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NCC Maternal Newborn Nursing
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Which reflex is assessed by stimulating the newborn's sole and observing the flexion and fanning of toes?
Sucking reflex
Moro reflex
abinski reflex wer: D
anation: The Babinski reflex is assessed by stimulating the newborn's bserving the flexion and fanning of toes. This reflex is considered no wborns and typically disappears by the age of 1 year. The presence of rmal or persistent Babinski reflex may indicate neurological abnormal equires further evaluation.
ch of the following is an infectious disease commonly screened for in borns?
uman immunodeficiency virus (HIV) uberculosis (TB)
eningococcal meningitis
Rooting reflex
B
Ans
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Hepatitis B Answer: D
Explanation: Option C is the correct answer. Hepatitis B is an infectious disease commonly screened for in newborns. Newborns are often tested for hepatitis B surface antigen (HBsAg) to identify those who may have been
exposed to the virus and to initiate appropriate interventions. Option A is incorrect because HIV screening is typically performed during pregnancy, and additional testing may be done for newborns if the mother is HIV-positive. Option B is incorrect because tuberculosis screening is not routinely performed on all newborns but may be indicated in certain populations or if there is a known exposure. Option D is incorrect because meningococcal meningitis is not routinely screened for in newborns.
ch of the following is an example of a genetic disorder commonly see borns?
ype 2 diabetes mellitus eliac disease
own syndrome ypothyroidism
wer: C
anation: Option A is the correct answer. Down syndrome, caused by t ence of an extra copy of chromosome 21, is a genetic disorder commo n newborns. It is associated with characteristic physical features and ectual disabilities. Option B is incorrect because celiac disease is an mmune disorder triggered by gluten ingestion and can be diagnosed a
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age, including infancy. Option C is incorrect because type 2 diabetes mellitus is more commonly seen in adults and is often associated with lifestyle factors.
Which of the following is a hematologic concern in newborns?
Thrombocytopenia
Hemophilia A
Iron-deficiency anemia
anation: Option A is the correct answer. Physiologic jaundice, acterized by the yellow discoloration of the skin and sclera due to elev
of bilirubin, is a common hematologic concern in newborns. It typic rs as a normal physiological process, resulting from the breakdown of ss red blood cells. Option B is incorrect because hemophilia A, a blee der, is a genetic condition that is not specific to newborns. Option C i rect because iron-deficiency anemia is more commonly observed in o ts and children who have inadequate iron intake. Option D is incorrec use thrombocytopenia, a low platelet count, can occur in newborns bu primary hematologic concern.
ch of the following is an example of a genetic disorder? espiratory distress syndrome
erebral palsy astroesophageal reflux
Physiologic jaundice Answer: D
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Down syndrome Answer: D
Explanation: Down syndrome is an example of a genetic disorder. It is caused by the presence of an extra copy of chromosome 21. Down syndrome is associated with various physical and intellectual disabilities andmay require
specialized care and interventions to support the individual's development and well-being.
What is the recommended position for safe sleep in healthy term infants?
rendelenburg position de-lying position upine position
wer: D
anation: The recommended position for safe sleep in healthy term infa supine position. Placing infants on their back to sleep reduces the ris en infant death syndrome (SIDS). It is important to promote safe slee ices to parents and caregivers to ensure the infant's safety.
ch of the following is an accurate statement about the transition to uterine life in newborns?
he newborn's heart rate decreases significantly during the transition pe ewborns are born with fully developed respiratory systems and can br
Prone position
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S
Ans
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is the k of
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independently immediately after birth.
The newborn's lung fluid is typically absorbed within 12 hours after birth.
The newborn's gastrointestinal system becomes fully functional within the first hour after birth.
rect because the gastrointestinal system takes some time to mature an me fully functional after birth.
in 2 to 3 hours of birth, a newborn's temperature should stabilize at 6.5-37 °C (97.7-98.6 °F)
5.5-36.4 °C (96-97.5 °F)
4.5-35.4 °C (94-95.7 °F)
wer: A
anation: Within 2 to 3 hours of birth, a newborn's temperature should lize within the range of 36.5-37 °C (97.7-98.6 °F). This temperature r nsidered normal for a newborn and indicates successful thermoregulat mportant to monitor the newborn's temperature closely during this pe
Explanation: Option A is the correct answer. During the transition to extrauterine life, the newborn's lung fluid, known as fetal lung fluid, is typically absorbed within 12 hours after birth. This process is facilitated by the release of catecholamines and the newborn's own respiratory efforts. Option B is incorrect because although the respiratory system is developed, newborns may still require some assistance with breathing initially. Option C is incorrect because the heart rate generally increases during the transition period. Option D is
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Which of the following is an accurate statement about cardiovascular and respiratory adaptations in newborns?
blood flow.
The foramen ovale typically closes within the first few minutes after birth.
Newborns have a higher systolic blood pressure compared to adults.
Surfactant production in the lungs is highest in preterm newborns.
Answer: B
anation: Option B is the correct answer. The foramen ovale, a fetal he ture that allows blood to bypass the lungs, typically closes within the inutes after birth as a result of increased left atrial pressure and decr atrial pressure. Option A is incorrect because the ductus venosusclos ly after birth due to changes in blood flow and oxygenation, not incre onary blood flow. Option C is incorrect because newborns have lowe lic blood pressure compared to adults. Option D is incorrect because ctant production in the lungs is highest in term newborns, not preterm
borns.
ch of the following indicates a need for resuscitation of a newborn? eart rate above 100 beats per minute
igorous crying
pgar score of 8 or above bsent or gasping respirations
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A
Answer: D
Explanation: Absent or gasping respirations in a newborn indicate a need for resuscitation. A newborn with inadequate breathing requires immediate intervention to establish effective ventilation and oxygenation. Prompt recognition and initiation of resuscitative measures can be life-saving for the
newborn.
