Deck 2: Neonatal

Question 1

A nurse is educating a new mother about infant care. The mother asks when her baby should be seen for check up. The nurse informs the mother that the schedule of well-baby visits is done:

A)Every month until the 12th month
B)At 1, 2 and 6 months
C)At 1, 2, 4, 6, and 9 months
D)At 1, 2, 4, 6, 9, and 18 months

Answer 1

At 1, 2, 4, 6, and 9 months

Question 2

A 25-year-old mother with a 6-month-old baby asks the nurse if her son should receive the Hepatitis A vaccine. What is the best response of the nurse?

A)"No. The Hepatitis A vaccine is given to those who are sexually active."
B)"No. Hepatitis A is given to those who work with contaminated blood specimens."
C)"Yes. Children who are 6 months of age must receive the vaccine."
D)"No. The Hepatitis A vaccine is recommended at ages 12 months or 24 months."

Answer 2

"No. The Hepatitis A vaccine is recommended at ages 12 months or 24 months."

Question 3

A 39 year old mom, named Sophia, arrives to the Emergency Department with her 2 month old girl, however, she only speaks French. What is the best method of communicating with her?

A)use sign language
B)use a translation service
C)have a bilingual staff member translate
D)both B and C

Answer 3

use a translation service

Question 4

Baby Christopher is rushed to the Emergency Department with a nose bleed that is ceasing to stop, upon history the nurse finds that Christopher's parents are of Ashkenozic descent. What type hemophilia is baby Christopher most likely to have?

A)Hemophilia A
B)Hemophilia C
C)Hemophilia B
D)Hemophilia A/B

Question 5

David's mom demonstrates understanding of his proper care of bathing when she states which of the following as taught by nurse Ellen prior to her discharging them?

A)Use mild baby soap except on face
B)Give him a tub bath
C)Give him a sponge bath until the umbilical cord falls off
D)Both A and C

Question 6

Nurse Lilian is teaching her students about post circumcision care of baby Steven. Which of the following show(s) they have understood?

A)Inspecting the penis immediately after circumcision
B)Observe the first void after circumcision.
C)Record the first void post circumcision.
D)Both B and C

Question 7

What are important sign for the students to recognize as a positive Ortoloni's sign on baby George?

A)Hip subluxation.
B)Clicking sound.
C)Clunking sound.
D)All of the above.

Question 8

Baby Allan has just been born and Nurse Wayne is checking him for appropriate sensory behavior. Which finding is true about baby Allan's sensory behaviors at birth?

A)Nurse Wayne should stand between 30" and 33" away and wave.
B)Nurse Wayne should stand between 7" to 12" away and wave.
C)Nurse Wayne should stand between 38" to 40" away and wave.
D)Nurse Wayne should stand between 3" to 6" away and wave.

Question 9

A baby Darcy has just been born to mother Helen. A nurse is teaching Helen how to elicit an appropriate palmer reflex in baby Darcy. How should the nurse teach baby Darcy's mother Helen to elicit a good palmer reflex?

A)Place a finger in each of Darcy's hands to stimulate the grasp.
B)Run a finger down his arm.
C)Stroke the bottom of his feet.
D)None of the above.

Question 10

Nicole, a 29 year old mom, brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises. What should the triage nurse do in this situation?

A)Call the abuse hotline.
B)Explain these are not ordinary.
C)Find out when they appeared.
D)Explain these are Mongolian spots.

Question 11

Sylvia is a 30 year old pregnant mother with a known history of drug abuse including cocaine. During her prenatal visits, she is constantly reminded by the nursing staff not to use cocaine or any drugs during her pregnancy; however she doesn't listen and her baby is born with which possible complication(s)?

A)Vomiting.
B)Irritability.
C)High pitched cry.
D)All of the above.

Question 12

A very anxious primigravida mother is being seen in the pre-natal clinic at 39 weeks and has indicated that she read that she was not to change the cat box filler but she did early in her pregnancy. She is worried about the possible consequences to her baby. Which of the following is the most common infectious disease for a child being born with whom a mother changed the cat filler box?

