Maternal Newborn Nursing Test Neonatal Complications and High-Risk Newborn 3

Question 1

A newborn shows signs of hypocalcemia at 24 hours of life. Which risk factor is most directly associated with early neonatal hypocalcemia?

Accepted Answer

Maternal diabetes mellitus

Answer

Maternal hypothyroidism

Answer

Postmature gestational age

Answer

Maternal hypothyroidism

Question 2

A newborn is diagnosed with meconium aspiration syndrome (MAS). Which clinical finding is most characteristic?

Accepted Answer

Barrel-shaped chest and patchy infiltrates on X-ray with hyperinflation

Answer

Clear lung fields on chest X-ray

Answer

Bilateral pleural effusions

Answer

Normal oxygen saturation without supplemental oxygen

Question 3

A 4-hour-old newborn in the nursery begins having tonic-clonic movements of the face and extremities. What is the nurse's priority action?

Accepted Answer

Check blood glucose level immediately

Answer

Administer phenobarbital per standing order

Answer

Pad the crib sides to prevent injury

Answer

Obtain an order for a CT scan of the head

Question 4

A preterm infant weighing 1,100 g at 29 weeks is admitted to the NICU. What is the appropriate method of thermoregulation for this infant?

Accepted Answer

Radiant warmer with humidity or incubator with high humidity setting

Answer

Skin-to-skin with the mother immediately

Answer

Swaddled in warm blankets in an open crib

Answer

Overhead warming lamp in the delivery room only

Question 5

A newborn with suspected sepsis has a white blood cell count of 4,000 cells/mcL. What does this finding indicate?

Accepted Answer

Leukopenia, which is an ominous sign of overwhelming infection

Answer

Normal neonatal WBC value, no concern

Answer

Leukocytosis suggesting bacterial infection

Answer

Lymphocytosis suggesting viral infection

Question 6

A nurse is caring for a neonate receiving phototherapy for hyperbilirubinemia. The infant's skin appears bronze-colored. What does this indicate?

Accepted Answer

Bronze baby syndrome, a complication of phototherapy in infants with cholestatic jaundice

Answer

Normal skin response to phototherapy light

Answer

Improving jaundice as bilirubin is being cleared

Answer

Cyanosis from inadequate oxygenation