Professional Documents
Culture Documents
DATE:
SEMI FINALS IN NCM 101
1. 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
2. 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
3. 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
4. The presence of a barrel chest with grunting
4. 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 infants 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 infants head, wrap around across
the ears, and measure across the infants mouth.
5. A postpartum nurse is providing instructions to the mother of a
newborn infant with hyperbilirubinemia who is being breastfed. The
nurse provides which most appropriate instructions to the mother?
1. Switch to bottle feeding the baby for 2 weeks
2. Stop the breast feedings and switch to bottle-feeding permanently
3. Feed the newborn infant less frequently
4. Continue to breast-feed every 2-4 hours
6. A nurse on the newborn nursery floor is caring for a neonate. On
assessment the infant is exhibiting signs of cyanosis, tachypnea, nasal
flaring, and grunting. Respiratory distress syndrome is diagnosed, and
the physician prescribes surfactant replacement therapy. The nurse
would prepare to administer this therapy by:
1. Subcutaneous injection
2. Intravenous injection
3. Presence of meconium
4. Evaluation of the Moro reflex
14. When performing a newborn assessment, the nurse should
measure the vital signs in the following sequence:
1. Pulse, respirations, temperature
2. Temperature, pulse, respirations
3. Respirations, temperature, pulse
4. Respirations, pulse, temperature
15. Within 3 minutes after birth the normal heart rate of the infant may
range between:
1. 100 and 180
2. 130 and 170
3. 120 and 160
4. 100 and 130
16. The expected respiratory rate of a neonate within 3 minutes of
birth may be as high as:
1. 50
2. 60
3. 80
4. 100
17. The nurse is aware that a healthy newborns respirations are:
1. Regular, abdominal, 40-50 per minute, deep
2. Irregular, abdominal, 30-60 per minute, shallow
3. Irregular, initiated by chest wall, 30-60 per minute, deep
4. Regular, initiated by the chest wall, 40-60 per minute, shallow
18. To help limit the development of hyperbilirubinemia in the neonate,
the plan of care should include:
1. Monitoring for the passage of meconium each shift
2. Instituting phototherapy for 30 minutes every 6 hours
3. Substituting breastfeeding for formula during the 2nd day after birth
4. Supplementing breastfeeding with glucose water during the first 24 hours
19. A newborn has small, whitish, pinpoint spots over the nose, which
the nurse knows are caused by retained sebaceous secretions. When
charting this observation, the nurse identifies it as:
1. Milia
2. Lanugo
3. Whiteheads
4. Mongolian spots
20. When newborns have been on formula for 36-48 hours, they should
have a:
1. Screening for PKU
2. Vitamin K injection
3. Test for necrotizing enterocolitis
4. Heel stick for blood glucose level
21. The nurse decides on a teaching plan for a new mother and her
infant. The plan should include:
1. Discussing the matter with her in a non-threatening manner
2. Showing by example and explanation how to care for the infant
3. Setting up a schedule for teaching the mother how to care for her baby
4. Supplying the emotional support to the mother and encouraging her
independence
22. Which action best explains the main role of surfactant in the
neonate?
1. Assists with ciliary body maturation in the upper airways
2. Helps maintain a rhythmic breathing pattern
3. Promotes clearing mucus from the respiratory tract
4. Helps the lungs remain expanded after the initiation of breathing
23. While assessing a 2-hour old neonate, the nurse observes the
neonate to have acrocyanosis. Which of the following nursing actions
should be performed initially?
1. Activate the code blue or emergency system
2. Do nothing because acrocyanosis is normal in the neonate
3. Immediately take the newborns temperature according to hospital policy
4. Notify the physician of the need for a cardiac consult
24. The nurse is aware that a neonate of a mother with diabetes is at
risk for what complication?
1. Anemia
2. Hypoglycemia
3. Nitrogen loss
4. Thrombosis
25. A client with group AB blood whose husband has group O has just
given birth. The major sign of ABO blood incompatibility in the neonate
is which complication or test result?
1. Negative Coombs test
2. Bleeding from the nose and ear
3. Jaundice after the first 24 hours of life
4. Jaundice within the first 24 hours of life
26. A client has just given birth at 42 weeks gestation. When
assessing the neonate, which physical finding is expected?
1. A sleepy, lethargic baby
2. Lanugo covering the body
3. Desquamation of the epidermis
4. Vernix caseosa covering the body
27. After reviewing the clients maternal history of magnesium sulfate
during labor, which condition would the nurse anticipate as a potential
problem in the neonate?
1. Hypoglycemia
2. Jitteriness
3. Respiratory depression
4. Tachycardia
28. Neonates of mothers with diabetes are at risk for which
complication following birth?
1. Atelectasis
2. Microcephaly
3. Pneumothorax
4. Macrosomia
29. By keeping the nursery temperature warm and wrapping the
neonate in blankets, the nurse is preventing which type of heat loss?
1. Conduction
2. Convection
3. Evaporation
4. Radiation
1.
2.
3.
4.
Abundant lanugo
Absence of sole creases
Breast bud of 1-2 mm in diameter
Leathery, cracked, and wrinkled skin
a. Estrogen
b. HCG
c. Alpha-fetoprotein
d. Progesterone
53. The nurse is assessing a six-month-old child. Which developmental
skills are normal and should be expected?
a. Speaks in short sentences.
b. Sits alone.
c. Can feed self with a spoon.
d. Pulling up to a standing position.
54. While teaching a 10 year-old child about their impending heart
surgery, the nurse should
a. Provide a verbal explanation just prior to the surgery
b. Provide the child with a booklet to read about the surgery
c. Introduce the child to another child who had heart surgery three days ago
d. Explain the surgery using a model of the heart
55. When caring for an elderly client it is important to keep in mind the
changes in color vision that may occur. What colors are apt to be most
difficult for the elderly to distinguish?
a. Red and blue.
b. Blue and gold.
c. Red and green.
d. Blue and green.
56. While giving nursing care to a hospitalized adolescent, the nurse
should be aware that the MAJOR threat felt by the hospitalized
adolescent is
a. Pain management
b. Restricted physical activity
c. Altered body image
d. Separation from family
57. A woman who is 32 years old and 35 weeks pregnant has had
rupture of membranes for eight hours and is 4 cm dilated. Since she is
a candidate for infection, the nurse should include which of the
following in the care plan?
a. Universal precautions.
b. Oxytocin administration.
c. Frequent temperature monitoring.
d. More frequent vaginal examinations.
58. The nurse prepares for a Denver Screening test with a 3 year-old
child in the clinic. The mother asks the nurse to explain the purpose of
the test. The BEST response is to tell her that the test
a. Measures potential intelligence
b. Assesses a childs development
c. Evaluates psychological responses
d. Diagnoses specific problems
59. A 27-year-old woman has Type I diabetes mellitus. She and her
husband want to have a child so they consulted her diabetologist, who
gave her information on pregnancy and diabetes. Of primary
importance for the diabetic woman who is considering pregnancy
should be
a. a review of the dietary modifications that will be necessary.
b. early prenatal medical care.