SCFHS MCQs 2.3

 SCFHS MCQs 2.3

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1.        Vernix caseosa, also known as vernix, is the waxy or cheese-like white substance found coating the skin of newborn human babies. It is produced by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth.

2.       
newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
A.      Milia
B.      Lanugo
C.      Whiteheads
D.      Mongolian spots
3.        A 25 years old primipara is admitted for labor . the infant is delivered by forceps because of breech presentation and full body assessment shows alrage blue macular marking over left buttocks which o the following the most likely cause ?
A.      Echymosis
B.      Nervus flames
C.      Telangiectasia nevi
D.      Mongolian spots
 
4.        A nurse was observing the stool color for a newborn on the first day after delivery. What is the expected color of stool for this newborn?
A.      Brown
B.      Light green
C.      Light brown
D.      Brownish green
5.        A neonatal is admitted to the NICU with a meningomyelocele. HR130 .. RR 28….. TEM 36.7 which of the following action the nurse should perform to prevent infection of the meningomyelocele sac ?
A.      Wash the sac with betadine every shift
B.      Expose the defect to the room air
C.      Apply antibiotic cream every 24 hours
D.      Cover he sac with moist sterile saline dressing
 
6.        A baby born at 38 weeks of gestational with birth weight 1800gram. Which of the following is the classification of this infant?
A.      Low birth weight
B.      Very low birth weight
C.      Appropriate for gestational age
D.      Small for gestational age
7.        24 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with respirator distress syndrome de 1.
hart rate 140 /min respiratory rate 77 /min Temperature 36.5
Which of the following method of feeding is recommended to promote with of this premature?
A.      Enteral feeding of breast milk
B.      Enteral feeding of premature formula
C.      Oral breast feeding
D.      Oral premature formula
 
8.        A newborn is delivered by the midwife. The umbilical cord i cut safely by following necessary aseptic techniques. Furth newborn is to be taken. Which of the following intervention is the most desired?
A.      Assess sucking response
B.      Increase mother child bonding
C.      Assess and record APGAR score
D.      Keep dry and maintain thermoregulation 
9.      When assess newborn wight in scale the nurse must avoid
A.      Radiation
B.      Evaporation
C.      Conduction
D.      Convection
 
10.     A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital anomaly associated with the this disease?
A.      Developmental dysplasia of hip (DDH)
B.      Congenital heart disease
C.      Hypospadias
D.      Pyloric stenosis
11.     A neonate is admitted to the neonatal care unit with a meningomyelocele HR 130 RR 28 TEM 36.7 which of the following actions should the nurse perform to prevent infection of the meningomyelocele sac?
A.      Wash the sac with betadine every shift
B.      Expose the defect the room air
C.      Apply antibiotic cream every 24 hours
D.      Cover the sac with sterile dressing
 
12.                 If full term infant weight 13 kg at birth, approximately should the infant weight be at 12 months old ?
A.      7 kg
B.      9 kg
C.      11kg
D.      13kg
13.     A nurse is caring for a newborn in Well Born Nursery she warps the baby with blanket and ensures the nursey temperature is suitable for the babies. What type of heat loss is the nurse preventing?
A.      Radiation
B.      Conduction
C.      Convention
D.      Evaporation

14.     A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this baby is risk to develop which of the following?
A.      Sudden death
B.      Pathological jaundice
C.      Infected umbilical cord
D.      Increased intracranial pressure
15.     A4 days old baby diagnosed with physiological jaundice . his father is distressed and wants to know why he have this condition . what the nurse should the nurse tell the about the most prominent physiological jaundice
A.      Immature hepatic function
B.      Decrease milk intake
C.      Rh incompatibility
D.      Red blood cell enzyme defects
 
16.     A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction regarding feeding?
A.      Feed glucose drinks
B.      Breastfeed two hourly
C.      Bottle feed till the bilirubin level reduce
D.      Breastfeed alternatively with bottle feeds
17.                 Which action a nurse needs to include when caring for a newborn ceiving phototherapy?
A.      Expose all surfaces
B.      Prevent stimulation
C.      Cover the eyes with shield
D.      Change position every four hourly

18.     A baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The
infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn?
A.      ensure proper fitting of eye covering (patches)
B.      monitor bilirubin levels every 48 hours
C.      feed the infant formula every 4 to 5 hours
D.      avoid removing the infant from phototherapy
19.     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
 
20.     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
21.     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
 
22.     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
23.     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
 
24.                 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
25.     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.      Give the infant another injection of vitamin K
C.      Clean the area with betadine to prevent infection
D.      Apply gentle pressure with a sterile gauze
26.     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
 
27.     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
28.                 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
 
29.           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
30.     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
 
31.     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
 
32.     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
33.     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
 
34.     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
35.     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
 
36.     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
37.   The normal systolic Bp for new Born:-
A.      40-60
B.      60-80
C.      80-100
D.      100-120
 
38.    Neonatal mortality rate :
A.      1:100
B.      1:1000
C.      1:100000
D.      1:1000000
39.    New born stomach capacity
A.      6ml
B.      12ml
C.      28ml
 
40.     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
41.                 Cleft palate 12 – 18 month position after surgery prone position ,
42.                 Consideration after cleft lip and cleft palate is :
v  Burping the child frequently every 15 minutes
v  To prevent cleft lip and cleft palate the pregent woman u should advice:
v  Folic acide 400 iu
v  Increase green vegetables & Citrus intake
v  Feeding up right setting position
43.     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,
 
44.     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
45.     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
 
46.     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
47.                 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
 
48.     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
49.     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
50.     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