OB-Newborn NCLEX Questions

Description

I take no credit. These questions are from the book
Derek Moore
Quiz by Derek Moore, updated more than 1 year ago
Derek Moore
Created by Derek Moore almost 8 years ago
445
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Resource summary

Question 1

Question
The nurse is caring for pregnant patients. Which of these clients should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?
Answer
  • 1. 37-year-old G8 P2323, works in a chemical factory
  • 2. 23-year-old primip, low socioeconomic status, unmarried
  • 3. 16-year-old primip, began prenatal care at 30 weeks
  • 4. 28-year-old G2 P1001, history of gestational diabetes

Question 2

Question
Small-for-gestational-age infants often have complications at birth, but they may also experience long-term complications. The long-term effect that is most likely to occur in SGA infants is:
Answer
  • 1. Change from thin and underweight as a child to overweight or obese as adolescents
  • 2. Poor fine motor coordination
  • 3. Paralysis below the hips
  • 4. Permanent disfiguration

Question 3

Question
A 38-week newborn is found to be small for gestational age. Which of the following nursing interventions should be included in the care of this newborn?
Answer
  • 1. Monitor for feeding difficulties.
  • 2. Assess for facial paralysis.
  • 3. Monitor for signs of hyperglycemia.
  • 4. Maintain a warm environment.

Question 4

Question
A 7 pound, 14 ounce girl was born to an insulin-dependent type 2 diabetic mother two hours ago. The infant’s blood sugar is 45mg/dl. The best nursing action is:
Answer
  • 1. Recheck the blood sugar in four hours.
  • 2. Begin an IV of 10% dextrose.
  • 3. Feed the baby one ounce of formula.
  • 4. Document the findings in the chart.

Question 5

Question
An infant was born at 31-weeks’ gestation and weighed 1430 g. What is the correct initial feeding regimen for this infant?
Answer
  • 1. 10 mg/kg/day of premature formula 24 kcal/oz.
  • 2. 20 mg/kg/day of premature formula 24 kcal/oz.
  • 3. 40 mg/kg/day of postdischarge formula 22 kcal/oz.
  • 4. 50 mg/kg/day of term formula 20 kcal/oz.
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