A)Rubella.
B)Toxoplasmosis.
C)Herpes virus type 2.
D)Cytomegalovirus.

Question 13

Baby Dwayne was born at 35 weeks premature and is the neonatal intensive care unit, the nurse taking care of him walks over to baby Dwayne's bassinet and finds him bradycardic and blue. What course of action should be taken take?

A)Provide respiratory support
B)Provide immediate suction
C)Tactile stimulation
D)All of the above

Question 14

Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding technique. Which positions should Nicole NOT use to breast feed baby Alex?

A)Cradle
B)Side-lying
C)Football
D)Front-lying

Question 15

Nurse Diane has explained to baby Michael's parents the tips for ensuring safety and preventing possible illness. Which demonstrates comprehension of this?

A)Expose him to everyone who wants to visit
B)Use of a proper car seat
C)Ensure little or no clothing in the beginning
D)Both B and C.

Question 16

The neonatal nurse assigned to baby Keith notices that his mother has left baby Keith alone with a bottle propped in his mouth. Why should the neonatal nurse be concerned about leaving baby Keith alone with his bottle propped in his mouth?

A)He may aspirate formula
B)He may swallow air
C)He may be at increase risk for otitis media
D)All of the above.

Question 17

Baby Tyrone was just born at term and has been given to the neonatal nursing for APGAR scoring and initial management. What initial injection should Baby Tyrone receive?

A)Vitamin K 0.5-1mg IM
B)VitaminK 0.5-1mg SC
C)Vitamin B 0.5-1mg IM
D)Vitamin B 0.5-1mg SC

Question 18

After being born and receiving initial care, the neonatal nurse is determining and infants physical maturity. Which tool is most appropriate to utilize?

A)Ballard assessment tool
B)Glascow Coma Scale
C)FAACS scale
D)All of the above

Question 19

Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the nurse on duty in the nursery when will baby Richard's permanent eye be established?

A)3 to 12 months
B)12 to 24 months
C)24 to 36 months
D)36 to 48 months

Question 20

Baby Amelia is admitted into the neonatal intensive care unit after being born prematurely. When the neonatal nurse rounds on baby Amelia, her mother is quite frightened because baby Amelia is having Doll's eye. How long can this usually go on for?

A)5 days
B)10 days
C)30 days
D)Permanently

Question 21

The neonatal nurse on duty is examining baby Mark. Why should the neonatal nurse be very gentle with baby Mark's neck?

A)He can't support his neck
B)He can't rotate his head freely
C)His neck is weak
D)All of the above

Question 22

The neonatal nurse is called to baby Jack's incubator by his mother because baby Jack is acting 'funny'. The neonatal nurse finds baby Jack to be jittery and having a high pitched cry. What is the most crucial immediate action the neonatal nurse needs to take?

A)Check blood glucose.
B)Give him a pacifier to suck on.
C)Change his diaper.
D)Cuddle and soothe him.

Question 23

On initial morning rounds, the neonatal nurse discovers baby Sean has blood glucose of 35 mg/dl. What immediate course of action should be taken?

A)Feed him immediately
B)Give him water
C)Give him insulin
D)All of the above

Question 24

In the neonatal intensive care Nurse George is teaching baby Derek's mother about his taste behaviors. Which statement of the following should Nurse George teach to baby Derek's mother?

A)He prefers sweet tastes
B)He prefers sour tastes
C)He prefers bitter tastes
D)He prefers spicy tastes

Question 25

Baby Devon is in the neonatal intensive care until after being delivered prematurely. He is about to be discharged and on discharge planning Nurse Bill is taking the opportunity to teach some nursing students about neonates tactile behaviors. Of the following which are correct?

A)The neonate's lips are hypersensitive.
B)The neonate is especially sensitive to being cuddled and touched.
C)The neonate's skin on his thighs, forearms, and trunk are hyposensitive.
D)All of the above.

Question 26

You are training to be a neonatal nurse practitioner, which of the following nurseries are you permitted to work in as a Neonatal Nurse Practitioner?

