Exam 4 High Risk Newborn NCLEX Questions.pdf file:///C:/Users/HP/Desktop/dddd/Exam%204%20High%20Risk%20
Exam 4 High Risk Newborn NCLEX
Questions & Answers
1. A 1-day-old neonate, 32 weeks' gestation, is in an overhead warmer.Thenurse assesses
the morning axillary temperature as 96.9°F. Which of the following could explain this
assessment finding?
1. This is a normal temperature for a preterm neonate.
2. Axillary temperatures are not valid for preterm babies.
3. The supply of brown adipose tissue is incomplete.
4. Conduction heat loss is pronounced in the baby.
Answer 3
2. Which of the following neonates is at highest risk for cold stress syndrome?
1. Infant of diabetic mother.
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2. Infant with Rh incompatibility.
3. Postdates neonate.
4. Down syndrome neonate.
Answer 3
3. Which of the following would lead the nurse to suspect cold stress syn-drome in a
newborn with a temperature of 96.5°F?
1. Blood glucose of 50 mg/dL.
2. Acrocyanosis.
3. Tachypnea.
4. Oxygen saturation of 96%
Answer 3
4. Four babies are in the newborn nursery.The nurse pages the neonatologistto see the
baby who exhibits which of the following?
1. Intracostal retractions.
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2. Erythema toxicum.
3. Pseudostrabismus.
4. Vernix caseosa.
Answer 1
5. A baby is grunting in the neonatal nursery. Which of the following actionsby the
nurse is appropriate?
1. Place a pacifier in the baby's mouth.
2. Check the baby's diaper.
3. Have the mother feed the baby.
4. Assess the respiratory rate.
Answer 4
6. A 6-month-old child developed kernicterus immediately after birth. Which of the
following tests should be done to determine whether or not this child hasdeveloped any
sequelae to the illness?
1. Blood urea nitrogen and serum creatinine.
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2. Alkaline phosphatase and bilirubin.
3. Hearing testing and vision assessment.
4. Peak expiratory flow and blood gas assessments.
Answer 3
7. A baby with hemolytic jaundice is being treated with fluorescent photother- apy. To
provide safe newborn care, which of the following actions should thenurse perform?
1. Cover the baby's eyes with eye pads.
2. Turn the lights on for ten minutes every hour.
3. Clothe the baby in a shirt and diaper only.
4. Tightly swaddle the baby in a baby blanket.
Answer 1
8. A baby is born with erythroblastosis fetalis. Which of the followingsigns/symptoms
would the nurse expect to see?
1. Ruddy complexion.
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