Practice Quiz

Maternal Newborn Nursing Certification Practice Test - Question List

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46. A nurse in the newborn nursery is caring for a neonate. On assessment. The infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome (RDS) is diagnosed, and the physician prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by:
  1. Subcutaneous injection
  2. Intravenous injection
  3. Instillation of the preparation into the lungs through an Endotracheal tube
  4. Intramuscular injection
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47. A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would include which of the following priority interventions in the plan of care?
  1. Monitor the newborn infant’s response to feedings and weight gain pattern
  2. Encourage frequent handling of the newborn infant by staff and parents
  3. Maintain the newborn infant in a brightly lighted area of the nursery
  4. Allow the newborn infant to establish own sleep/rest pattern
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48. Nurse Jane administers erythromycin ointment (0.5%) the newborn infant’s eyes. The nurse explains to the mother that this is routinely done to:
  1. Minimize the spread of microorganisms to the newborn infant from invasive procedures during labor
  2. Protect the newborn infant’s eyes from possible infections acquired while hospitalized
  3. Prevent ophthalmia neonatorum from occurring after delivery in a newborn infant born to a woman with an untreated gonococcal infection
  4. Prevent cataracts in the newborn infant born to a woman who is rubella susceptible.
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49. A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:
  1. “Your infant needs vitamin K to develop immunity.”
  2. “The vitamin K will protect your infant from being jaundiced.”
  3. “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”
  4. “Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel.”
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50. A nurse is preparing to administer beractant (Survanta)to a premature infant who has respiratory distress syndrome (hyaline membrane disease). The nurse plans to administer the medication by which of the following routes?
  1. Subcutaneous
  2. Intratracheal
  3. Intramuscular
  4. Intradermal
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