Professional Review Strategies for Nurses

4th Floor, Casa Vida Building

1210 Gelinos Street cor. Dapitan, Sampaloc, Manila
Tel. No (02) 781-6063/ 742-7811
email: prsfornurses@yahoo.com: website: www.prsfornurses.com

CARE OF THE NEWBORN

1. 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 appropriate?
a. Contact the physician.
b. Apply gentle pressure.
c. Reinforce the dressing.
d. Document the findings.

2. A nurse has provided instructions to a mother of a male newborn infant who is not circumcised
about measures to clean the penis. Which statement, if made by the mother, indicates an
understanding if how to clean the newborn infant’s penis?
a. “I should retract the foreskin and clean the penis every time I change the diaper.”
b. “I need to retract the foreskin and clean the penis every time I give my infant a bath.”
c. “I need to avoid pulling back the foreskin to clean the penis because this may cause
adhesions.”
d. “I should gently retract the foreskin as far as it will go on the penis and then pull the
skin back over the penis after cleaning.”

3. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress
syndrome. Which assessment signs, id noted in the newborn infant, would alert the nurse to
the possibility of this syndrome?
a. Tachypnea and retractions
b. Acrocyanosis and grunting
c. Hypotension and bradycardia
d. Presence of a barrel chest with acrocyanosis

4. a nurse is assessing the reflexes of a newborn infant. In eliciting the Moro reflex, the nurse
would perform which of the following?
a. Clap the hand or slap on the newborn infant’s mattress.
b. Stimulate the ball of the foot of the newborn by firm pressure.
c. Stimulate the perioral cavity of the newborn infant with a finger.
d. Stimulate the pads of the newborn infant’s hands by firm pressure.

5. A postpartum nurse is providing instructions to client of a newborn infant with

hyperbilirubinemia who is being breast-fed. The nurse provides which appropriate instructions
to the client?
a. Feed the newborn infant less frequently.
b. Continues to breast-feed every 2 to 4 hours.
c. Switch to bottle-feeding the baby for 2 weeks.
d. Stop the breast-feeding and switch to bottle-feeding permanently.

6. A nurse in the newborn nursery 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 prepares to
administer this therapy by:
a. Intravenous injection
b. Subcutaneous injection
c. Intramuscular injection
 d. Instillation of the preparation into the lungs through an endotracheal tube

7. A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs.
Which of the following assessment findings would the nurse expect to note during the
assessment of this newborn?
a. Lethargy
b. Sleepiness
c. Incessant crying
d. Cuddles when being held

8. A nurse is preparing to administer an injection of vitamin K to a newborn. In preparing to

administer the injection, the nurse should select which of the following injection site?
a. The gluteal muscle
b. The lower aspect of the rectus femoris muscle
c. The medial aspect of the upper third of the vastus lateralis muscle
d. The lateral aspect of the middle third of the vastus lateralis muscle

9. A 4-day-old infant is receiving phototherapy at home for a billirubin level of 14 mg/dL. The
nurse should plan to include which of the following in the plan to include which of he following
in the plan of care during home visit to the mother of the newborn infant?
a. Applying lotions to exposed newborn infant’s skin
b. Assessing skin integrity and fluid status of the newborn infant
c. Having minimal contact with the newborn infant to prevent stimulation
d. Advising the mother to limit newborn infant oral intake during phototherapy

10. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant on
admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which
additional sign would be consistent with fetal alcohol syndrome?
a. Length of 19 inches
b. Abnormal palmar creases
c. Birth weight of 6 lb, 14 oz
d. Head circumference appropriate for gestational age

11. A nurse is preparing a plan of care for a newborn infant with fetal alcohol syndrome. The nurse
should include which of the following priority interventions in the plan of care?
a. Allow the newborn infant to establish own sleep-rest pattern.
b. Maintain the newborn infant in a brightly lighted area of the nursery.
c. Encourage frequent handling of the newborn infant by staff and parents.
d. Monitor the newborn infant’s response to feedings and weight gain pattern.

12. A nurse administers erythromycin ointment (0.5%) to the eyes of a newborn infant and the
mother asks the nurse why this is performed. The nurse explains to the mother that this is
routinely done to:
a. Prevent cataracts in the newborn infant born to a woman who is susceptible to rubella.
b. Protect the newborn infant’s eyes from possible infections acquired while hospitalized.
c. Minimize the spread of microorganisms to the newborn infants from invasive procedures
during labor.
d. Prevent opthalmia neonatorum from occurring after delivery in a newborn infant born to
a woman with an untreated gonococcal infection.

13. A nurse prepares to administer a vitamin K injection to a newborn and the mother asks the
nurse why her newborn infant needs the injection. The best response by the nurse would be:
a. “Your infant needs vitamin K to develop immunity.”
b. “The vitamin K will protect your infant from being jaundiced.”
c. “Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in
the bowel.”
d. “Newborn infants are deficient in vitamin K, and this injection prevents your infant from
abnormal bleeding.”
14. A nurse develops a plan of care for a human immunodeficiency virus-infected client and her
newborn infant. The nurse includes which intervention in the plan of care?
a. Monitoring the newborn infant’s vital signs routinely
b. Maintaining standard precautions at all times while caring for the newborn
c. Initiating referral to evaluate for blindness, deafness, learning or behavioral problems
d. Instructing the breast-feeding mother regarding the treatment of the nipples with
nystatin ointment

15. A nurse instructs a client in how to bathe a newborn infant. The nurse tells the client to:
a. Begin with the eyes and face.
b. Begin with the feet and work upward.
c. Do the back side first, and then the front side
d. Start with the chest, move to the face and then finish the rest of the body.

16. A nurse in a delivery room is assisting with the delivery of a newborn infant. After delivery, the
nurse prepares to prevent heat loss in the newborn infant resulting from evaporation by:
a. Warming the crib pad
b. Closing the doors to the room
c. Drying the infant with a warm blanket
d. Turning on the overhead radiant warmer

17. The mother of a newborn infant calls a clinic and ports to a nurse that when cleansing the
umbilical cord, the mother noticed that the cord was moist and that discharge was present. The
appropriate nursing instruction to the mother is which of the following?
a. Bring the infant to the clinic.
b. This is a normal occurrence.
c. Increase the number of times that the cord cleansed per day.
d. Monitor the cord for another 24 to 48 hours and call the clinic

18. A nurse in a newborn nursery receives a telephone call to prepare for the admission of a 43-
week gestation newborn infant with Apgar scores of 1 and 4. in planning for admission of this
infant, the nurse highest priority should be to:
a. Turn on the apnea and cardiorespiratory monitors.
b. Connect the resuscitation bag to the oxygen outlet.
c. Set up the intravenous line with 5% dextrose water.
d. Set the radiant warmer control temperature 36.5˚C (97.6˚F).

19. A nurse is planning care for a newborn of a diabetic mother. A priority nursing diagnosis for the
infant is:
a. Hyperthermia relater to excess fat and glycogen
b. Risk for injury related to low blood glucose level
c. Risk for delayed development related to excessive size
d. Risk for aspiration related to impaired suck and swallow

20. The nurse determines that a new mother understands the teaching about prevention of
newborn abduction if she states:
a. “I will place my baby’s crib close to the door.”
b. “Some health care personnel won’t have name badges.”
c. “It’s OK to allow the nurse assistant to carry my newborn to the nursery.”
d. “I will ask the nurse to attend to the infant if I am napping and my husband is not here.”