Practice Quiz

Maternal Newborn Nursing Certification Practice Test - Question List

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1. The nurse is assessing a newborn. Which of the following findings, if observed by the nurse, should be a cause of concern?
  1. Blood pressure difference between the upper arms and thighs is wide
  2. A newborn with an apical heart rate of 170 beats per minute when crying
  3. Symmetric blue or cyanotic discoloration of the feet and hands
  4. Brief periods of apnea during sleep
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2. The nurse assesses a female newborn. The assessment reveals an unusually small amount of soft tissue mass, especially subcutaneous fat. The skin hanging loosely on the extremities is dry and peeling. The fingernails and toenails are long. The nurse knows that based on the newborn’s clinical appearance, the age of gestation is more likely:
  1. Between 34 and 35 weeks
  2. Between 37 and 40 weeks
  3. Between 40 and 42 weeks
  4. Between 42 and 44 weeks
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3. The nurse prepares to administer vitamin K1 phytonadione (AquaMEPHYTON) to a male newborn. Which of the following nursing actions is inappropriate?
  1. Vitamin K1 is stored at room temperature in the closed original carton until the contents have been used.
  2. Vitamin K1 is administered before circumcision.
  3. Vitamin K1 is administered through the intramuscular route within 12 hours of birth.
  4. Vitamin K1 is administered intramuscularly in the lateral aspect of the thigh.
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4. A client asks the nurse why her newborn is getting an injection of vitamin K. The nurse’s most appropriate response is:
  1. “Vitamin K protects the newborn from nutritional deficiencies.”
  2. “Vitamin K protects the newborn from excessive bleeding.”
  3. “Vitamin K is needed to assist the maturation of the gut.”
  4. “Vitamin K prevents metabolic disorders.”
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5. A mother of a newborn is asking about the Guthrie test. Which of the following responses made by the nurse is the least accurate?
  1. This test determines the presence of enzymes that process phenylalanine in the blood.
  2. A high level of phenylalanine is clinically significant.
  3. The infant must have taken milk before blood is extracted.
  4. The test is done every year to track the progress of disease.
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