A nurse is caring for a newborn who is 4 hours old. Which condition poses the greatest risk to the newborn?

Neonatal Syndrome (NAS).

Developmental Dysplasia of the Hip (DDH).

Subgaleal hemorrhage.

Congenital cardiac defect.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Neonatal Abstinence Syndrome (NAS) is a group of problems that occur in a newborn who was exposed to addictive opiate drugs while in the mother’s womb. While NAS can pose risks to a newborn, it is not considered the greatest risk.

Choice B rationale

Developmental Dysplasia of the Hip (DDH) is a condition where the “ball and socket” joint of the hip does not properly form in babies and young children. While DDH can pose risks to a newborn, it is not considered the greatest risk.

Choice C rationale

Subgaleal hemorrhage is a rare but potentially lethal condition in newborns, usually resulting from vacuum-assisted delivery. While it can pose risks to a newborn, it is not considered the greatest risk.

Choice D rationale

Congenital cardiac defects are the most common type of birth defect. They can alter the way blood flows through the heart and pose a significant risk to a newborn.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: A respiratory rate of 16/min is within the normal range for an adult and does not indicate immediate concern.

Choice B rationale: A headache can be a symptom of preeclampsia, but it is not as immediate a concern as the other options unless it is severe or accompanied by other symptoms.

Choice C rationale: A urinary output of 40 ml in 2 hours is significantly below the normal range. Oliguria (low urine output) can be a sign of renal impairment and magnesium toxicity, which requires immediate reporting to the healthcare provider.

Choice D rationale: A fetal heart rate of 158/min is within the normal range for a fetus and does not indicate immediate concern.

A. A forehead that slopes backward. B. Dilated veins on the scalp. C. Overlapping suture lines. D. Hypertension.

Correct Answer is B

Explanation

Hydrocephalus is a condition where there is an accumulation of cerebrospinal fluid (CSF) in the brain, causing increased pressure inside the skull. This can cause dilated veins on the scalp in a newborn.

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A nurse is caring for a newborn who is 4 hours old. Which condition poses the greatest risk to the newborn?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is receiving magnesium sulfate to manage preeclampsia. Which of the following observations should the nurse immediately report to the healthcare provider?

Correct Answer is C

Explanation

A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is admitting an 8-hour-old, term newborn following a cesarean birth. The nurse observes that the newborn’s skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect?

A nurse is caring for a newborn who is 4 hours old. After reviewing the information in the newborn’s medical record, the nurse should recognize that the newborn is at risk for developing which of the following complications?

A nurse is caring for a newborn who is 30 minutes old. After reviewing the information in the newborn’s medical record, which of the following complications should the nurse identify as posing the greatest risk?

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling down and sad, having no energy, and wanting to cry. What should be the nurse’s priority action?

A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make?

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