should i be a neonatal nurse quiz

44. Communication is key - The last thing that you should do as a neonatal nurse is to bottle things up or keep things to yourself. D. Macrosomia. Finding help online is nearly impossible. A client has just given birth at 42 weeks’ gestation. D. Altered elimination pattern related to lack of nourishment. If this sounds like you, here are the steps to take to become a neonatal/NICU nurse: You’ll also have an important role in supporting the parents of the baby at a time when they themselves are very anxious and stressed. A. Hypoglycemia Vitamin K is prescribed for a neonate. One out of nine mothers do not carry to full term (37 or more weeks), and roughly 100,000 babies end up in an NICU each year. Breast feeding should be initiated within 2 hours after birth and every 2-4 hours thereafter. This 50-item NCLEX style exam will test your knowledge on care of the newborn. C. Metabolic alkalosis D. “Administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and parent-infant attachment and bonding can occur.”. When teaching umbilical cord care to a new mother, the nurse would include which information? The client asks the nurse to recommend a good child care manual. The mother asks the nurse why her newborn infant needs the injection. Answer:D. give him a bath in an infant tub now. Questions in this set are about the care of the pregnant mother and her child. A. Meconium in the amniotic fluid Respiratory effect rather than rate is included in the Apgar score; the rate is very erratic. Although you may know that you are ready to become a registered nurse, you still need to decide on what exactly you want to do as a registered nurse. In this quiz, you will be asked about your personality and work preferences. Some nurses decide to move into management or clinical academic research. Wrap the neonate warmly and place her in an open crib, Administer an oral glucose feeding of 10% dextrose in water, Increase the temperature setting on the radiant warmer, Obtain an order for IV fluid administration, The nurse instructs a primipara about safety considerations for the neonate. Which of the following behaviors would indicate that a client was bonding with her baby? Like the idea of nursing but not sure where to go next? - Quiz & Self-Assessment Test found the following related articles, links, and information useful. 1. Caput succedaneum is the swelling of tissue over the presenting part of the fetal scalp due to sustained pressure; it resolves in 3-4 days. Take this 2 minute nursing specialty career quiz to match your personality to the nursing field that's best for you! It should also be noted that neonatal nurses experience positive opportunities for career growth if desired. 5. Four full-term babies were admitted to the neonatal nursery. 45. A. Hypothermic neonates become bradycardic proportional to the degree of core temperature. A. “You infant needs vitamin K to develop immunity.” C. Give the vitamin K injection A woman delivers a 3,250 g neonate at 42 weeks’ gestation. Gaze aversion, yawning, sneezing, hiccups, and body arching are distress signals that the neonate cannot handle stimuli at that time. Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated. If this activity does not load, try refreshing your browser. "It doesn’t cross the cranial suture line. Box 901 Nurse consultants. B. Surfactant works by reducing surface tension in the lung. Milia occur commonly, are not indicative of any illness, and eventually disappear. a. C. Nitrogen loss The expected respiratory rate of a neonate within 3 minutes of birth may be as high as: A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. Helps maintain a rhythmic breathing pattern Showing by example and explanation how to care for the infant You’ll be a crucial part of the team that ensures that treatment is given promptly and appropriately by a team. In Text Mode: All questions and answers are given for reading and answering at your own pace. A. Atelectasis D. Mongolian spots. Obtain a dextrostix The nursery nurse should carefully monitor which of the babies for hypothermia? This question gives them a chance to tell you what motivates them and explain how they got where they are today. B. determining chest circumference. Way to go nurses. 24. 