Practice Quiz

• Which of the following conditions or treatments is one of the most accurate indicators of lung maturity?

  1. Meconium in the amniotic fluid 
  2. Lecithin to spingomyelin ration more than 2:1 
  3. Absence of phosphotidiglycerol in amniotic fluid 
  4. Glucocorticoid treatment just before delivery 

  2
• Which of the following factors is an unlikely risk factor for respiratory distress syndrome (RDS)?

  1. Second born of twins 
  2. Chronic maternal hypertension 
  3. Neonate of a diabetic mother 
  4. Neonate Born at 34 weeks 

  2
• Which of the following signs appears early in a neonate with respiratory distress syndrome?

  1. Bilateral crackles 
  2. Poor capillary filling time (3 to 4 seconds) 
  3. Tachypnea more than 60 breaths/minute 
  4. Pale gray color 

  3
• Which of the following respiratory disorders is usually mild and runs a self-limited course?

  1. Pneumonia 
  2. Meconium aspiration syndrome 
  3. Transient Tachypnea of neonate 
  4. Persistent pulmonary hypertension 

  3
• Which of the following procedures should be avoided in a neonate born with diaphragmatic hernia?

  1. Chest X-ray   
  2. Immediate endotrahceal intubation
  3. Placement of orogastric tube 
  4. Mask ventilation 

  4
• The nurse is evaluating a new mother feeding her newborn. Which observation indicates the mother understands proper feeding methods for her newborn? 

  1. Holding the bottle so the nipple is always filled with formula.   
  2. Allowing her seven - pound baby to sleep after taking 1 ½ ounces from the bottle.
  3. Burping the baby every ten minutes during the feeding.   
  4. Warming the formula bottle in the microwave for 15 seconds and giving it directly to the baby.

  1
• The nurse is assessing a healthy neonate upon admission to the newborn nursery. Which characteristic, if observed by the admitting nurse, is normal? 

  1. Irregular respiratory rate of 50 breaths/minute.   
  2. High-pitched or shrill cry.   
  3. Hypertonia
  4. Head circumference measuring 31 cm. 

  1
• An infant born in birthing center is experiencing respiratory distress and is being transferred to a regional neonatal intensive care unit. The nursing action that would best promote parent-infant attachment would be:

  1. Giving the parents a picture of their infant in the intensive care unit   
  2. Encouraging the parents to call their infant by name 
  3. Instructing the parents to phone the neonatal intensive care unit daily
  4. Allowing the parents to hold their infant before departure 

   4
• A neonate begins to gag and turn a dusky color.  What should the nurse do first?

  1. Calm the neonate. 
  2. Notify the physician. 
  3. Aspirate the nose and mouth with a bulb syringe. 
  4. Provide oxygen using a face mask. 

  3
• As a client watches, the nurse does a nasogastric feeding on the client's preterm infant son who weighs 2350 g. The client asks, "Would it hurt for my baby to suck on a pacifier during the feeding?" The nurse's most appropriate response would be:

  1. There's no real benefit in using a pacifier and there is a relationship between the use of a pacifier and buck teeth. 
  2. If he sucks on a pacifier a lot now he may have problems learning how to suck from a bottle later.
  3. Sucking on a pacifier during tube feedings may help him associate sucking with food so that he'll adjust better to bottle feedings.

  3
• Which of the following definitions best describes the etiology of sudden infant death syndrome (SIDS)?

  1. Apnea of prematurity 
  2. Cardiac arrhythmias 
  3. Apparent life-threatening 
  4. Unexplained death of an infant 

  4
• Which of the following children has an increased risk of sudden infant death syndrome (SIDS)?

  1. Firstborn child   
  2. Infant hospitalized for fever 
  3. Premature infant with low birth weight   
  4. A healthy 2-year-old 

  3
• a 6-week-old infant is brought to the emergency department not breathing; a preliminary finding of sudden infant death syndrome (SIDS) is made to the parents.  Which of the following interventions should the nurse take initially?

  1. Explain the etiology of SIDS 
  2. Allow them to see their infant 
  3. Collect the infant’s belongings and give them to the parents   
  4. Call their spiritual advisor 

  2
• Which of the following risk factors is related to sudden infant death syndrome (SIDS)?

  1. Low birth weight   
  2. Feeding habits   
  3. Immunizations   
  4. Gestational age of 42 weeks 

  1
• An infant is brought to the emergency department and pronounced dead with preliminary findings of sudden infant death syndrome (SIDS).  Which of the following questions to the parents is appropriate?

  1.  Did you hear the infant cry out? 
  2. How did the infant look when you found him? 
  3. Were any of the siblings jealous of the new baby? 
  4. Was the infant’s head buried in a blanket? 

  2
• About 1 week after the death of an infant from sudden infant death syndrome (SIDS), which of the following behaviors would the nurse expect to observe in a parent?

