Practice Quiz

Maternal Newborn Nursing Certification Practice Test - Question List

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31. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?
  1. Hypotension and bradycardia
  2. Tachypnea and retractions
  3. Acrocyanosis and grunting
  4. The presence of a barrel chest with acrocyanosis
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32. A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse not expect to note during the assessment of this newborn?
  1. Irritability
  2. Difficulty in consoling the newborn
  3. Lethargy
  4. Incessant crying
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33. A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?
  1. Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
  2. Stop the breast feedings and switch to bottle feeding permanently
  3. Provide bottled water feedings between the breastfeeding sessions
  4. Continue to breastfeed every 2 to 4 hours
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34. A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?
  1. Having minimal contact with the newborn infant to prevent stimulation
  2. Advising the mother to limit newborn infant oral intake during phototherapy
  3. Applying lotions to exposed newborn infant’s skin
  4. Assessing skin integrity and fluid and electrolyte status of the newborn infant
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35. The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing instruction to the mother is which of the following?
  1. To increase the number of times that the cord is cleansed per day
  2. To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues
  3. To bring the infant to the clinic
  4. That this is normal occurrence
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