NCLEX CRUSADE ACADEMY TEST- 13 NEWBORN CARE PRT 2

1. If a newborn is in respiratory distress, the nurse should first: Gather additional assessment data. Document findings. Act immediately (implement interventions). Call the provider without action.

2. The core decision framework for stable patients is to: Implement immediately. Gather data first. Call provider. Ignore findings.

3. The nurse should call the provider when: A nursing intervention can fix the problem. The issue is within nursing scope. The solution is outside scope or interventions failed. Immediately for every abnormal finding.

4. If a nursing action can correct the problem, the nurse should: Call provider first. Document only. Do the intervention and reassess. Wait 30 minutes.

5. In a negative query asking for 'needs further teaching,' the nurse should select the: True statement. Most detailed statement. Incorrect statement. Safest statement.

6. In positive queries, the goal is to find the: False statement. Most emotional statement. True statement. Longest option.

7. Correct interventions for NAS include all EXCEPT: Swaddling. Feeding small frequent meals. Quiet environment. Avoid swaddling.

8. In NAS with respiratory distress (cyanosis, tachypnea), priority is to: Continue swaddling. Gather more data. Call provider immediately. Increase feeding.

9. Maximum recommended vacuum application time is: 10 minutes. 15 minutes. 25 minutes. 40 minutes.

10. Frequent vacuum 'pop-offs' indicate: Normal finding. Controlled suction. Dangerous or ineffective application. Caput formation.

11. Caput succedaneum after vacuum delivery is: Emergency. Intracranial hemorrhage. Benign and resolves in ~24 hours. Permanent injury.

12. Asymmetric arm movement after vacuum delivery suggests: Hip dysplasia. Diastasis recti. Brachial plexus injury. Cryptorchidism.

13. The statement 'I will remove the yellow exudate' indicates: Correct understanding. Proper wound care. Need for further teaching. Advanced knowledge.

14. If bleeding persists after pressure post-circumcision, the final action is to: Document and reassess later. Continue pressure indefinitely. Call the provider. Apply petroleum jelly.

15. In NEC, antibiotics are: First priority before anything. Not indicated. Correct but not first action. Contraindicated.

16. The FIRST action in suspected NEC is: Administer antibiotics. Measure abdominal girth. Hold oral feedings (NPO). Perform rectal temperature.

17. The NEVER event in NEC management is: NG tube placement. IV antibiotics. Rectal temperatures. Measuring girth.

18. When two answer options are direct opposites, the strategy suggests: Avoid both. Choose the longest. One is usually correct. Call provider.

19. In non-emergency psychosocial questions, often the correct answer is: Immediate medication. Call provider. Psychosocial support. Isolation.

20. In stable newborn situations, the nurse should: Implement without assessment. Assess and gather data. Call provider immediately. Ignore minor changes.