DHA MCQs 3.3
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1. A nurse prepares to administer a vitamin K injection to a full term the mother wants to know the
importance of the injection Which of the following is the best nurse response to the mother
A. needed for blood clotting to prevent hemorrhage
B. accelerate the growth and development of infants
C. help in maintain healthy gut and passage of meconium
D. protect the infant from developing sever respiratory distress
2. Term baby boy is admitted to Neonatal Intensive Care Unit. Physical examination revealed flattened nose, low set ears, upward slanting eyes, gle palmer crease. Which of the following is the possible diagnosis of the newborn?
A. Cushing syndrome
B. Down syndrome
C. Intra-Uterine Growth Retardation
D. Congenital hypothyroidism
3. A nurse performing nursing care plan for a neonate after a birth, which intervention has the highest nursing priority neonate?
A. btained a dextrostix
B. give the initial bath
C. Give the vitamin k injection
D. cover the neonate head with a cap
4. During physical assessment of a male infant genitalia, the nurse found that one of the testes are enlarged. Which of the following could be the reason for swollen testes?
A. Chordee
B. Cryptorchidism
C. Hydrocele
D. Hypospadias
5. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair?
A. circumcision
B. drinking acidic juices
C. urinary catheterization
D. riding a bicycle
6. When performing a new-born assessment, the nurse should measure the vital signs in the following sequence:
A. Pulse, respirations, temperature
B. Temperature, pulse, respirations
C. Respirations, temperature, pulse
D. Respirations, pulse , temperature
7. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is re a large amount of fresh blood.
Heart rate 110 /min
Respiratory rate 40 /min
Temperature 36.6 C
Which of the following action should the nurse take?
A. Apply antibiotic ointment on the affected area
B. Clean the area with betadine to prevent infection
C. Apply gentle pressure with a sterile gauze
8. A maternity nurse is performing a newborn assessment thirty minutes after delivery of a baby who did not receive any prenatal care and has an unknown gestational age. The skin is extensively leathery, cracked and dry and there is an absence of lanugo and vernix. How many weeks ’gestation is this neonate?
A. <30
B. 30-35
C. 36-40
D. >40
9. A nurse is caring for a female newborn who born with an imperforate anus. When assessing the newborns urine, she should notify the doctor immediately if the newborn's urine contains which of the following?
A. meconium
B. sugar
C. albumin
D. crystals
10. A newborn has diagnosed Development Dysplasia of hip DDH and is using a Pavlik Harness as treatment .
A. Multiple
B. Acetabular dysplasia
C. Subluxation
D. Dislocation
11. Which of the Following Is the Most Commend Site to Obtain a Capillary blood sugar sample from neonate?
A. Earl ape
B. fingertip
C. Heel
D. abdomen
12. A client who is breastfeeding her newborn requests assistance from the lactation nurse. Which reflex does the nurse explain in order to assist with latching on?
A. Extrusion reflex
B. Rooting reflex
C. Swallowing reflex
D. Tonic neck reflex
13. A healthy baby is born normally via vaginal delivery and when transferred to newborn until the nurse administered vitamin K intramuscularly. Which sits recommended for vitamin K injection ?
A. Biceps
B. Deltoid
C. Vastus lateralis
D. Gluteus maximus
14. The nurse determines that a client understands the purpose of a vitamin K injection for her newborn if the client states that V K is administered for which purpose
A. New born lack vitamin
B. New born have low blood levels
C. New born lack intestinal bacteria
D. New born cannot produce vitamin k in the liver
15. A nurse is administering a shot of vitamin K to 30 days old infant . which of the following target area is the most appropriate
A. Gluteus maximus
B. Gluteus minimus
C. Vastus lateralis
D. Vastus medialis
16. While a nurse is assessing the head of a newborn at the first hour after delivery , she observed a soft edema over the vertex which crosses the suture line. Which of the following would be the proper nurses interpretation?
A. Cephalohematoma
B. Hydrocephaly
C. Large head
D. Caput succedaneum
17. A mother asked the nurse that while she was changing the diapen for her female newborn, she noticed a brick red stain on it. What is the best response by the nurse?
