Maternal Newborn Nursing Test Neonatal Complications and High-Risk Newborn

Question 1

A preterm infant at 28 weeks gestation is placed on a mechanical ventilator for respiratory distress syndrome (RDS).
Which medication is typically administered to promote lung maturity before preterm birth?

Accepted Answer

Betamethasone (corticosteroid) to the mother

Answer

Surfactant via endotracheal tube

Answer

Magnesium sulfate IV to the neonate

Answer

Indomethacin to the infant

Question 2

A 30-week preterm infant develops abdominal distension, blood in the stool, and feeding intolerance. Which condition should the nurse suspect?

Accepted Answer

Necrotizing enterocolitis (NEC)

Answer

Hirschsprung disease

Answer

Pyloric stenosis

Answer

Intussusception

Question 3

A nurse is caring for a 32-week gestation newborn with respiratory distress syndrome. Surfactant replacement therapy is ordered. Via which route is surfactant administered?

Accepted Answer

Endotracheally

Answer

Intravenously

Answer

Intramuscularly

Answer

Subcutaneously

Question 4

A newborn is born to a mother with insulin-dependent diabetes. Which complication is the newborn at HIGHEST risk for in the first hours of life?

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

Hypocalcemia

Answer

Hypernatremia

Question 5

A full-term newborn is diagnosed with transient tachypnea of the newborn (TTN). Which delivery method puts a newborn at higher risk for TTN?

Accepted Answer

Elective cesarean section without labor

Answer

Vaginal delivery with prolonged labor

Answer

Vacuum-assisted vaginal delivery

Answer

Forceps-assisted vaginal delivery

Question 6

A neonate is showing signs of neonatal abstinence syndrome (NAS). Which set of findings is consistent with this diagnosis?

Accepted Answer

High-pitched cry, tremors, poor feeding, diarrhea

Answer

Hypotonia, lethargy, bradycardia, hypothermia

Answer

Hypoglycemia, central cyanosis, weak suck

Answer

Jaundice, hepatomegaly, petechiae