MCN LEC SEMI-FINALS QUIZ 4

An obese woman with diabetes has just
given birth to a term, large for
gestational age (LGA) newborn. Which
of the following conditions should the
nurse most expect to find in this infant?
a. Hypertension
b. Hyperglycemia
c. Hypotension
d. Hypoglycemia
Assessment of a newborn at 40 weeks'
gestation reveals that he is a low birth
weight newborn. Which of the following
weights would the nurse identify as
being low birth weight?
a. 2400 g
b. 3400 g
c. 4400 g
d. 1400 g
Babies with late-onset neonatal sepsis is
associated with
a. Infection of the placenta tissues and
amniotic fluid (chorioamnionitis)
b. Rupture of membranes that lasts
longer than 24 hours
c. Staying in the hospital for an
extended period of time
d. Preterm delivery
A newborn is designated as very low
birthweight. The nurse understands that
this newborn's weight is:
a. Less than 1,500 g
b. Less than 1,000 g
c. Approximately 2,500 g
d. More than 4,000 g
If the nurse manages a new infant with
low blood sugar, which of the following
would be an appropriate intervention to
prevent hypoglycemia?
a. Check the heart rate.
b. Feed the infant.
c. Hold all feedings.
d. Give antibiotics.
A client has delivered a small for
gestation age (SGA) newborn. Which of
the following would the nurse expect to
assess?
a. Skull sutures widely separated
b. Brown lanugo body hair
c. Protuberant abdomen
d. Round flushed face
Which of the following additional signs
should the nurse consider as indicator of
respiratory distress syndrome (RDS) in
the newborn?

a. Inspiratory grunt
Prior to exchange transfusion, the infant
b. Sternal retraction
must be fed to prevent hypoglycemia.
c. Deep inspiration
a. False d. Expiratory lag
b. True
MCN LEC SEMI-FINALS QUIZ 4

The nurse is caring for a neonate whose The nurse is caring for a large-for-
mother is diabetic. The nurse will expect gestational-age newborn (also known as
the neonate to be: macrosomia). What maternal condition
is the usual cause of this condition?
a. Hyperglycemic, small for gestational
age a. Alcohol use
b. Hypoglycemic, small for gestational b. Hypertension
age c. Celiac disease
c. Hypoglycemic, large for gestational d. Diabetes
age
d. Hyperglycemic, large for gestational
A newborn that has a surfactant
age
deficiency will have which assessment
noted on a physical exam:
Early-onset neonatal sepsis most often
a. Regular respirations
appears:
b. Pink skin
a. Within 24 hours of birth c. Grunting
b. Anytime after birth d. Pulmonary Hypotension
c. After 1 week
d. After 1 month
A repeat dose of surfactant therapy is
given after 24 hrs if infant is till
Nitric Oxide causes pulmonary intubated.
vasodilation thus increasing blood flow
a. True
to the alveoli.
b. False
a. False
b. True
This intervention is used to dilute the
amount of meconium in the amniotic
When reviewing the medical record of a fluid.
newborn who is large for gestational
a. Amnioinfusion
age (LGA), which of the following factors
b. Surfactant replacement
would the nurse identify as having
c. Extracorporeal Membrane
increased the newborn's risk for being
Oxygenation
LGA?
d. Exchange Transfusion
a. Maternal pregravid obesity
b. Fetal exposure to low estrogen levels
c. Low maternal birth weight
d. Low weight gain during pregnancy
MCN LEC SEMI-FINALS QUIZ 4

For infants with non-compliant lungs, A newborn girl who was born at 38
the ratio of Inspiration to Expiration is weeks of gestation weighs 2000 g and is
2:1. below the 10th percentile in weight. The
nurse recognizes that this girl will most
a. False
likely be classified as which of the
b. True
following?

a. Late preterm, large for gestational

An 18-year-old client has given birth at
age, and low-birth-weight infant
28th week of gestation, and her
b. Term, small for gestational age, and
newborn is showing signs of respiratory
low-birth-weight infant
distress syndrome (RDS). Which is true
c. Late preterm and appropriate for
for a newborn with RDS?
gestational age
a. RDS is caused by a lack of alveolar d. Term, small for gestational age, and
surfactant. very-low-birth-weight infant
b. Respiratory symptoms of RDS
typically improve within a short period
Which of the following is the most likely
of time.
effect on the fetus if the woman is
c. Glucocorticosteroid is given to the
severely anemic during pregnancy?
newborn following birth.
d. RDS is characterized by heart rates a. Small for gestational age (SGA) baby
below 50 bpm b. Large for gestational age (LGA) fetus
c. Erythroblastosis fetalis
d. Hemorrhage
What are replaced during an exchange
transfusion?
Wait for 1 hour after surfactant
a. RBC and Plasma administration before suctioning the
b. WBCs neonate.
c. All the blood components
d. Platelets a. True
b. False

Adverse effects of surfactant

administration include the following,
EXCEPT:
a. Decreased O2 saturation
b. Acrocyanosis
c. Bradycardia
d. Hypotension
MCN LEC SEMI-FINALS QUIZ 4

The nurse caring for newborns in an

obstetrical ward assesses a SGA
newborn. Which of the following
characteristics is NOT typical for this
classification of newborn?

a. Poor skin turgor

b. Sparse or absent hair
c. Diminished muscle tissue
d. Narrow skull sutures

A client with diabetes delivers a full-term

neonate who weights 10 lb, 1 oz (4.6 kg).
While caring for this large-for-
gestational age (LGA) neonate, the nurse
palpates the clavicles for which reason?

a. Neonates of mothers with diabetes

have brittle bones.
b. Clavicles are commonly absent in
neonates of mothers with diabetes.
c. LGA neonates have glucose deposits
on their clavicles.
d. One of the neonate's clavicles may
have been fractured during delivery.