A. It is a sign of low iron excretion
B. It is expected in female newborn
C. It is due to medication given to the mother
D. it due to medication given to the newborn
18. A nurse is assessing a4-month-old formula fed infant .the parent reported that the infant was irritable, crying excessively, not sleeping well, and vomiting, gastro esophageal reflux is expected. What nursing intervention should the nurse expect to each parent ?
A. Place in an infant seat after eating
B. Give frequent feedings
C. Position the child in a swing
D. Thin formula with water
19. The normal systolic Bp for new Born:-
A. 40-60
B. 60-80
C. 80-100
D. 100-120
20. Neonatal mortality rate :
A. 1:100
B. 1:1000
C. 1:100000
D. 1:1000000
21. New born stomach capacity
A. 6ml
B. 12ml
C. 28ml.
22. Cleft lip 3 – 6 month after surgery consideration elbow restrain after surgery the infant should not be allow to cry and the infant not allow to breast feed by sucking . never to put the baby prone position after cleft lip repair surgery
23. Cleft palate 12 – 18 month position after surgery prone position ,
24. Consideration after cleft lip and cleft palate is :
Burping the child frequently every 15 minutes
To prevent cleft lip and cleft palate the pregnant woman u should advice:
Folic acid 400 iu
Increase green vegetables & Citrus intake
Feeding up right setting position
25. A 32year old gravid 1 and para, is now planning to become pregnant within the next year. The patient herself had born with born with neural tube defects, which were surgically repaired in early childhood. The nurse recommends that the patient begin taking tablet of folic acid. How many micrograms would be most appropriate for this patient?
A. 400
B. 600
C. 1800
D. 4000
26. A 2-month-old infant with cleft lip is seen in the primary health care to get the regular vaccine of 2 months. The mother asked proper time for the corrective cleft lip surgery of her infant. Which of following is the best nurse response?
A. No specific age for repair of cleft lip
B. It is too late, repair should be done immediate after delivery
C. The age of 2 months old is the time for repair
D. The proper time for repair after the age of one year,
27. A nurse is assigned to care for a child after a cleft palate repair which of the following types of restraints is very effective for child?
A. Mummy restraint
B. Elbow restraint
C. Wrist restraint
D. Mitt restraint
28. A 4 month old infant returned immediately from OR room post cleft lip repair which of the following nursing intervention should be considered?
A. Apply elbow restrain
B. Measure temperature
C. Put infant in prone position
29. The nurse have been teaching a new mother how to feed was born with a cleft lip and palate before surgical repair of Which of the following action from the mother indicate teaching has been successful?
A. burping the baby frequently
B. Prevent the infant from crying
C. Placing the baby flat during feeding
D. Keep the infant prone following feedings
30. Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding
A. Use a non-squeezable bottle during feeding
B. Feed infant in an upright, sitting position
C. Enlarge nipple holes of bottle to allow more milk to pass through
D. Feed infant longer than 45 minutes to allow more food to be small
31. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counselling and Which foods would most effectively prevent recurrence a palate?
A. Green vegetables and citrus fruit
B. Eggs, milk and dairy products
C. Wheat, corn, rice, oats and rye
D. Beef, chicken and yellow vegetables
32. A nurse is caring for a newborn with cleft lip. At which age would the nurse expect the doctor to perform?
A. 3-6 months
B. 6-10 months
C. 11-14 months
D. more than 14 months
33. A 2-day-old newborn is admitted to the nursery. While the nurse is administrating oral feeding, the milk returns through the child's nose and mouth and the infant become cyanotic. Which of the following condition the newborn should have?
A. Anorectal malformation
B. Tracheoesophageal fistula
C. Cleft lip and palate
D. Cardiac condition
34. A newborn admitted to the NICU with tracheoesophageal fistula (TOF). which of the following nursing intervention should be included?
A. Elevated the head for feedings
B. Elevating the head but keep the child NPO
C. Insert a nasogastric tube for feeding
D. Encourage the mother to breast feed
35. A full-term newborn admitted to the neonatal intensive care unit with diagnosis of tracheoesophageal fistula. Which of the following nursing measure to prevent pulmonary complication and improve good prognosis of the newborn condition?
A. encourage exclusive breast feeding
B. insert nasogastric tube for gastric decompression
C. intermittent suction by double-lumen catheter
D. prepare for the insertion of tracheostomy
36. A nurse is caring for 14 month old immediately after a surgical repair of cleft palate. In which position of the following should the nurse put the child?