  1. Feelings of guilt
  2. Structured thinking   
  3. Disorganized thinking   
  4. Repressed thoughts 

  2
• A 22-year-old woman is preparing to take her one-day-old infant home from the hospital. The nurse discusses the rest for phenylketonuria (PKU) with the mother. The nurse’s teaching should be based on an understanding that the test is MOST reliable

  1. After a source of protein has been ingested 
  2. After the danger of hyperbilirubinemia has passed   
  3. After the effects of delivery have subsided   
  4. After the meconium has been excreted 

  1
• A 6-week-old infant is brought to the hospital for treatment of pyloric stenosis. The nurse enters the following nursing diagnosis on the infant’s care plan: “fluid volume deficit related to vomiting.” Which of the following assessments supports this diagnosis?

  1. The infant eagerly accepts feedings 
  2. The infant’s anterior fontanelle is depressed   
  3. The infant’s skin is warm and moist 
  4. The infant vomited once since admission 

  2
• A four - year - old boy with acute epiglottitis is admitted to the emergency room. He has a fever of 102 ° F, is agitated, drools, and insists upon sitting up and leaning forward with the chin thrusting outward. The nurse expects which of the following? 

  1. The child will cry and resist lying supine when he needs to be examined and x - rayed.
  2. The child will be intubated in the emergency room or operating room and then transferred to the pediatric intensive care unit.
  3. Intravenous fluids and an antibiotic will be started before anything else is done

  2
• A four-year-old child is admitted with acute epiglottitis. Which is of highest priority as the nurse plans care? 

  1. Administering cough medicine as ordered.   
  2. Encouraging the child to eat. 
  3. Assessing the airway frequently.   
  4. Turning, coughing, and deep breathing.

  3
• The nurse has been instructing the parents of a toddler about nutrition. Which of the following statements best indicates the parents' understanding of an appropriate diet for a toddler? 

  1. "A toddler needs servings from each food group daily.''   
  2. "Toddlers should still be eating prepared junior foods.''   
  3. "It's unusual for a toddler to be a picky eater.''   
  4. "A multivitamin each day will meet my child's nutritional needs.'' 

  1
• The nurse is assessing a child who is admitted with pyloric stenosis. Which of the following findings is most likely to be reported/observed? 

  1. There is a palpable lump in the epigastrum directly under the xyphoid process.   
  2. The child has greenish-yellow mucus-like emesis that has a strong odor.   
  3. The infant is content between feedings and shows hesitancy to feed. 
  4. The vomiting began gradually and then increased until there is no retention of feedings.

  4
• The mother of an infant who has had a cleft lip repair has been taught the postoperative care needed. When evaluating the mother's understanding of this care, the nurse hopes to see the mother 

  1. comforting the child as soon as he starts to fuss, to prevent his crying.   
  2. cleaning the suture line with warm water and a wash cloth once a day.   
  3. positioning the child on his abdomen to facilitate drainage of oral secretions.   
  4. using a regular bottle nipple to feed the infant in a semi-reclining position.

  1
• A one-day-old infant is admitted to the intensive care nursery. She is suspected of having esophageal atresia. What assessment findings should the nurse expect to find? 

  1. Diarrhea and colicky abdominal pain. 
  2. Excessive drooling and immediate regurgitation of feedings.   
  3. Visible peristaltic waves and projectile vomiting.   
  4. Bile-stained vomitus and a weak cry. 

  2
• A one-day-old infant is admitted to the intensive care nursery. She is suspected of having esophageal atresia. What assessment findings should the nurse expect to find? 

  1. Excessive drooling and immediate regurgitation of feedings.   
  2. Visible peristaltic waves and projectile vomiting. 
  3. Bile-stained vomitus and a weak cry.   
  4. Diarrhea and colicky abdominal pain. 

  1
• After swallowing a dime, a 22-month-old toddler is brought to the emergency room by her frightened mother. What assessment would alert the nurse to the possibility of esophageal blockage? 

  1. Increased salivation, painful swallowing. 
  2. Choking, gagging, wheezing, and coughing. 
  3. Inability to speak, cyanosis, and collapse. 
  4. Dim breath sounds in upper right lobe. 

  1
• Matthew is two months old and is admitted with a history of vomiting for the last two weeks. His mother states it has become "like a missile'' and goes across the room. Pyloric stenosis is the probable diagnosis. The nurse's admission assessment finds an infant who has gone from a birth weight of 8 pounds to a current weight of 9 pounds. He appears emaciated. He acts very hungry and is crying. Given this data, a priority nursing diagnosis is 

  1. alteration in fluid and electrolyte balance due to vomiting and poor intake.
  2. potential for altered family process related to situational crisis.

  1
• The nurse is developing a care plan for a two-year-old girl with Hirschsprung's disease. Which of the following is least appropriate and would not be included on the care plan? 

  1. Place on fluid restriction. 
  2. Administer stool softeners. 
  3. Give isotonic enemas. 
  4. Have client follow a low-fiber diet. 

  1
• The play activity that would be appropriate for a 6-year-old whose energy level has improved following an acute episode of Hirschsprung’s disease would be:

  1. Taking apart and putting together a truck   
  2. Finger-painting on a large paper surface 
  3. Drawing or writing with a pencil or marker   
  4. Using a set of building blocks 

  3
• The nursing plan  for an 8-year-old boy with celiac disease should include helping the child to:

  1. Select meals from those high-residue, high-carbohydrate foods that are gluten-free and permitted
  2. Express his feelings, while focusing on ways in which he can still be normal like his friends

  2