Which of the following is a correct step in the resuscitation and stabilization of a newborn?
elaying umbilical cord clamping until after resuscitation is complete dministering chest compressions immediately after birth
nitiating resuscitation efforts only if the newborn is not breathing at 2 tes of age
wer: B
anation: Option C is the correct answer. Delaying umbilical cord clam after resuscitation is complete allows for the transfer of oxygenated b the placenta to the newborn, which can help improve the newborn's enation status during resuscitation. Option A is incorrect because posi ure ventilation should be provided with a blend of air and oxygen, no air alone. Option B is incorrect because chest compressions are not ally performed immediately after birth unless the newborn is in cardia
t. Option D is incorrect because resuscitation efforts should be initiate ediately if the newborn is not breathing or has a heart rate below the mal range, not waiting until 2 minutes of age.
Providing positive pressure ventilation with room air
D
A
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During newborn care and family education, which of the following topics should be included?
Use of over-the-counter medications for infants
Breastfeeding techniques and positions
Safe sleep practices, including placing the newborn on their stomach to sleep
anation: Option A is the correct answer. Breastfeeding techniques and ions are important topics to include in newborn care and family educa stfeeding provides numerous health benefits to both the newborn and er, and educating families on proper techniques and positions can enh reastfeeding experience. Option B is incorrect because the use of over ter medications for infants should be discussed with a healthcare prov me medications may not be safe or appropriate for newborns. Option rect because the introduction of solid foods typically occurs around 6 hs of age, not within the first month. Option D is incorrect because sa practices recommend placing the newborn on their back to sleep to r isk of sudden infant death syndrome (SIDS).
ch hematologic condition is characterized by an abnormal increase in t ber of red blood cells?
nemia
Answer: C Expl
posit tion.
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Leukemia
Thrombocytopenia
Polycythemia Answer: D
abnormal increase in the number of red blood cells. It can occur in newborns as a result of various factors, such as delayed cord clamping or maternal-fetal transfusion. Polycythemia may require monitoring and intervention to prevent complications.
tional age?
pgar Score allard Score
ewborn Behavioral Observations (NBO) apute Scale
wer: B
anation: The Ballard Score is a commonly used assessment tool to ev wborn's physical and gestational age. It assesses various physical and omuscular characteristics of the newborn to estimate their gestational a core helps healthcare providers determine the appropriate care and ventions for the newborn.
Which assessment tool is commonly used to evaluate a newborn's physical and gesta
A
B
N
C
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Which of the following is a common gastrointestinal concern in newborns?
Pyloric stenosis
Peptic ulcer disease
Meconium ileus
Cholelithiasis
Answer: A
fibrosis and affects the passage of the first stool in newborns. Optio rect because peptic ulcer disease is rare in newborns and more comm n older children and adults. Option D is incorrect because cholelithia ormation of gallstones, is uncommon in newborns.
ch of the following is a neurological adaptation commonly observed i borns?
rimitive reflexes, such as the Moro reflex, are absent at birth. ewborns have well-developed voluntary motor control. ewborns have a fully matured and functioning visual system. he Babinski reflex is a normal finding in newborns.
wer: D
anation: Option C is the correct answer. The Babinski reflex, characte
Explanation: Option C is the correct answer. Pyloric stenosis is a common gastrointestinal concern in newborns. It is characterized by the narrowing of the pylorus, the opening between the stomach and the small intestine, leading to symptoms such as projectile vomiting and failure to thrive. Option A is incorrect because meconium ileus is a condition primarily associated with cystic n B is
incor only
seen i sis,
the f
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by the extension and fanning of the toes when the sole of the foot is stroked, is a normal finding in newborns. It indicates proper neurological development. Option A is incorrect because primitive reflexes, including the Moro reflex, are present at birth and gradually disappear within the first few months of life. Option B is incorrect because newborns have limited voluntary motor control and primarily exhibit reflexive movements. Option D is incorrect because the visual system of newborns is still developing, and they have limited visual
acuity and color perception at birth.
Which of the following is a reliable method for assessing the gestational age of a newborn?
pgar Score allard Score
mbilical artery Doppler ultrasound
wer: C
anation: Option A is the correct answer. The Ballard Score, also kno ubowitz Score, is a reliable method for assessing the gestational age o born. It evaluates both physical and neuromuscular maturity and provi timate of the baby's gestational age. Option B is incorrect because the ar Score assesses the newborn's overall condition at 1 and 5 minutes af but does not provide an accurate estimate of gestational age. Option rect because capillary blood gas analysis is used to assess the newbor base balance and oxygenation status, not gestational age. Option D is rect because umbilical artery Doppler ultrasound is primarily used to
s blood flow and placental function, not gestational age.
Capillary blood gas analysis
A
B
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Which infectious disease is commonly prevented through administration of the hepatitis B vaccine to newborns?
Hepatitis B
Measles
Tuberculosis
Influenza Answer: A
ination is an effective preventive measure to protect newborns from H tion.
ch of the following is a normal finding in a newborn's cardiovascular m?
ypotension urmur yanosis
apillary refill time greater than 3 seconds
wer: B
anation: A murmur is a normal finding in a newborn's cardiovascular
m. It is often benign and resolves on its own as the newborn grows.
Explanation: The administration of the hepatitis B vaccine to newborns helps prevent the transmission of hepatitis B virus (HBV). Hepatitis B is a viral infection that can lead to chronic liver disease and other complications.
Vacc BV
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However, any abnormal or persistent murmur should be further evaluated by a healthcare provider to rule out any underlying cardiac issues.