Obstetric Nurse Test Obstetric Nurse Newborn Assessment and Care 5

Question 1

Which newborn condition is best described as a collection of vernix, lanugo, and desquamated cells that may partially obstruct the colon?

Accepted Answer

Meconium plug syndrome

Answer

Meconium plug syndrome involves a firm plug of concentrated meconium that delays passage and can often be relieved with a water-soluble contrast enema.

Question 2

The nurse is caring for a newborn under phototherapy for hyperbilirubinemia. Which assessment finding requires the nurse to pause therapy and notify the provider?

Accepted Answer

Temperature of 38.5°C (101.3°F) and decreased urine output

Answer

Hyperthermia and decreased urine output during phototherapy indicate dehydration, which worsens hyperbilirubinemia and requires prompt provider notification and fluid management.

Question 3

A newborn of a mother with Type 1 diabetes is at highest risk for which immediate complication after birth?

Accepted Answer

Hypoglycemia due to fetal hyperinsulinism

Answer

Infants of diabetic mothers develop fetal hyperinsulinism in response to chronic maternal hyperglycemia; after cord clamping removes the glucose supply, insulin excess causes rapid hypoglycemia.

Question 4

The nurse is demonstrating safe infant sleep practices to new parents. Which instruction is consistent with current AAP guidelines?

Accepted Answer

Place the infant supine on a firm, flat surface in their own sleep space without loose bedding or bumper pads

Answer

The AAP recommends supine positioning on a firm, flat, separate sleep surface free of soft objects to reduce sudden infant death syndrome (SIDS) risk.

Question 5

The nurse performs a Dix-Hallpike-equivalent neurologic screen by holding a newborn in ventral suspension. In a term newborn, the expected response is:

Accepted Answer

The head aligns momentarily with the plane of the body (Landau reflex)

Answer

In ventral suspension, a term newborn should briefly hold the head in line with the body, demonstrating the early Landau response and adequate truncal tone.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Newborn Assessment and Care 5