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OB-Newborn-NCLEX Practice Exam Questions and Answers 100% Solved

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OB-Newborn-NCLEX Practice Exam Questions and Answers 100% Solved A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate? 1. Document the fin...

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  • October 16, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
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JOSHCLAY
©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

OB-Newborn-NCLEX Practice Exam

Questions and Answers 100% Solved


A nurse is assessing a newborn infant following circumcision and notes that

the circumcised area is red with a small amount of bloody drainage. Which

of the following nursing actions would be most appropriate?

1. Document the findings

2. Contact the physician

3. Circle the amount of bloody drainage on the dressing and reassess in 30

minutes

4. Reinforce the dressing - ✔✔1. Document the findings - The penis is

normally red during the healing process. A yellow exudate may be noted in

24 hours, and this is a part of normal healing. The nurse would expect that

the area would be red with a small amount of bloody drainage. If the

bleeding is excessive, the nurse would apply gentle pressure with sterile

gauze. If bleeding is not controlled, then the blood vessel may need to be

ligated, and the nurse would contact the physician. Because the findings

,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

identified in the question are normal, the nurse would document the

assessment.

A nurse in a delivery room is assisting with the delivery of a newborn infant.

After the delivery, the nurse prepares to prevent heat loss in the newborn

resulting from evaporation by:

1. Warming the crib pad

2. Turning on the overhead radiant warmer

3. Closing the doors to the room

4. Drying the infant in a warm blanket - ✔✔4. Drying the infant in a warm

blanket - Evaporation of moisture from a wet body dissipates heat along

with the moisture. Keeping the newborn dry by drying the wet newborn

infant will prevent hypothermia via evaporation.

A nurse in the newborn nursery is monitoring a preterm newborn infant for

respiratory distress syndrome. Which assessment signs if noted in the

newborn infant would alert the nurse to the possibility of this syndrome?

1. Hypotension and Bradycardia

2. Tachypnea and retractions

3. Acrocyanosis and grunting

, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

4. The presence of a barrel chest with grunting - ✔✔2. Tachypnea and

retractions - The infant with respiratory distress syndrome may present with

signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions,

or audible grunts.

A nurse in a newborn nursery is performing an assessment of a newborn

infant. The nurse is preparing to measure the head circumference of the

infant. The nurse would most appropriately:

1. Wrap the tape measure around the infant's head and measure just

above the eyebrows.

2. Place the tape measure under the infants head at the base of the skull

and wrap around to the front just above the eyes

3. Place the tape measure under the infants head, wrap around the occiput,

and measure just above the eyes

4. Place the tape measure at the back of the infant's head, wrap around

across the ears, and measure across the infant's mouth. - ✔✔3. To

measure the head circumference, the nurse should place the tape measure

under the infant's head, wrap the tape around the occiput, and measure

just above the eyebrows so that the largest area of the occiput is included.

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