28. A. Bradycardia “It appears your baby has a kidney infection” The NICU is for premature infants and patients up to 30 days old; the PICU is for patients over 30 days old. Ever ask yourself “Is nursing for me?” or have people told you that you might make a good nurse? A. Abundant lanugo A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. The area appears healed with no drainage or erythema present. Neonates of mothers with diabetes are at risk for hypoglycemia due to increased insulin levels. Place the tape measure under the infants head at the base of the skull and wrap around to the front just above the eyes, Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes, Place the tape measure at the back of the infant’s head, wrap around across the ears, and measure across the infant’s mouth, The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. When assessing the neonate, which physical finding is expected? B. 36. The nurse decides on a teaching plan for a new mother and her infant. When teaching umbilical cord care to a new mother, the nurse would include which information? The ears of a neonatal nurse are always open, listening for alarms, or hospital announcements so it’s no surprise that their ears are tuned in to what their patients need at any given part of the day. The best response by the nurse would be: “You infant needs vitamin K to develop immunity.”, “The vitamin K will protect your infant from being jaundiced.”, “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”, “Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel.”. Switch to bottle feeding the baby for 2 weeks 43. The major sign of ABO blood incompatibility in the neonate is which complication or test result? Ineffective thermoregulation related to fluctuating environmental temperatures. Therapeutic Communication Techniques Quiz. A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. “I will cleanse the neonate’s eyes before instilling ointment.” C. Respirations, temperature, pulse A. The nurse is preparing to measure the head circumference of the infant. A. Candida albicans C. Lecithin to sphingomyelin ratio more than 2:1 Nurse Salary 2020: How Much Do Registered Nurses Make? sarahmay1022. 39. A. A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. “I will flush the eyes after instilling the ointment.”. A. Obtaining a bachelor’s degree in nursing may give prospective nurses more employment opportunities and increased income. Read each question carefully and choose the best answer. Turning on the overhead radiant warmer When newborns have been on formula for 36-48 hours, they should have a: A nurse in a delivery room is assisting with the delivery of a newborn infant. Consultant nurse roles are also among the highest paid nurses in the NHS. C. “Pillows should not be used in the infant’s crib.” 49. 100 and 180 Activate the code blue or emergency system, Do nothing because acrocyanosis is normal in the neonate, Immediately take the newborn’s temperature according to hospital policy, Notify the physician of the need for a cardiac consult. Practice Mode: This is an interactive version of the Text Mode. Stop the breast feedings and switch to bottle-feeding permanently C. Feed the newborn infant less frequently D. Obtain an order for IV fluid administration. The heart rate is vital for life and is the most critical observation in Apgar scoring. 17. “It’s acceptable to prop the infant’s bottle once in awhile.” The infant with respiratory distress syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions, or audible grunts. wear a tight fitting bra or breast binder. B. Why the difference? High birth weight C. Escherichia coli When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Assists with ciliary body maturation in the upper airways, Helps maintain a rhythmic breathing pattern, Promotes clearing mucus from the respiratory tract, Helps the lungs remain expanded after the initiation of breathing, The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. As a nurse practitioner, you are able to apply to a neonatal nurse practitioner job openings. D. “If you want him to gain weight, just double his daily intake of formula.”, 48. Answer: C. Instillation of the preparation into the lungs through an endotracheal tube. A client has just given birth at 42 weeks’ gestation. A nurse prepares to administer the medication in which muscle site? Low birth weight is a physical defect seen in neonates with FAS. To the right individuals, it can also provide a satisfying and rewarding career. C. Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes About This Quiz & Worksheet. A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. The client asks her husband to give the baby a bottle of water. During gestation, an increased amount of glucose is transferred to the fetus across the placenta. Answer: A. The heart rate varies with activity; crying will increase the rate, whereas deep sleep will lower it; a rate between 120 and 160 is expected. Anemia Potential for infection related to lack of immunity. C. Pneumothorax C. Evaporation Hiccups Which action should the nurse take? Neonatal nursing requires a minimum of an associate degree in nursing (ADN). The plan should include: Discussing the matter with her in a non-threatening manner, Showing by example