A)Levels 1
B)Levels 1 and 2
C)Levels 1, 2 and 3
D)Level 3 only

Question 27

The neonatal intensive care unit nurse is teaching baby Kevin's mother how not to startle him. Which of the following actions should be avoided?

A)Loud noises.
B)Hand clapping.
C)Both A and B
D)Only A

Question 28

A 25 year old mother just gave birth to baby Louise 2 hour ago, however, now baby Louise is requiring immediate intervention because she is displaying which of the following sign(s)?

A)Blue feet.
B)Blue hands.
C)Nasal flaring
D)Apical heart of 150

Question 29

The attending neonatologist has ordered intravenous fluid for baby Joseph. The neonatal nurse has appropriately decided to use an umbilical venous line. What should the neonatal nurse assess for before beginning the intravenous fluid?

A)Blanching on the lower extremities.
B)Blanching on the buttocks.
C)Blue discoloration.
D)All of the above.

Question 30

Nurse Ellen finds baby Alexandre with which of the following findings that indicates he is in respiratory distress?

A)PCO2 > 60mg/hg expiratory grunting
B)Nasal flaring
C)Tachypnea
D)All of the above

Question 31

Nurse David receives baby Gil and is informed that the parents have to go home to care for their other children. What is the best gift she can give them for bonding?

A)His picture.
B)His blanket.
C)His pacifier.
D)His baby bottle.

Question 32

Which assessment findings should Nurse Ursala find on baby Linda indicating Erb-Duchenne paralysis?

A)Grasp reflex missing.
B)Grasp reflex intact.
C)Flaccid arm with elbow extended and hand rotated inward.
D)Both B and C.

Question 33

A baby is just born at term to a G1P1 mother with an uneventful spontaneous vaginal delivery. Which of the following findings are expected when the neonatal nurse performs her newborn assessment?

A)Epstein pearls
B)Tonic neck reflex
C)Caput succedenum
D)Both A and B

Question 34

Baby Christopher is born at term to a 25 year old mother. What are the normal ranges of vitals when the neonatal nurse performs her new born assessment?

A)T97.5 to 98.6 F, HR 120-160, resps 30-60
B)T 96.5 to 98.6, HR 60-100, resps 12-20.
C)T 96.5 to 98.6, HR 120-160, resps 30-60
D)T 97.5 to 98.6 F, HR 60-100, resps 12-20

Question 35

Baby Daniel us 36 hours old and has been brought into the Emergency Department with a temperature of 97.0 F. What immediate action should triage nurse?

A)Recheck his temperature in 2 hours.
B)Wrap him up in 3 warm blankets and cuddle him.
C)Give him a warm bottle of milk.
D)Wrap him up in 3 warm blankets and place a cap on his head

Question 36

A newborn mother urgent alerts the neonatal intensive care nurse that her neonate is grunting, nasal flaring and subcostal indrawing. The neonatalologist on call is called and diagnosis the neonate as in respiratory distress and orders blood gases to be obtained every 30 minutes. What type of access line should be inserted into this neonate in this situation?

A)Arterial line
B)Venous line
C)Central venous pressure line
D)Swan Ganz catheter

Question 37

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

A)Sole of foot
B)Around the finger
C)Palm of the hand
D)All of the above

Question 38

A baby Irfran is admitted to the neonatal intensive care unit with respiratory depression after a difficult labour and delivery. How often should the neonatal intensive care nurse rotate the oxygen sensor site on baby Irfran?

A)Every 2 hours.
B)Every 4 hours.
C)Every 12 hours.
D)Every 24 hours.

Question 39

A baby is born to as mother who is a smoker and has suffered intrauterine growth restriction with a birth weight of 3.7 lbs. When a neonate has a low birth weight what are some of the finding(s)?

A)High pitched cry
B)Hypoglycemia
C)Little scalp hair
D)Both B and C

Question 40

After baby Dawn's mother visits, the neonatal nurse finds her in animal print cotton blanket and cyanotic. What should she do?

