MCN LEC SEMI QUIZ#3

A 42-week-gestation baby has been Post term babies will have hypoglycemia
admitted to the neonatal intensive care due to
unit. At delivery, thick green amniotic
a. Decreased glycogen stores
fluid was noted. Which of the following
b. Hypoxia
actions by the nurse is critical at this
c. Increased RBC
time?
d. Meconium aspiration
a. Rectal temperature to assess for
septic hyperthermia.
Common signs of a 33 weeks preterm
b. Respiratory evaluation to monitor for
baby include the following, EXCEPT:
respiratory distress.
c. Ophthalmic assessment to check for a. Lower muscle tone
conjunctival irritation. b. Scant lanugo
d. Bath to remove meconium- c. Less body fat
contaminated fluid from the skin. d. Shallow, irregular breathing

An infant at 26 weeks of gestation A premature infant develops respiratory

arrives intubated from the delivery distress syndrome. With this condition,
room. The pulse oximeter is recording circulatory impairment is likely to occur
oxygen saturations of 80%. The because with increased lung tension,
prescribed saturations are 92%. The the:
nurse's most appropriate action would
a. pulmonary artery closes.
be to:
b. ductus arteriosus remains open.
c. foramen ovale closes prematurely.
a. Listen to breath sounds and ensure d. aorta or aortic valve strictures.
the patency of the endotracheal tube,
increase oxygen, and notify a physician.
b. Notify the parents that their infant is
not doing well.
c. Continue with the admission process
to ensure that a thorough assessment is
completed.
d. Continue to observe and make no
changes until the saturations are 75%.
MCN LEC SEMI QUIZ#3

A premature infant with respiratory The effective production of red cells with
distress syndrome receives artificial an elevated reticulocyte count begins at
surfactant. How would the nurse explain
a. 28 weeks AOG
surfactant therapy to the parents?
b. 32 weeks AOG
a. "The drug keeps your baby from c. 37 weeks AOG
requiring too much sedation." d. After 41 weeks
b. "Surfactant improves the ability of
your baby's lungs to exchange oxygen
All these increases a woman's risk of
and carbon dioxide."
giving a premature delivery, EXCEPT if
c. "Surfactant is used to reduce episodes
the woman
of periodic apnea."
d. "Your baby needs this medication to a. Had previous premature birth
fight a possible respiratory tract b. Has urinary tract infection
infection." c. has breech presentation
d. has high blood pressure
Ballard scoring is used to determine:
The nurse is aware of the associated
a. Maturational age
adverse effects of Indomethacin when
b. Hypothermia
given to preterm infants. Which of the
c. Respiratory distress syndrome
following nursing actions is the LEAST
d. Chromosomal abnormalities
significant?
a. Measure the head circumference for
In caring for the preterm infant, what
signs of hydrocephalus
complication is thought to be a result of
b. assess the IVF insertion site for
high arterial blood oxygen level?
bleeding
a. Necrotizing enterocolitis (NEC) c. Check for petechia
b. Bronchopulmonary dysplasia (BPD) d. Monitor the urine output
c. Retinopathy of prematurity (ROP)
d. Intraventricular hemorrhage (IVH)

A baby is grunting in the neonatal

nursery. Which of the following actions
by the nurse is appropriate?

a. Have the mother feed the baby.

b. Assess the respiratory rate.
c. Check the baby's diaper.
d. Place a pacifier in the baby's mouth.
MCN LEC SEMI QUIZ#3

A pregnant woman was admitted for An infant admitted to the newborn

induction of labor at 43 weeks of nursery has a blood glucose level of 35
gestation with sure dates. A nonstress mg/dL. The infant is said to have a
test (NST) revealed a nonreactive
a. Moderate hypoglycemia
tracing. On artificial rupture of
b. Severe hypoglycemia
membranes, thick, meconium-stained
c. Normal glucose level
fluid was noted. The nurse caring for the
d. Mild hypoglycemia
infant after birth should anticipate:

a. Hyperglycemia, hyperthermia, and an

Polycythemia is described as
alert, wide-eyed appearance.
b. Excessive vernix caseosa covering the a. Increased hematocrit
skin, lethargy, and respiratory distress b. Decreased RBC
syndrome. c. Increased RBC
c. Golden yellow- to green stained-skin d. Decreased hematocrit
and nails, absence of scalp hair, and an
increased amount of subcutaneous fat.
A nasogastric tube may be inserted to a
d. Meconium aspiration syndrome,
preterm baby at 32 wks gestation due
hypoglycemia, and dry, cracked skin.
to:
a. Large nipple of the mother for the
A preterm infant admitted to the
baby to grasp
newborn nursery has a blood glucose
b. Uncoordinated sucking and
level of 35 mg/dL. Which of the
swallowing reflexes
following actions should the nurse
c. Too strong sucking reflex
perform at this time?
d. The mother not producing enough
a. Administer I.V. bolus of D10W as milk
ordered
b. Monitor the baby's urinary output.
The nurse is assessing a POSTTERM
c. Feed the baby formula or breast milk.
newborn. Which of the following
d. Assess the baby's blood pressure.
characteristics is not expected in a
postterm?
Late-preterm infants are at increased risk
a. Excessive lanugo
for the following health problems,
b. Little subcutaneous tissue, loose skin
EXCEPT:
c. Decreased or absent vernix
a. Hyperbilirubinemia d. Dry, parchment-like skin
b. Sepsis
c. Problems with thermoregulation
d. Hyperglycemia
MCN LEC SEMI QUIZ#3

The nurse is assessing a 35 week A common symptom that would alert

preterm newborn which of the following
would the nurse most likely find?
a. Excessive lanugo
b. Decreased or absent vernix
c. No creases on the soles
d. Dry, parchment-like skin
Polycythemia may have developed in
post term newborns due to
a. Decreased oxygenation
b. Glycogen stores have been used
c. All of the above
d. Excessive surfactant in the lungs
the nurse that a preterm infant is
developing respiratory distress
syndrome is:
a. expiratory grunting.
b. inspiratory stridor.
c. inspiratory "crowing."
d. expiratory wheezing.
Sucking and swallowing become
coordinated at the age of 32 wks.
Gestation.
a. False
b. True

Because of the premature infant's

decreased immune functioning, what
nursing diagnosis should the nurse
include in a plan of care for a premature
infant?
a. Ineffective infant feeding pattern
b. Ineffective thermoregulation
c. Delayed growth and development
d. Risk for infection

Aura who is still on her 32nd week of

gestation is experiencing premature
uterine contractions (PUC). The nurse
administered Glucocorticosteroid as
ordered to:

a. Decrease gastric secretions

b. Reduce uterine contractions
c. Neutralize urine acidity
d. Promote surfactant production