A. Prone
B. LateralSupine
37. A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education?
A. Open cup
B. Tea spoon
C. Bottle feed
D. Special bottle feed
38. 26- Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ?
A. Vitamin A
B. Riboflavin
C. Folic Acid
D. Vitamin K
39. All of the following are types of spina bifida EXCEPT:
A. Myelomeningocele
B. Hemophilia
C. Meningocele
D. Spina Bifida Occulta
40. While caring for a neonate with a meningococcal, the nurse should avoid positioning the child on the:
A. Abdomen
B. Left side
C. Right side
D. Back
41. infant is born with spinal bifida Which of the following complication is always found in these Infants?
A. Hydrocephalus
B. Craniosynostosis
C. Meningitis
D. Cerebral palsy
42. On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to:
A. Strawberries
B. Eggs
C. Latex
43. Infant with spina bifida the nurse should monitor
A. Head circumference
B. Abdomen cicumfrance
44. Position for the baby with spina bifida is :
A. prone position
B. back
C. supine
45. A full term infant is admitted to NICU with a diagnosis of Spina vital signs are stable. Which of the following positions is suitable for this infant?
A. Supine position
B. Semi-fowler position
C. Prone position
D. Sitting position
46. Definition :A congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected intestine
47. A 24 hours after delivery , the nurses noted that the newborn failed to pass meconium. This indicates which of the following condition?
A. GERD
B. Pyloric stenosis
C. Failure to thrive
D. Hirsch sprung disease
48. A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate?
A. Celiac disease
B. Failure to thrive
C. Cystic fibrosis
D. Growth hormone deficiency
49. A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination. Which of the following findings will alert the nurse to suspect this disease in the newborn?
A. palpable sausage-shaped mass
B. cyanosis of fingers and toes
C. failure to pass meconium within 24-48 hours of life
D. weight less than expected for height and age
50. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following
A. To remove the aganglion portion of the bowel to relieve obstruction
B. To maintain optimum nutritional status growth the intertinal
C. To stimulate intestinal adaptation with internal feeding
importance of the injection Which of the following is the best nurse response to the mother
A. needed for blood clotting to prevent hemorrhage
B. accelerate the growth and development of infants
C. help in maintain healthy gut and passage of meconium
D. protect the infant from developing sever respiratory distress
2. Term baby boy is admitted to Neonatal Intensive Care Unit. Physical examination revealed flattened nose, low set ears, upward slanting eyes, gle palmer crease. Which of the following is the possible diagnosis of the newborn?
A. Cushing syndrome
B. Down syndrome
C. Intra-Uterine Growth Retardation
D. Congenital hypothyroidism
3. A nurse performing nursing care plan for a neonate after a birth, which intervention has the highest nursing priority neonate?
A. btained a dextrostix
B. give the initial bath
C. Give the vitamin k injection
D. cover the neonate head with a cap
4. During physical assessment of a male infant genitalia, the nurse found that one of the testes are enlarged. Which of the following could be the reason for swollen testes?
A. Chordee
B. Cryptorchidism
C. Hydrocele
D. Hypospadias
5. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair?
A. circumcision
B. drinking acidic juices
C. urinary catheterization
D. riding a bicycle
6. When performing a new-born assessment, the nurse should measure the vital signs in the following sequence:
A. Pulse, respirations, temperature
B. Temperature, pulse, respirations
C. Respirations, temperature, pulse
D. Respirations, pulse , temperature
7. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is re a large amount of fresh blood.
Heart rate 110 /min
Respiratory rate 40 /min
Temperature 36.6 C
Which of the following action should the nurse take?
A. Apply antibiotic ointment on the affected area
B. Clean the area with betadine to prevent infection
C. Apply gentle pressure with a sterile gauze
8. A maternity nurse is performing a newborn assessment thirty minutes after delivery of a baby who did not receive any prenatal care and has an unknown gestational age. The skin is extensively leathery, cracked and dry and there is an absence of lanugo and vernix. How many weeks ’gestation is this neonate?
A. <30
B. 30-35
C. 36-40
D. >40
9. A nurse is caring for a female newborn who born with an imperforate anus. When assessing the newborns urine, she should notify the doctor immediately if the newborn's urine contains which of the following?
