Nurse Moose
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    Exam Review

    1. The nurse is caring for a small-for-gestational-age infant born to a drug-dependent client. Which manifestations should the nurse assess as evidence of withdrawal symptoms in the newborn?(SATA)
      A)Lethargy (Hypotonia).
      B)Hyporeflexia (Bradycardia).
      C)Sluggish respiratory rate.
      D)Tremors.
      E)Constant movement.
      F)High-pitched cry.
    2. A nurse is developing a plan of care for a newborn whose mother has a history of Gravida 1 Para 1 at 39 weeks' gestation and had a vaginal birth. Which of the following interventions should be included in the routine nursery care?(SATA)
      A)Feed glucose water.
      B)Bathe with mild soap.
      C)Take to mother's bedside for bonding.
      D)Immediately administer routine vitamin K and erythromycin.
    3. During a routine pediatric clinic visit, a 2 month old patient will need which vaccines? Select all that apply.(SATA)
      A)RV (Rotavirus).
      B)TDaP (Tetanus, diphtheria, acellular pertussis).
      C)DTaP (Diphtheria, tetanus, pertussis).
      D)Hepatitis A.
      E)MMR (Measles, mumps, rubella).
      F)HIB (Haemophilus influenzae type B).
    4. The new breastfeeding mother is concerned that her full term infant isn't receiving enough food. What is an appropriate response from the nurse?
      A)Be sure to breastfeed on demand at least every 2-3 hours or 8-10 times in a 24 hour period.
      B)In order for your baby to grow adequately, your baby needs 10 to 20 kcal/kilogram daily.
      C)Your baby will consistently gain weight at each health care provider visit if you are feeding every 3-4 hours.
      D)If you are breastfeeding you should also feed your baby water to be sure your baby does not become dehydrated.
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    Exam Review

    1. The nurse is preparing to administer digoxin to an infant diagnosed with heart failure. Which assessment finding requires the nurse to withhold the medication and notify the healthcare provider?
      A)Blood pressure of 82/54 mmHg.
      B)Respiratory rate of 28 breaths per minute.
      C)Temperature of 38.1 degrees Celsius.
      D)Apical heart rate of 82 beats per minute.
    2. Which observations would alert the nurse to suspect maltreatment of an 11-month old infant who is brought to the pediatric clinic weighing 4167 grams? Select all that apply.(SATA)
      A)Frequent rocking motions.
      B)Adequate personal hygiene.
      C)Social unresponsiveness.
      D)Stranger anxiety.
      E)Disproportion in weight and length.
      F)Inappropriate clothing.
    3. The nurse is caring for a newborn in the nursery. After the newborn's temperature reaches 36.7 degrees Celsius, which intervention should the nurse prioritize?
      A)Feed glucose water.
      B)Bathe with mild soap.
      C)Take to mother's bedside for bonding.
      D)Perform a complete physical assessment.
    4. The health care provider orders 0.001 grams of vitamin K for the neonate via intramuscular injection once. How many milliliters will the nurse administer to the neonate? Round to the nearest tenths place.
    Page 2 of 5

    Exam Review

    1. On assessment, which data would the nurse expect to obtain when asking the parents about the infant's symptoms related to pyloric stenosis? Select all that apply.(SATA)
      A)Watery diarrhea.
      B)Dehydration.
      C)Exhibits hunger.
      D)Coughing.
      E)Increased urine output.
      F)Ribbon-like stools.
    2. Six weeks after birth, an infant is found to have developmental dysplasia of the hip. The nurse explains the benefits of early treatment to the parents. What rationale for the immediate institution of corrective measures will be included in teaching?
      A)Mobility will be delayed if correction is postponed.
      B)Traction is effective if it is used before toddlerhood.
      C)Infants are easier to manage in spica casts than toddlers.
      D)Infants' cartilaginous hip joints promote molding of the acetabulum.
    3. The nurse is caring for an infant with acute nasopharyngitis. Which information would the nurse include when teaching the parents about this health problem?
      A)Typically, the child will pull at their ear when a cold is present.
      B)Acetaminophen can be given as a comfort option.
      C)An antibiotic is prescribed for children under 2 years of age.
      D)Healthy children normally have complications related to a cold.
    4. A nurse is educating a student on the unexpected findings of neonates during a physical exam. What would the nurse include in the education? Select all that apply.(SATA)
      A)An expiratory grunt.
      B)Clenched fists.
      C)Apneic episodes that last longer than 20 seconds.
      D)Heart murmur over the base of the heart.
      E)Heart rate of 100 beats/min when sleeping.
      F)Persistent heart rate of 180 beats/min or more.
    Page 3 of 5

    Exam Review

    1. Newborn's Vital Signs: Temperature 36.6 degrees Celsius, Pulse 144 beats/min, Respirations 78 breaths/min. Which action should the nurse prioritize based on these findings?
      A)Feed glucose water.
      B)Bathe with mild soap.
      C)Take to mother's bedside for bonding.
      D)Initiate supplemental oxygen administration.
    2. Which assessment technique would the nurse use to best elicit the Moro reflex in a full-term newborn?
      A)Touching the infant's cheek with a finger.
      B)Striking the surface of the infant's crib suddenly.
      C)Stroking the sole of the foot along the outer edge from the heel to toe.
      D)Allowing the infant's feet to touch the surface of the crib.
    3. Which assessment technique would the nurse use to best elicit the Moro reflex in a full-term newborn?
      A)Touching the infant's cheek with a finger.
      B)Striking the surface of the infant's crib suddenly.
      C)Stroking the sole of the foot along the outer edge from the heel to toe.
      D)Allowing the infant's feet to touch the surface of the crib.
    4. A nurse is educating a student on the unexpected findings of neonates during a physical exam. What would the nurse include in the education? Select all that apply.(SATA)
      A)An expiratory grunt.
      B)Clenched fists.
      C)Apneic episodes that last longer than 20 seconds.
      D)Heart murmur over the base of the heart.
      E)Heart rate of 100 beats/min when sleeping.
      F)Persistent heart rate of 180 beats/min or more.
    Page 4 of 5

    Exam Review

    1. Newborn's Vital Signs: Temperature 36.6 degrees Celsius, Pulse 144 beats/min, Respirations 78 breaths/min. Which action should the nurse prioritize based on these findings?
      A)Feed glucose water.
      B)Bathe with mild soap.
      C)Take to mother's bedside for bonding.
      D)Initiate supplemental oxygen administration.
    2. The nurse is caring for an infant with acute nasopharyngitis. Which information would the nurse include when teaching the parents about this health problem?
      A)Typically, the child will pull at their ear when a cold is present.
      B)Acetaminophen can be given as a comfort option.
      C)An antibiotic is prescribed for children under 2 years of age.
      D)Healthy children normally have complications related to a cold.
    3. A nurse is assessing an infant and suspects coarctation of the aorta based on which assessment finding.
      A)Excessive crying.
      B)Hypotension.
      C)Increasing inspiratory stridor.
      D)Unequal upper and lower extremity pulses.
    4. The nurse is assessing a patient with suspected varus deviation clubfoot of the right foot. What assessment finding would confirm this to the nurse.
      A)The right leg is shorter than the left and turns inward.
      B)The client often falls when attempting to crawl.
      C)The client has the same size calf muscle on both legs.
      D)The front half of the client's foot turns outward.
    Page 5 of 5