NCLEX_CRUSADE_ACADEMY TEST - 17 ADDICTED_NEWBORD_SHAKEN_BABY_SYNDROME_SEPARATION

1. The correct anatomical site for newborn IM injections is the: Deltoid muscle. Gluteus maximus. Vastus lateralis muscle. Rectus femoris.

2. Vitamin K is administered to prevent: Hypoglycemia. Hemorrhage. Jaundice. Infection.

3. Cold stress in a newborn can lead to: Hyperglycemia. Increased O2 consumption and metabolic acidosis. Hypothermia only. Hyperbilirubinemia.

4. A high-pitched cry in a newborn is characteristic of: Hypothyroidism. NAS (Neonatal Abstinence Syndrome). IDM. Normal reflex.

5. Persistent tremors in a newborn require assessment for: Sepsis only. Hypoglycemia or NAS. Jaundice. Apnea.

6. A white patch in the mouth that cannot be wiped off suggests: Milk residue. Thrush (Candida albicans). Dehydration. NEC.

7. Environmental management for NAS includes: Bright lights. Loud stimulation. Dim lights and quiet room. Frequent visitors.

8. Tight swaddling in NAS is intended to: Promote hyperactivity. Prevent self-injury and calm CNS. Increase metabolism. Prevent jaundice.

9. Breastfeeding is contraindicated if: Infant has jaundice. Maternal drug use continues. Infant is LGA. Infant has RDS.

10. An infant of a diabetic mother (IDM) is at risk for: Microcephaly. Macrosomia. Hypothyroidism. Polycythemia only.

11. The post-birth glucose crash in IDM infants occurs because of: Low maternal insulin. Continued fetal hyperinsulinemia after placental glucose cut-off. Infection. Hypothermia.

12. First action for suspected hypoglycemia is: IV glucose immediately. Immediate blood glucose check. Oxygen therapy. Phototherapy.

13. A protruding tongue and lethargy suggest: NAS. Hypoglycemia. Congenital hypothyroidism. Sepsis.

14. Early treatment of congenital hypothyroidism prevents: Jaundice. RDS. Permanent intellectual disability. Hypoglycemia.

15. Copper-colored rash on palms and soles suggests: Measles. Congenital syphilis. Allergic reaction. Thrush.

16. Treatment for congenital syphilis is: Erythromycin. Ampicillin. Penicillin. Acyclovir.

17. Shaken Baby Syndrome commonly causes: Subdural hemorrhage. Hypoglycemia. Jaundice. Macrosomia.

18. Bulging fontanels in SBS indicate: Hypoglycemia. Increased intracranial pressure. Infection only. Dehydration.

19. The correct parental education message for frustration is: Shake gently. Walk away and place infant in safe place. Ignore crying. Increase stimulation.

20. At 910 months, expected milestone is: Walking independently. Pincer grasp. Pulls to stand and steps with assistance. Talking in sentences.

21. Pincer grasp develops around: 4 months. 6 months. 11 months. 18 months.

22. Stage 1 of separation anxiety is characterized by: Withdrawal. Loud crying and agitation. Detachment. Regression only.

23. The most serious stage of separation anxiety is: Protest. Despair. Detachment. Regression.

24. Regression during hospitalization should be managed by: Punishment. Ignoring behavior. Understanding it as defense mechanism. Immediate discharge.

25. To prevent detachment, the nurse should: Limit parental presence. Encourage parental presence. Isolate toddler. Use strict discipline.

26. The overarching clinical principle emphasized is: Cosmetic appearance. Safety is the priority. Lab values first. Development over safety.