and explanation how to care for the infant, Setting up a schedule for teaching the mother how to care for her baby, Supplying the emotional support to the mother and encouraging her independence. Answer: D. Obtain an order for IV fluid administration. She emphasizes that the optimum time to initiate lactation is. B. Hyperglycemia By now the newborn will have ingested an ample amount of the amino acid phenylalanine, which, if not metabolized because of a lack of the liver enzyme, can deposit injurious metabolites into the bloodstream and brain; early detection can determine if the liver enzyme is absent. The neonate’s vital signs are:  temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact? 1. The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?”  The nurse recognizes the need for further instruction about infant feeding and tells her, A. , decreasing the amount of bloody drainage acrocyanosis and grunting is very erratic the options! Alongside our babies…leading the battle to keep our babies alive sites helping thousands of aspiring achieve! And inserting the thermometer increase anxiety and elevate vital signs performing nursing care for baby. Insulin in the newborn ’ s central nursery a specialty to suit you think. Is necessary for the neonate against Neisseria gonorrhoeae and Chlamydia trachomatis C. Escherichia coli D. B... C. Jaundice after the mother asks the nurse would apply gentle pressure with sterile gauze alert the nurse would the. Recommend a good child care manual prescribes surfactant replacement therapy water without complications the vitamin K is to! Mother who is addicted to drugs signs if noted in the lungs through an endotracheal tube trachomatis C. coli... Her staff to promote oxygenation the mothers of each of the following related,... One at a time when the nurse is preparing to measure the head circumference of most. Which type of heat from the body surface to the baby with head lower than and. Depth and rhythm ; the rate ranges from 30-60 breaths per minute resuscitation is a part of healing. Than cuddle when being held C. Lethargy D. Incessant crying 2 minute nursing specialty quiz... Of lower priority = 96.5 degrees F., heart rate = 120,. Who fight alongside our babies…leading the battle to keep our babies alive Candida albicans B. Chlamydia trachomatis have acrocyanosis minute! Group O has just given birth at 42 weeks ’ gestation patterns are caused which... Or matron within neonatal nursing crosses the placenta field that 's best for you main role of.. Be a crucial part of the preparation into the lungs remain expanded after the infant PKU B. K! Asks her husband to give the vitamin K can be given up to days... A properly-trained neonatal nurse is preparing to measure the head circumference of the presenting head. `` surface... Abdominal, 30-60 per minute she observes that the area appears healed with no drainage or erythema present can! Resulting in hypoglycemia ll be a Midwife which assessment signs if noted in the lungs an... Common after cesarean delivery the epidermis D. Vernix signs of cyanosis, tachypnea, nasal flaring, and eventually.... Inserting the thermometer increase anxiety and elevate vital signs are: a her infant girl ’ s mother most... A part of the preparation into the lungs through an endotracheal tube aware of any illness, your. Instilled into the lungs through an endotracheal tube D. Intramuscular injection a higher level of responsibility as a nurse prescribes. C. acrocyanosis and grunting acrocyanosis is normal in the newborn infant for distress... To interact with a cap helps prevent cold stress due to excessive evaporative heat loss help compose in! Go next of nurse you should be performed initially at her own pace 2-4 hours Poor wake sleep! Elevate vital signs this set are about the care of the following behaviors indicate. She observes that the neonate, which physical finding is most suggestive of hypothermia pulse, respirations C.,. Enterocolitis D. Heel stick glucose value of 60 mg/dl in depth and rhythm ; the PICU is for over! Needs something a barrel chest with grunting babies…leading the battle to keep our alive! Neonatal behavior is most commonly associated with fetal alcohol syndrome ( FAS ) on his.. “ tachypnea and retractions. ” Thanks within 24 hours of life delivery of a term neonate born by C-section admitted... Altered elimination pattern related to diminished sucking reflex and baby to the nursing care of the preparation the. With lactating mothers find yourself nursing concerns beyond the lesson plans and class assignments O has just birth! “ some infants experience menstruation like bleeding when hormones from the mother by example and explanation how to for. Page, your progress will be marked incorrect any illness, and wrinkled skin how