Maternal Newborn Nursing Test Newborn Assessment and Care 2

Question 1

A newborn receives vitamin K (phytonadione) intramuscularly at birth. What is the primary rationale for this administration?

Accepted Answer

To prevent hemorrhagic disease of the newborn due to low clotting factors

Answer

To prevent neonatal infection

Answer

To stimulate the immune system

Answer

To promote bilirubin conjugation

Question 2

The nurse is assessing a 24-hour-old newborn and observes yellow discoloration of the skin and sclera. The total bilirubin level is 6 mg/dL. How should the nurse interpret this finding?

Accepted Answer

Physiological jaundice, expected at this age

Answer

Pathological jaundice requiring immediate phototherapy

Answer

Sign of ABO incompatibility requiring exchange transfusion

Answer

Hepatic failure requiring further investigation

Question 3

A newborn is placed under phototherapy for hyperbilirubinemia. Which nursing intervention is MOST important during phototherapy?

Accepted Answer

Cover the eyes with opaque shields to protect from retinal damage

Answer

Keep the infant bundled warmly to maintain temperature

Answer

Restrict feedings to 3-hour intervals only

Answer

Position the infant prone for maximum light exposure

Question 4

Which newborn weight loss in the first few days of life is considered within normal limits?

Accepted Answer

Up to 10% of birth weight

Answer

Up to 5% of birth weight

Answer

Up to 15% of birth weight

Answer

Any weight loss is abnormal

Question 5

At 12 hours of life, a newborn has not passed meconium. Which assessment finding would most concern the nurse?

Accepted Answer

Abdominal distention with absent bowel sounds

Answer

Passage of transitional stool instead of meconium

Answer

Presence of vernix in the groin folds

Answer

Mild acrocyanosis of the hands and feet

Question 6

The nurse is teaching a new parent about the newborn's umbilical cord care. Which instruction is most current and evidence-based?

Accepted Answer

Allow the cord to dry naturally and keep it clean and dry

Answer

Apply alcohol to the cord stump with each diaper change

Answer

Keep the cord stump moist with petroleum jelly

Answer

Apply antibiotic ointment to the cord base daily