CHAPTER 17: HIGH -RISK NEONATAL

Page | 1

CHAPTER 17: HIGH -RISK NEONATAL

NURSING CARE TEST 2025 QUESTIONS

AND ANSWERS .

• A neonate is born at 33 weeks' gestation with a birth weight of

2400 grams. This neonate would be classified as:

• Low birth weight
• Very low birth weight
• Extremely low birth weight

d. Very premature - correct answer - ANS: a

• Neonates with a birth weight of less than 2500 grams but

greater than 1500 grams are classified as low birth weight.

• Neonates with birth weight less than 1500 grams but greater

than 1000 grams are classified as very low birth weight.

• Neonates with birth weight less than 1000 grams are classified

as extremely low birth weight.

• Neonates born less than 32 weeks' gestation are classified as

very premature.

• A nurse assesses that a 3-day-old neonate who was born at 34

weeks' gestation has abdominal distention and vomiting. These assessment findings are most likely related to: 1 / 3

Page | 2

• Respiratory Distress Syndrome (RDS)
• Bronchopulmonary Dysplasia (BPD)
• Periventricular Hemorrhage (PVH)

d. Necrotizing Enterocolitis (NEC) - correct answer - ANS: d

• Assessment findings for RDS include tachypnea, intercostal

retractions, respiratory grunting, and nasal flaring.

• Assessment findings for BPD include chest retractions; audible

wheezing, rales, and rhonchi; hypoxia; and bronchospasm.

• Assessment findings for PVH include bradycardia, hypotonia,

full and/or tense anterior fontanel, and hyperglycemia.

• Assessment findings related to NEC include abdominal

distention, bloody stools, abdominal distention, vomiting, and increased gastric residual. These signs and symptoms are related to the premature neonate's inability to fully digest stomach contents and limitation in absorptive function.

• A full-term neonate who is 30 hours old has a bilirubin level of

10 mg/dL. The neonate has a yellowish tint to the skin of the face.The mother is breastfeeding her newborn. The nurse caring for this neonate would anticipate which of the following interventions?

• Phototherapy
• Feeding neonate every 2 to 3 hours
• Switch from breastfeeding to bottle feeding
• Assess red blood cell count - correct answer - ANS: b 2 / 3

Page | 3

• Phototherapy is considered when the levels are 12 mg/dL or

higher when the neonate is 25 to 48 hours old. Neonates re- absorb increased amounts of unconjugated bilirubin in the intestines due to lack of intestinal bacteria and decreased gastrointestinal motility.

• Adequate hydration promotes excretion of bilirubin in the urine.
• Colostrum acts as a laxative and assists in the passage of

meconium.

• Assessing RBC is not a treatment for hyperbilirubinemia.

• A NICU nurse is caring for a full-term neonate being treated for

group B streptococcus. The mother of the neonate is crying and shares that she cannot understand how her baby became

infected. The best response by the nurse is:

• "Newborns are more susceptible to infections due to an

immature immune system. Would you like additional information on the newborn immune system?"

• "The infection was transmitted to your baby during the birthing

process. Do you have a history of sexual transmitted infections?"

• "Approximately 10% to 30% of women are asymptomatic

carries of group B streptococcus which is found in the vaginal area. What other questions do you have regarding your baby's health?"

• "I see that this is very upsetting for you. I will come back later

and answer your questions." - correct answer - ANS: c

• / 3