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1. A newborn has been diagnosed with a group B streptococcal infection shortly after
birth. The nurse understands that the newborn most likely acquired this infection from
which cause?
A) improper hand washing abirb.com/test
B) contaminated formula
C) nonsterile catheter insertion
D) mother's birth canal abirb.com/test

2. When caring for a term newborn, the nurse observes yellow discoloration of the
newborn's skin. Which of the following would indicate toabirb.com/test
the nurse that the jaundice is
physiologic in nature?
A) Yellow discoloration of skin within 24 hours of birth
B) Cord blood bilirubin concentration of 2.5 mg/dl abirb.com/test
C) Serum bilirubin rising at 0.75 mg/dl every 4 hours
D) Visible jaundice lasting two weeks

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3. Which of the following is a cause of retinopathy of prematurity (ROP)? Select all that
apply.
A) Oxygen saturation maintained above 95% abirb.com/test
B) Presence of immature retinal blood vessels
C) Acid-base imbalances
D) Intraventricular hemorrhage leading to retinal detachment
E) Birth injury abirb.com/test

4. An infant is experiencing transient tachypnea of the newborn (TTN). Symptoms that

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may be seen in this infant include which of the following? Select all that apply.
A) Nasal flaring
B) Respirations of 60 per minute
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C) Retractions
D) Increased appetite
E) Expiratory grunting
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5. A newborn is suspected of having gastroschisis at birth. How would the nurse

differentiate this problem from other congenital defects?
A) The abdominal contents are contained within a thin,abirb.com/test
transparent sac.
B) The intestines appear reddened and swollen and have no sac around them.
C) The umbilical cord comes out of middle of the defect.
D) The skin over the abdomen is wrinkled and looks like a prune.
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6. Assessment reveals that a young mother has several risk factors for giving birth to an
infant with a neural tube defect. Which laboratory test would the nurse expect to be used
to monitor the fetus for this birth defect?
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B) genetic studies
C) folic acid levels
D) cultures for infections abirb.com/test

7. A neonate born addicted to cocaine is now being treated with medication for acute
neonatal abstinence syndrome. Which medication will beabirb.com/test
prescribed to relieve
withdrawal symptoms?
A) meperidine
B) adrenalin abirb.com/test
C) naloxone
D) morphine sulphate

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8. During the birth of a postterm infant, the nurse suspects that meconium aspiration may
have occurred in utero. What findings would correlate with this suspicion? Select all
that apply. abirb.com/test
A) The newborn has green staining of the fingernails.
B) The umbilical cord is stained bright red.
C) The newborn has labored abdominal respirations.
D) The newborn makes bearing down movements. abirb.com/test

E) The anterior fontanels are sunken at birth.

F) Green amniotic fluid is present at birth.
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9. The nurse reviews the antenatal history and notes of a term newborn. The mother admits
to continual daily use of alcohol throughout her pregnancy. For which should the nurse
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assess the infant? Select all that apply.
A) abnormal smallness of the head
B) a flatter groove between the nose and upper lip
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D) inadequate sucking
E) respiratory complications
F) positive rooting reflex
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G) abundant sole creases

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10. A 6-week gestation client asks the nurse what foods she should eat to help prevent
neural tube disorders in her growing baby. The nurse would recommend which foods?
A) Spinach, oranges, and beans
B) Milk, yogurt, and cheese abirb.com/test
C) Bananas, avocados, and coconut
D) Pork, beans, and poultry
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11. For which potential neonatal infection does the nurse anticipate using ophthalmic
erythromycin?
A) Chlamydia trachomatis abirb.com/test

B) Group B streptococcus
C) Human immunodeficiency virus
D) Herpes simplex virus Type 1 abirb.com/test

12. Which postoperative goal is most important following surgical repair of a cleft lip and
palate? abirb.com/test

A) Obtaining adequate nutrition

B) Relieving surgical pain
C) Monitoring fluid volume abirb.com/test
D) Encouraging family bonding

13. The nurse is working with a group of parents of childrenabirb.com/test

who have congenital heart
disorders. Which statement made by the parents should the nurse prioritize for further
assessment?
A) "She gets so tired when she is eating." abirb.com/test
B) "They say he has a heart murmur but it may go away."
C) "His chest measurement is the same as his head."
D) "When I move her legs up toward her chest I hear a click."
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14. Which situation is likely to result in the presence of developmental dysplasia of the hip
(DDH) at birth? Select all that apply. abirb.com/test
A) breech birth
B) transverse lie
C) female gender
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D) male gender
E) oligohydramnios

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15. A baby with developmental dysplasia of the hip is placed in a Pavlik harness. The
harness positions the hip in which position?
A) a flexed, abducted position to press the femur head against the acetabulum
B) an extended, abducted position to stabilize the femur head and the acetabulum
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C) a flexed, adducted position to point the femur towards the acetabulum
D) an extended, adducted position to relieve pressure from the femur against the
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16. Congenital myelomeningocele is commonly associated with which condition?

A) hydrocephalus abirb.com/test

B) microcephaly
C) cranial suture overlap
D) absence of the cranial vault abirb.com/test

17. An infant with a tracheoesophageal fistula is carefully examined to identify other

teratogenic effects at the same week in gestation. Which abirb.com/test
systems need to be examined?
Select all that apply.
A) vertebral
B) cardiac abirb.com/test
C) anal
D) legs
E) respiratory
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18. Which actions should nurses advocate to help the nation achieve the 2020 National
Health Goals? Select all that apply. abirb.com/test
A) teaching about folic acid supplementation prior to conception
B) obtaining early prenatal care
C) providing support after the diagnosis of a fetal disorder
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D) encouraging sonograms at every prenatal visit
E) initiating oral iron supplementation at the time of conception

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19. A premature infant in the neonatal intensive care unit exhibits worsening respiratory
distress and is noted to have abdominal distention, absent bowel sounds, and frequent
diarrhea stools that are positive for hemoccult. What diagnosis would be most likely to
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correlate with the symptoms?
A) Garamycin resistant bacteria
B) Necrotizing enterocolitis
C) Rotavirus infection abirb.com/test
D) Respiratory distress syndrome

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20. A community health nurse is teaching a group of clients about the zika virus. Which
statements by the clients indicate to the nurse that the teaching was effective? Select all
that apply.
A) Zika can be transmitted by mosquitoes, sexual activity, and blood exposure.
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B) A pregnant woman with zika may have a baby with microcephaly and other
congenital anomalies.
C) It is best for men who have been exposed to zika to abirb.com/test
wait six months before
attempting conception.
D) Women who have been exposed to zika should wait six months before attempting
conception.
E) There is no treatment for newborns with zika, but they will have supportive care
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based on the defects.

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Answer Key
1. D
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2. B
3. A, B
4. A, B, C, E
5. B abirb.com/test
6. A
7. D
8. A, C, D, F
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9. A, B, C, D
10. A
11. A
12. B abirb.com/test
13. A
14. A, C, E
15. A
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16. A
17. A, B, C, D
18. A, B, C
19. B abirb.com/test
20. A, B, C, E

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