NCLEX_CRUSADE_ACADEMY TEST - 18 COMPLICATED NEWBORN CARE

1. A normal umbilical cord contains: Two arteries and two veins. One artery and one vein. Two veins and one artery. Two arteries and one vein.

2. A two-vessel cord is associated with increased risk for: Hyperbilirubinemia. IUGR and renal/cardiac defects. Hypoglycemia. RDS.

3. The umbilical clamp is typically removed: Immediately at birth. 6 hours post-birth. ~24 hours once stump is dry. After 7 days.

4. A red flag for omphalitis includes: Dry stump. Mild crusting. Purulent drainage and foul odor. Cord separation.

5. Erythroblastosis fetalis occurs when: Rh+ mother, Rh- fetus. Rh- mother, Rh+ fetus. Both parents Rh+. Both parents Rh-.

6. The first pregnancy in Rh incompatibility is often unaffected because: Antibodies are not produced. Sensitization occurs but antibodies form after exposure. Placenta blocks antibodies. Fetus is immune.

7. Hemolysis leads to severe anemia and: Hypoglycemia. Hyperbilirubinemia. Hypothermia. NEC.

8. Pathological jaundice appears: After 72 hours. After 1 week. Within first 24 hours. At 1 month.

9. Kernicterus results from bilirubin deposition in the: Lungs. Liver. Basal ganglia. Kidneys.

10. Hydrops fetalis presents with: Severe generalized edema. Hypoglycemia. Cyanosis only. Jaundice only.

11. Indirect Coombs test evaluates: Newborn blood. Mothers blood for antibodies. Bilirubin levels. Platelet count.

12. RhoGAM is administered at: 12 weeks. 20 weeks. 28 weeks and within 72 hours postpartum. At delivery only.

13. Exchange transfusion is performed to: Treat hypoglycemia. Stop hemolysis. Treat RDS. Prevent NEC.

14. Neural tube defects result from failure of closure during: Week 1. Day 710. Day 2128. Week 12.

15. A major preventive measure for NTDs is: Vitamin D. Folic acid before conception. Iron supplementation. Calcium.

16. Myelomeningocele contains: Vertebral defect only. Meninges only. Meninges + nerves + fluid. No sac.

17. Positioning for myelomeningocele is: Supine. Side-lying. Prone only. Semi-Fowler.

18. The sac should be covered with: Dry gauze. Sterile moist non-adherent dressing. Adhesive bandage. Diaper.

19. A priority assessment for hydrocephalus is: Blood glucose. Head circumference daily. Bilirubin. Temperature.

20. The 'setting sun' sign indicates: Hypoglycemia. Increased intracranial pressure. Normal reflex. Jaundice.

21. Spina bifida patients have high risk for: Latex allergy. Dairy allergy. Peanut allergy. Shellfish allergy.

22. Neurogenic bladder is managed by: Fluid restriction. Indwelling catheter only. Clean intermittent catheterization. No intervention.

23. The first action for a lethargic macrosomic infant is: Oxygen. Blood glucose check. Phototherapy. Antibiotics.

24. A newborn with imperforate anus should be classified as: Stable. Expected finding. Urgent. Emergency.

25. A 3-hour-old with acrocyanosis and periodic breathing (<20 sec) is: Emergency. Urgent. Stable. Pathological.

26. Caput succedaneum is: Pathological. Infection. Normal and crosses suture lines. Requires surgery.

27. Pseudomenstruation in female newborn is: Infection. Trauma. Normal due to maternal hormones. Abuse.

28. Uric acid crystals in diaper during first days are: Infection. Kidney failure. Normal concentrated urine. Sepsis.

29. The final clinical principle emphasizes: Intervene without assessment. Assessment is first step to intervention. Treat labs only. Avoid prioritization.