A. meconium
B. sugar
C. albumin
D. crystals
10. A newborn has diagnosed Development Dysplasia of hip DDH and is using a Pavlik Harness as treatment .
A. Multiple
B. Acetabular dysplasia
C. Subluxation
D. Dislocation
11. Which of the Following Is the Most Commend Site to Obtain a Capillary blood sugar sample from neonate?
A. Earl ape
B. fingertip
C. Heel
D. abdomen
12. A client who is breastfeeding her newborn requests assistance from the lactation nurse. Which reflex does the nurse explain in order to assist with latching on?
A. Extrusion reflex
B. Rooting reflex
C. Swallowing reflex
D. Tonic neck reflex
13. A healthy baby is born normally via vaginal delivery and when transferred to newborn until the nurse administered vitamin K intramuscularly. Which sits recommended for vitamin K injection ?
A. Biceps
B. Deltoid
C. Vastus lateralis
D. Gluteus maximus
14. The nurse determines that a client understands the purpose of a vitamin K injection for her newborn if the client states that V K is administered for which purpose
A. New born lack vitamin
B. New born have low blood levels
C. New born lack intestinal bacteria
D. New born cannot produce vitamin k in the liver
15. A nurse is administering a shot of vitamin K to 30 days old infant . which of the following target area is the most appropriate
A. Gluteus maximus
B. Gluteus minimus
C. Vastus lateralis
D. Vastus medialis
16. While a nurse is assessing the head of a newborn at the first hour after delivery , she observed a soft edema over the vertex which crosses the suture line. Which of the following would be the proper nurses interpretation?
A. Cephalohematoma
B. Hydrocephaly
C. Large head
D. Caput succedaneum
17. A mother asked the nurse that while she was changing the diapen for her female newborn, she noticed a brick red stain on it. What is the best response by the nurse?
A. It is a sign of low iron excretion
B. It is expected in female newborn
C. It is due to medication given to the mother
D. it due to medication given to the newborn
18. A nurse is assessing a4-month-old formula fed infant .the parent reported that the infant was irritable, crying excessively, not sleeping well, and vomiting, gastro esophageal reflux is expected. What nursing intervention should the nurse expect to each parent ?
A. Place in an infant seat after eating
B. Give frequent feedings
C. Position the child in a swing
D. Thin formula with water
19. The normal systolic Bp for new Born:-
A. 40-60
B. 60-80
C. 80-100
D. 100-120
20. Neonatal mortality rate :
A. 1:100
B. 1:1000
C. 1:100000
D. 1:1000000
21. New born stomach capacity
A. 6ml
B. 12ml
C. 28ml.
22. Cleft lip 3 – 6 month after surgery consideration elbow restrain after surgery the infant should not be allow to cry and the infant not allow to breast feed by sucking . never to put the baby prone position after cleft lip repair surgery
23. Cleft palate 12 – 18 month position after surgery prone position ,
24. Consideration after cleft lip and cleft palate is :
Burping the child frequently every 15 minutes
To prevent cleft lip and cleft palate the pregnant woman u should advice:
Folic acid 400 iu
Increase green vegetables & Citrus intake
Feeding up right setting position
25. A 32year old gravid 1 and para, is now planning to become pregnant within the next year. The patient herself had born with born with neural tube defects, which were surgically repaired in early childhood. The nurse recommends that the patient begin taking tablet of folic acid. How many micrograms would be most appropriate for this patient?
A. 400
B. 600
C. 1800
D. 4000
26. A 2-month-old infant with cleft lip is seen in the primary health care to get the regular vaccine of 2 months. The mother asked proper time for the corrective cleft lip surgery of her infant. Which of following is the best nurse response?
A. No specific age for repair of cleft lip
B. It is too late, repair should be done immediate after delivery
C. The age of 2 months old is the time for repair
D. The proper time for repair after the age of one year,
27. A nurse is assigned to care for a child after a cleft palate repair which of the following types of restraints is very effective for child?
A. Mummy restraint
B. Elbow restraint
C. Wrist restraint
D. Mitt restraint
28. A 4 month old infant returned immediately from OR room post cleft lip repair which of the following nursing intervention should be considered?