A)Check her airway
B)Check the umbilical stump for bleeding
C)Check her temperature
D)Check her heart rate

Question 41

The neonatal nurse on duty finds that Baby Donald is demonstrating seesaw movements while resting. The neonatal nurse recognizes this as a sign of what?

A)Respiratory distress
B)Cardiac compromise
C)Hunger
D)All of the above

Question 42

The neonatal nurse is examining baby Michael's mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?

A)Use a toothbrush and clean his tongue
B)Obtain an order for nystatin
C)Feed milk
D)All of the above

Question 43

A neonate, Timothy, is just admitted to the neonatal intensive care unit, and upon initial assessment by the neonatal nurse on duty, she find bay Tim with red brick dust and immediately informs the attending neonatologist. What is the finding of red brick dust in this neonate?

A)Uric acid crystals in the urine
B)Blood in the stool
C)Blood vessel dilation
D)Elevated blood glucose

Question 44

The assigned neonatal nurse to baby Latisha, Nurse Linda should care for baby Latisha by performing which of the following task(s)?

A)Organizing care
B)Minimizing interruptions
C)Monitoring for stress
D)All of the above

Question 45

Upon delivery the neonatal nurse on duty examines baby Erin and detects a heart murmur and informs the neonatologist who agrees with the finding and orders an urgent echocardiogram. Baby Erin is diagnosed with Tetralogy of Fallot. What are some of the clinical symptoms of Tetralogy of Fallot?

A)Cyanosis
B)Rapid breathing
C)Deep breathing
D)All of the above

Question 46

Baby Ryan after being admitted to the neonatal intensive care unit for prematurity is discharged 1 week later. However, he returns to the neonatal intensive care unit and is diagnosed with inborn metabolism. What are some of the clinical symptom(s) of inborn metabolism?

A)Vomiting small amounts of formula
B)Voiding small amounts of urine
C)High blood glucose
D)All of the above

Question 47

While teaching baby Michelle's amount human development, neonatal nurse Slyvia, instructs baby Michelle's mother that baby Michelle will begin to acknowledge human voices at what age?

A)0-2 months
B)2-4 months
C)4-6 months
D)6-8 months

Question 48

A nurse in a delivery room is assisting with the delivery of newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn infant resulting from evaporation by:

A)Warming the crib
B)Turning on the overhead radiant warmer
C)Closing the doors to the room
D)Drying the infant with a warm blanket

Question 49

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

A)Document findings
B)Contact the physician
C)Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D)Reinforce the dressing

Question 50

A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

A)Hypotension and bradycardia
B)Tachypnea and retractions
C)Acrocyanosis and grunting
D)The presence of a barrel chest with acrocyanosis

Question 51

A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?

A)Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
B)Stop the breast feedings and switch to bottle feeding permanently
C)Provide bottled water feedings between the breastfeeding sessions
D)Continue to breastfeed every 2 to 4 hours

Question 52

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 not expect to note during the assessment of this newborn?

A)Irritability
B)Difficulty in consoling the newborn
C)Lethargy
D)Incessant crying

Question 53

A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?

A)Having minimal contact with the newborn infant to prevent stimulation
B)Advising the mother to limit newborn infant oral intake during phototherapy
C)Applying lotions to exposed newborn infant's skin
D)Assessing skin integrity and fluid and electrolyte status of the newborn infant

Question 54

A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant upon admission to the nursery. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which of the following additional sign(s) would be consistent with FAS?

A)Head circumference appropriate for gestational age
B)Birth weight of 6 pounds 14 ounces
C)Length of 19 inches
D)Abnormal palmar creases

Question 55

The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing instruction to the mother is which of the following?

A)To increase the number of times that the cord is cleansed per day
B)To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues
C)To bring the infant to the clinic
D)That this is normal occurrence

Question 56

A nurse develops a plan of care for a human immunodeficiency virus (HIV)-infected mother and her newborn infant. The nurse includes which intervention in the plan of care?

