Maternal Newborn Nursing Test Newborn Pharmacology and Procedures 3

Question 1

A nurse is preparing a newborn for phototherapy to treat hyperbilirubinemia. Which nursing intervention is essential?

Accepted Answer

Cover the eyes with opaque eye patches and expose maximum skin surface to the light

Answer

Feed the newborn less frequently to reduce bilirubin load

Answer

Keep the newborn bundled in a blanket during therapy

Answer

Apply sunscreen to protect from UV light exposure

Question 2

Which laboratory test monitors the effectiveness of phototherapy for neonatal jaundice?

Accepted Answer

Serial total serum bilirubin (TSB) levels every 4–6 hours during therapy

Answer

Complete blood count every 12 hours

Answer

Direct Coombs test daily

Answer

Arterial blood gas every 8 hours

Question 3

A nurse administers a neonatal blood transfusion. Which finding during the transfusion requires immediately stopping it?

Accepted Answer

Temperature rise of 1°C, tachycardia, and increasing respiratory rate

Answer

Heart rate of 145 bpm (baseline)

Answer

Blood glucose of 60 mg/dL

Answer

Urinary output of 2 mL/kg/hr

Question 4

Which method is used to verify placement of a nasogastric (NG) tube in a newborn before feeding?

Accepted Answer

Aspirate gastric contents and confirm pH ≤5 along with measuring the external tube length

Answer

Inject air and auscultate for a whoosh sound only

Answer

Place the tube end in water to check for bubbling

Answer

Rely on the insertion depth measured before placement alone

Question 5

A preterm newborn at 28 weeks is receiving total parenteral nutrition (TPN). Which complication should the nurse monitor for most closely?

Accepted Answer

Hyperglycemia and catheter-related bloodstream infection (CRBSI)

Answer

Hypoglycemia caused by excess dextrose

Answer

Metabolic alkalosis from amino acids

Answer

Iron overload from TPN additives

Question 6

Which nursing action prevents kernicterus in a newborn with rising bilirubin levels?

Accepted Answer

Initiating phototherapy promptly when bilirubin reaches the treatment threshold per nomogram

Answer

Restricting feedings to reduce bilirubin production

Answer

Waiting 48 hours to see if bilirubin levels naturally decline

Answer

Administering oral phenobarbital to accelerate bilirubin clearance