A. Apply elbow restrain
B. Measure temperature
C. Put infant in prone position
29. The nurse have been teaching a new mother how to feed was born with a cleft lip and palate before surgical repair of Which of the following action from the mother indicate teaching has been successful?
A. burping the baby frequently
B. Prevent the infant from crying
C. Placing the baby flat during feeding
D. Keep the infant prone following feedings
30. Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding
A. Use a non-squeezable bottle during feeding
B. Feed infant in an upright, sitting position
C. Enlarge nipple holes of bottle to allow more milk to pass through
D. Feed infant longer than 45 minutes to allow more food to be small
31. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counselling and Which foods would most effectively prevent recurrence a palate?
A. Green vegetables and citrus fruit
B. Eggs, milk and dairy products
C. Wheat, corn, rice, oats and rye
D. Beef, chicken and yellow vegetables
32. A nurse is caring for a newborn with cleft lip. At which age would the nurse expect the doctor to perform?
A. 3-6 months
B. 6-10 months
C. 11-14 months
D. more than 14 months
33. A 2-day-old newborn is admitted to the nursery. While the nurse is administrating oral feeding, the milk returns through the child's nose and mouth and the infant become cyanotic. Which of the following condition the newborn should have?
A. Anorectal malformation
B. Tracheoesophageal fistula
C. Cleft lip and palate
D. Cardiac condition
34. A newborn admitted to the NICU with tracheoesophageal fistula (TOF). which of the following nursing intervention should be included?
A. Elevated the head for feedings
B. Elevating the head but keep the child NPO
C. Insert a nasogastric tube for feeding
D. Encourage the mother to breast feed
35. A full-term newborn admitted to the neonatal intensive care unit with diagnosis of tracheoesophageal fistula. Which of the following nursing measure to prevent pulmonary complication and improve good prognosis of the newborn condition?
A. encourage exclusive breast feeding
B. insert nasogastric tube for gastric decompression
C. intermittent suction by double-lumen catheter
D. prepare for the insertion of tracheostomy
36. A nurse is caring for 14 month old immediately after a surgical repair of cleft palate. In which position of the following should the nurse put the child?
A. Prone
B. LateralSupine
37. A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education?
A. Open cup
B. Tea spoon
C. Bottle feed
D. Special bottle feed
38. 26- Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ?
A. Vitamin A
B. Riboflavin
C. Folic Acid
D. Vitamin K
39. All of the following are types of spina bifida EXCEPT:
A. Myelomeningocele
B. Hemophilia
C. Meningocele
D. Spina Bifida Occulta
40. While caring for a neonate with a meningococcal, the nurse should avoid positioning the child on the:
A. Abdomen
B. Left side
C. Right side
D. Back
41. infant is born with spinal bifida Which of the following complication is always found in these Infants?
A. Hydrocephalus
B. Craniosynostosis
C. Meningitis
D. Cerebral palsy
42. On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to:
A. Strawberries
B. Eggs
C. Latex
43. Infant with spina bifida the nurse should monitor
A. Head circumference
B. Abdomen cicumfrance
44. Position for the baby with spina bifida is :
A. prone position
B. back
C. supine
45. A full term infant is admitted to NICU with a diagnosis of Spina vital signs are stable. Which of the following positions is suitable for this infant?
A. Supine position
B. Semi-fowler position
C. Prone position
D. Sitting position
46. Definition :A congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected intestine
47. A 24 hours after delivery , the nurses noted that the newborn failed to pass meconium. This indicates which of the following condition?
A. GERD
B. Pyloric stenosis
C. Failure to thrive
D. Hirsch sprung disease
48. A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate?
A. Celiac disease
B. Failure to thrive
C. Cystic fibrosis
D. Growth hormone deficiency
49. A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination. Which of the following findings will alert the nurse to suspect this disease in the newborn?
A. palpable sausage-shaped mass
B. cyanosis of fingers and toes
C. failure to pass meconium within 24-48 hours of life
D. weight less than expected for height and age
50. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following
A. To remove the aganglion portion of the bowel to relieve obstruction
B. To maintain optimum nutritional status growth the intertinal
C. To stimulate intestinal adaptation with internal feeding
D. To minimize complication related to the disease
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