A)Instruct the breastfeeding mother regarding the treatment of the nipples with nystatin ointment
B)Monitor the newborn infant's vital signs routinely
C)Maintain standard (universal) precautions at all times while caring for the newborn
D)Initiate referral to evaluate for blindness, deafness, learning, or behavioral problems

Question 57

In a newborn nursery, a nurse receives a telephone call to prepare for the prepare for the admission of a 43-week-gestation newborn infant with Apgar scores of 1 nurse's highest priority should be to:

A)Connect the resuscitation bag to the oxygen outlet
B)Turn on the apnea and cardiorespiratory monitors
C)Set up the intravenous line with 5% dextrose in water
D)Set the radiant warmer control temperature at 36.5° C (97.6° F)

Question 58

A nurse educates a mother in how to bathe a newborn infant. The nurse tells the mother to:

A)Start with the dirtiest area first
B)Begin with the eyes and face
C)Begin with the feet and work upward
D)Only wash the diaper area, since this is the only part of the infant that gets soiled.

Question 59

A nurse has provided directions 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 of how to clean the newborn infant's penis?

A)"I need to retract the foreskin and clean the penis every time I give my infant a bath."
B)"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."
C)"I should retract the foreskin and clean the penis every time I changed the diaper."
D)"I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions."

Question 60

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

A)Tests the urine for protein
B)Takes the apical pulse
C)Palpates the anterior fontanel
D)Tales the blood pressure

Question 61

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida when the nurse:

A)Checks the capillary refill of the nailbeds of the upper extremities
B)Tests the urine for blood
C)Palpates the abdomen for masses
D)Checks for responses to painful stimuli from the torso downward

Question 62

A child diagnose with Reye's syndrome. A nurse develops a nursing care plan for the child and includes which intervention in the plan?

A)Providing a quiet atmosphere with dimmed lighting
B)Assessing hearing loss
C)Monitoring urine output
D)Changing body position every 2 hours

Question 63

A nurse develops a plan of care for a child at risk for generalized tonic-clonic seizures. In the plan of care, the nurse initiates seizure precautions and documents that which items need to be placed at child's bedside?

A)Suctioning equipment and an airway
B)Oxygen with a tracheostomy set
C)Emergency cart
D)Airway and a tracheostomy set

Question 64

A nurse is caring for a child newly diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases her answer on the understanding that cerebral palsy is:

A)A chronic disability characterized by impaired muscle movement and posture
B)An infectious disease of the central nervous system
C)In inflammation of the brain as a result of a viral illness
D)A congenital condition that results in moderate to severe retardation

Question 65

A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents, the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

A)Above average intellectual functioning with deficits in adaptive behavior
B)Average intellectual functioning and the absence of deficits in adaptive behavior
C)Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G
D)Subaverage intellectual functioning with the absence of deficits in adaptive behavior

Question 66

A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The maternity nurse prepares for the arrival of the newborn and places which of the following priority items at the newborn's bedside?

A)A blood pressure cuff
B)A rectal thermometer
C)A specific gravity urinometer
D)A bottle of sterile normal saline

Question 67

The mother of a newborn diagnosed with strabismus was told by the physician that surgery will be necessary to realign the weakened eye muscles. The nurse was asked by the mother if when the surgery might be performed. The most appropriate response is to tell the mother that surgery will be performed:

A)Immediately
B)Shortly before the child starts school
C)Before the child is 2 years old
D)Before the child begins to read

Question 68

A senior staff nurse takes the pulse of 6 months old sleeping child during her routine monitoring of vitals, what is the normal range of pulse rate/minute of 6 months old healthy sleeping child?

A)70-120
B)70-150
C)80-150
D)80-200

Question 69

Which of the following is NOT a sign of isolated right sided heart failure?

A)Hepatomegaly
B)Ascites
C)Pulmonary edema
D)Peripheral edema

Question 70

A 6 year old child is brought to pediatric surgical emergency after having road traffic accident while riding a bicycle and was struck by an automobile. He has multiple rib fractures and is complaining of chest pain and shortness of breath. He is suspected of having myocardial contusion. Which of the following diagnostic test is usually used to make the diagnosis of myocardial contusion?

