NCLEX CRUSADE ACADEMY TEST - 12 NEWBORN CARE PRT 1

1. The primary NCLEX skill emphasized in newborn care scenarios is the ability to: Memorize developmental milestones. Distinguish expected findings from complications requiring intervention. Perform advanced neonatal procedures. Focus only on pharmacology.

2. Neonatal Abstinence Syndrome (NAS) results from: Neonatal infection. Genetic mutation. Abrupt discontinuation of substances exposed in utero. Prematurity alone.

3. The hallmark of NAS is: Hypotonia. CNS hyperactivity. Bradycardia. Lethargy.

4. A high-pitched, shrill cry in a newborn suggests: Normal hunger. NAS-related CNS storm. Hypoglycemia only. Sepsis only.

5. Frequent sneezing and yawning in a newborn with maternal opioid history indicates: Allergies. Autonomic dysfunction from NAS. Respiratory infection. Normal reflex.

6. The primary nursing goal in NAS management is to: Increase stimulation. Reduce CNS irritability and prevent seizures. Initiate naloxone. Restrict feeding.

7. A key pharmacologic treatment for NAS includes: Naloxone. Morphine or Methadone. Insulin. Furosemide.

8. Naloxone (Narcan) should NOT be administered to a newborn with NAS because it may: Cause bradycardia. Induce immediate severe withdrawal and seizures. Increase blood sugar. Cause jaundice.

9. Caput succedaneum is characterized by: Bleeding under periosteum that does not cross sutures. Swelling that crosses suture lines and resolves in days. Intracranial hemorrhage. Skull fracture.

10. Cephalohematoma differs from caput succedaneum because it: Crosses sutures. Resolves in days. Does not cross suture lines. Is always emergent.

11. Asymmetrical arm movement after vacuum delivery suggests: Normal newborn reflex. Erbs palsy (brachial plexus injury). Hypoglycemia. Jaundice.

12. A yellow exudate over the glans 24 hours post-circumcision is: Infection. Pus requiring antibiotics. Normal granulation tissue. Necrosis.

13. Active persistent bleeding after circumcision requires: Ice pack only. Routine monitoring. Sterile pressure and provider notification. Petroleum jelly.

14. With a Gomco clamp, nursing care includes: No petroleum jelly. Apply petroleum jelly with diaper changes. Use alcohol wipes. Remove crust daily.

15. With a Plastibell device, petroleum jelly should be avoided because: It delays healing. It increases infection. It may cause the ring to slip. It increases bleeding.

16. Necrotizing Enterocolitis (NEC) primarily affects: Term infants only. Preterm or low birth weight infants. Post-term infants. Toddlers.

17. The first intervention in suspected NEC is: Begin feeding. Administer naloxone. Make NPO immediately. Perform rectal temperature.

18. Rectal temperatures are contraindicated in NEC because they increase risk of: Hypothermia. Perforation. Hypoglycemia. Bradycardia.

19. The priority assessment for tracking NEC progression is: Weight. Head circumference. Abdominal circumference. Length.

20. Hospital alert code for infant abduction is: Code Blue. Code Pink. Code Red. Code White.

21. Infants must be transported: In caregiver arms. In bassinets only. In car seats only. Swaddled in blankets.

22. The Identification Triad includes ID bands on: Baby only. Baby and nurse. Mother, baby, and partner. Baby and physician.

23. Suspicious activity regarding discharge times should be: Ignored. Documented only. Reported immediately. Shared with other patients.

24. The filing of an incident report should be documented in the medical chart. True. False They are legally separate documents. Only if serious. Only if requested by provider.

25. In birth trauma, caput and cephalohematoma are generally: Surgical emergencies. Expected findings to monitor. Indicators of sepsis. Signs of NEC.

26. The nurses overarching priority in newborn care is: Documentation first. Safety first. Parent education first. Medication administration first.