Pediatric Nurse Exam Pediatric Nurse Neonatal and Newborn Care 2

Question 1

Jaundice appearing within the first 24 hours of life is most commonly caused by which condition?

Accepted Answer

Hemolytic disease due to ABO or Rh incompatibility

Answer

Physiological jaundice

Answer

Breast milk jaundice

Answer

Neonatal sepsis

Question 2

A mother is Rh-negative and delivers an Rh-positive newborn. Which postpartum medication should the nurse prepare?

Accepted Answer

Rho(D) immune globulin (RhoGAM)

Answer

Oxytocin

Answer

Progesterone supplement

Answer

Anti-D vaccine booster

Question 3

Which newborn reflex is expected to disappear by 4–6 months of age?

Accepted Answer

Moro reflex

Answer

Babinski reflex

Answer

Blink reflex

Answer

Rooting reflex at feeding times

Question 4

During phototherapy for neonatal hyperbilirubinemia, which nursing action is most important?

Accepted Answer

Apply eye shields to protect the retinas

Answer

Keep the newborn fully clothed to prevent hypothermia

Answer

Apply moisturizing lotion to exposed skin

Answer

Limit feedings to reduce bilirubin production

Question 5

Which nursing intervention is critical to include when a newborn receives phototherapy?

Accepted Answer

Ensure frequent feedings to promote bilirubin excretion

Answer

Maintain strict NPO status to reduce metabolic demand

Answer

Keep the infant swaddled to prevent heat loss

Answer

Reposition every 4 hours only

Question 6

Which sign is most indicative of coarctation of the aorta in a newborn?

Accepted Answer

Diminished or absent femoral pulses with bounding brachial pulses

Answer

Central cyanosis of the face and trunk

Answer

Bradycardia and hypotension in all extremities

Answer

Peripheral edema of the lower limbs only