NCLEX_CRUSADE_ACADEMY TEST - 2 INITIAL CARE OF THE NEWBORN

1. During initial suctioning, the correct order is: Nose then mouth. Mouth then nose. Simultaneous suction. No suction required.

2. The first intervention immediately after birth is: Apgar scoring. Eye prophylaxis. Drying and removing wet linens. Weight measurement.

3. Normal newborn respiratory rate is: 2040 breaths/min. 3060 breaths/min. 6080 breaths/min. 80100 breaths/min.

4. Seesaw breathing indicates: Normal adaptation. Immediate respiratory distress. Cardiac defect. Jaundice.

5. Cold stress increases oxygen consumption leading to: Hyperglycemia. Metabolic acidosis. Bradycardia. Hypotension.

6. Hypothermia directly leads to: Hypernatremia. Hypoglycemia. Polycythemia. Hyperbilirubinemia.

7. Post-term infants are high risk for cold stress because of: Excess brown fat. Placental aging and depleted brown fat. Excess glucose stores. Prematurity.

8. Kangaroo care primarily stabilizes: Glucose only. Weight only. Vital signs and promotes breastfeeding. Bilirubin levels.

9. The apical pulse in newborns should be auscultated for: 15 seconds. 30 seconds. 45 seconds. 1 full minute.

10. A pulse deficit indicates: Normal finding. Strong peripheral perfusion. Possible perfusion abnormality. Jaundice.

11. Resting newborn heart rate is: 80100 bpm. 100120 bpm. 120160 bpm. 160200 bpm.

12. Normal axillary temperature range is: 9596F. 96.899F. 99101F. 100102F.

13. A normal anterior fontanel is: Bulging and firm. Sunken and dry. Soft and flat. Closed at birth.

14. Posterior fontanel typically closes by: 23 months. 6 months. 12 months. 18 months.

15. Jaundice appearing within the first 24 hours is: Physiologic. Pathologic. Expected. Benign.

16. Physiologic jaundice in full-term infants peaks around: Day 1. Day 2. Day 5. Day 10.

17. Newborns should be transported in hospital: In parent's arms. In crib/bassinet only. On shoulder. In stroller.

18. Primary infection control measure for visitors is: Masking only. Gloves only. Hand hygiene. Isolation.

19. Safe sleep position is: Prone. Side-lying. Supine. With pillow.

20. Car seats should be placed: Front seat forward-facing. Back seat rear-facing. Front seat rear-facing. On lap.

21. If a newborn is hypothermic, priority additional assessment is: Recheck temperature later. Add blankets only. Check blood glucose. Weigh infant.