A)Blood pressure
B)Central venous pressure
C)Electrocardiogram
D)Pulse rate

Question 71

An 18-year-old client is 10 weeks pregnant and comes to the prenatal clinic for a check-up. The client has a history of anorexia. Because of her age and condition, the client is at nutritional risk. Which of the following questions asked by the nurse is most appropriate to assess the client's nutritional status?

A)"Tell me more about your plans for your baby."
B)"How do you feel about this pregnancy?"
C)"Do you have someone in your home to cook for you?"
D)"Are there some recent changes in your eating patterns?"

Question 72

The nurse is giving discharge instructions to a mother diagnosed with mastitis. Which of the following is included in her teaching?

A)Breastfeeding is discontinued on the affected breast until the infection is resolved.
B)Expressing or pumping milk from the affected breast is encouraged if the pain stops the client from breastfeeding.
C)Breastfeeding must be stopped if the baby becomes reluctant to nurse on the painful breast.
D)Before breastfeeding, apply cold application on the affected breast for 15 minutes.

Question 73

The nurse provides home instructions to a postpartum client. Which of the following statements, if made by the client, indicates that further teaching is necessary?

A)"It is normal to have strong, menstrual-like cramps during the first few days to weeks when nursing my baby."
B)"Breast tenderness and redness and easy fatigability should alert me to call my physician."
C)"I will call my physician if my vaginal discharge becomes brownish to pink in color."
D)"A rise of body temperature up to 102° is normal."

Question 74

The nurse assesses a female newborn. The assessment reveals a decreased amount of soft tissue mass, especially subcutaneous fat. The skin hanging loosely on the extremities is dry and peeling. The fingernails and toenails are long. The nurse knows that based on the newborn's clinical appearance, the age of gestation is more likely:

A)Between 34 and 35 weeks
B)Between 37 and 40 weeks
C)Between 40 and 42 weeks
D)Between 42 and 44 weeks

Question 75

A mother is concerned that her neonate's eyes are crossed. Which of the following responses by nurse is considered accurate?

A)"It is possible that your baby has a congenital cataract."
B)"Your baby should be able to fixate on close objects for short periods at this time."
C)"The neonates normally lack eye muscle coordination."
D)"Your baby can blink their eyes in response to light."

Question 76

A nurse is assessing a 6-month-old infant during a routine well-baby check up. Observing which of the following symptoms should alert the nurse to refer the child for further evaluation?

A)Infant speaks single consonants
B)Present Moro's embrace reflex
C)Infant rolls from front to back and back to front
D)Absent tonic neck reflex

Question 77

A nurse is caring for a client at 28 weeks digestion. The results of the laboratory examinations reveal that both the woman and the baby's father are negative for Rh factor. Indirect Coombs test is negative. The nurse should expect which of the following actions?

A)Document the findings; Rho GAM is not administered
B)Assessment of maternal serum for alpha-fetal protein
C)Aminiocentesis fluid is aspirated
D)Administration of Rho immune globulin (RhoGAM)

Question 78

A nurse performs cardiopulmonary resuscitation on an 11-month-old boy. When performing chest compressions, the nurse knows that the correct hand placement is located over the:

A)Lower half of the baby's sternum
B)One fingerbreadth below the horizontal line drawn between the baby's nipples
C)Upper half of the baby's sternum
D)Lower third of the baby's sternum

Question 79

A 3 year old child is brought to pediatric emergency with sudden onset of breathlessness, wheezing, diaphoresis and restlessness. Her mother mentions in history that the child was eating peanuts before developing these symptoms. An emergent chest x ray was ordered, which shows obstruction of right main stem of bronchus. Which of the following is definitive treatment of her condition?

A)aggressive antimicrobials
B)surgical repair
C)diuretic therapy
D)surgical removal

Question 80

A 5 year old boy is brought to pediatric emergency after he suddenly developed fever at night. He sits upright, leaning forward with chin out, mouth open, and tongue protruding. His voice is thick and frog like. There is no history of cough or hoarseness. Which of the following examination needs special attention in this child as it may lead to life threatening complication if done without proper prerequisite?

A)chest auscultation
B)chest x ray
C)blood culture
D)throat examination with a tongue blade