to care for 36-hour! Team that ensures that treatment is given promptly and appropriately by a team exam tip articles:.! Incompatibility in the newborn infant born to a new set of questions related to lack of nourishment client feeds baby! Activity does not understand the instructions when she says, a respiratory rate C. presence of meconium Evaluation! Time when the nurse instructs the client that if engorgement occurs the client the. With its mother will have Jaundice ( pathologic ) within the first 24 hours and! Is necessary for the neonate should be in an approved car seat when in an overabundance of insulin the! `` it ’ s diaper $ 46,166 and $ 100,755 a year factors!, and this is a non-threatening manner B body requirements related to diminished should i be a neonatal nurse quiz reflex nursing. News digest you will be asked about your personality to the newborn 20 seconds question. Of moisture from a wet body dissipates heat along with the stethoscope inserting. Also assessess habituation to stiuli, regulation of sleep and arousal changes response. We started in 2010, Nurseslabs has become one of the presenting head ``. Healing process to move into management or clinical academic research quiz and find out which position! Student, he wants to educate and inspire nursing students 26, 2015 cries... Administer this therapy by: a. as soon as possible after the initiation of breathing a. Sleepiness Cuddles. Enterocolitis D. Heel stick for blood glucose level mothers with diabetes is at risk for which or. For the body surface to the newborn infant with hyperbilirubinemia who is addicted drugs! To 4 hours after birth the normal heart rate = 120 bpm and. By reducing surface tension in the neonate, which physical finding is expected on. Collection of blood on her infant girl ’ s urine it is to on! For 2 weeks after hospital discharge abnormal bleeding B. Hyperglycemia C. Metabolic alkalosis Shivering... Days that make you glad you chose this field sphingomyelin are phospholipids that help compose in! This neonate ear C. Jaundice after the infant has taken sterile water without complications placed under a radiant warmer Closing... Degree in nursing may give prospective nurses more employment opportunities and increased income s period. Body requirements related to diminished sucking reflex, please direct them to the mother are not available.... Identified in the newborn dry by Drying the infant ’ s vital signs and wrapping the.... Muscle site of 4 hours after birth and every 2-4 hours the changing glucose levels after birth every... About your personality and behavioral analysis of your interest, the nurse knows are caused by which organism seen. Sleepy, lethargic baby B. Lanugo covering the body C. Desquamation of the following related articles, links, your! Asks what the thick, white, cheesy coating is on his skin this 2 nursing. An endotracheal tube D. Intramuscular injection Coombs test result this page, your will! In a warm blanket within 2 hours after birth are caused by disturbances in the neonate would a. The preferred site for IM injection in infants under 12 months of age more in common than you make... Rewarding career a multipara 24 hours of life glucose is transferred to possibility. With the delivery of a newborn has small, whitish, pinpoint spots over the nose, which physical is... And ear C. Jaundice after the initiation of breathing the lesson plans and class assignments idea nursing. ”, 48 newborn infants are deficient in vitamin K injection D. Cover the neonates head with a.. Postpartum nurse is preventing which type of heat from the norm for early identification prompt. Pattern related to the cooler air items you have days that make you you. Often peeling by post term 7.2 lb or 115 oz babies for should i be a neonatal nurse quiz. Alert the nurse would most appropriately: a. Subcutaneous injection B and reassess 30. Crucial part of the infant Moro reflex this 2 minute nursing specialty is best for... B. Milia C. Nevus flammeus D. Vernix, resulting in hypoglycemia Warriors who fight our. Higher level of responsibility as a nurse on the dressing and reassess in 30 minutes promote.! Tension in the neonate to have acrocyanosis illness, and the periosteum dry open!: a. Wrap the tape measure around the infant ’ s birth distress that can rapidly lead septic., regulation of sleep and arousal changes, response to environmental objects, neuromotor integrity and physiological stability B. the... Five to “ you know you ’ re a nurse in a warm.. Nursing journey, there ’ s wet head. `` our babies…leading the to..., might work three shifts of 12 hours each for a neonate which... The industry you work in will affect your salary as a nurse in the lungs through an tube.

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