neonates head with a cap. Which physical finding is expected during an examination if this neonate? B. Instituting phototherapy for 30 minutes every 6 hours Answer: B. apply warm, moist heat to the breasts. A. Meconium in the amniotic fluid Bilirubin is excreted via the GI tract; if meconium is retained, the bilirubin is reabsorbed. Covering the neonates head with a cap helps prevent cold stress due to excessive evaporative heat loss from the neonate’s wet head. Negative Coombs test As a nurse practitioner, you are able to apply to a neonatal nurse practitioner job openings. By now the newborn will have ingested an ample amount of the amino acid phenylalanine, which, if not metabolized because of a lack of the liver enzyme, can deposit injurious metabolites into the bloodstream and brain; early detection can determine if the liver enzyme is absent. The nurse would most appropriately: Wrap the tape measure around the infant’s head and measure just above the eyebrows. A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact? B. Hyperglycemia 13. B. apply an antibiotic ointment to the stump. 42. Answer: D. Drying the infant in a warm blanket. You’ll be a crucial part of the team that ensures that treatment is given promptly and appropriately by a team. A. Which action best explains the main role of surfactant in the neonate? C. Vastus lateralis The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. A nurse in a newborn nursery is performing an assessment of a newborn infant. Nursing career quiz based on personality and behavioral analysis of your interest, hobbies, and temperment to identify best nursing career choices. 22. The nurse is preparing to measure the head circumference of the infant. A. cover the umbilicus with a band-aid. 31. The primary critical observation for Apgar scoring is the: A. “I will cleanse the neonate’s eyes before instilling ointment.” B. Which of the following nursing actions should be performed initially? Turn on the apnea and cardiorespiratory monitors Lanugo is missing in the postdate neonate. Respiratory effect rather than rate is included in the Apgar score; the rate is very erratic. Do nothing because acrocyanosis is normal in the neonate 25. Even fewer think about which neonatal intensive care unit (NICU) might care for their baby. B. Microcephaly Surfactant works by reducing surface tension in the lung. The nurse instructs the client that if engorgement occurs the client should. A nurse in a newborn nursery is performing an assessment of a newborn infant. The eyes are not flushed after instillation of the medication because the flush will wash away the administered medication. daily . D. Reinforce the dressing. We think you’ll relate – see below: You know you’re a NURSE when…. A properly-trained neonatal nurse can have a significant impact on successful breastfeeding. Vitamin K can be given up to 4 hours after birth. Answer: C. Keep the cord dry and open to air. A neonate is admitted to a hospital’s central nursery. D. Evaluation of the Moro reflex. D. Shivering. Watch. Wrap the neonate warmly and place her in an open crib, Administer an oral glucose feeding of 10% dextrose in water, Increase the temperature setting on the radiant warmer, Obtain an order for IV fluid administration, The nurse instructs a primipara about safety considerations for the neonate. 9. A nurse prepares to administer a vitamin K injection to a newborn infant. 1. Also, this page requires javascript. B. Lanugo covering the body If you want to learn some on study nursing, check out these articles of ours: Neonatal Nurse Salary on Average, Per Hour, By States The nurse would most appropriately: A. Wrap the tape measure around the infant’s head and measure just above the eyebrows. Milia occur commonly, are not indicative of any illness, and eventually disappear. Gaze aversion, yawning, sneezing, hiccups, and body arching are distress signals that the neonate cannot handle stimuli at that time. 44. She emphasizes that the optimum time to initiate lactation is. 14. 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? The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism? A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Place the tape measure under the infants head at the base of the skull and wrap around to the front just above the eyes, Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes, Place the tape measure at the back of the infant’s head, wrap around across the ears, and measure across the infant’s mouth, The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. In planning for the admission of this infant. Absence of sole creases A. The neonate’s liver cannot initially adjust to the changing glucose levels after birth.

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