Newborn Nursing Domain 5: Newborn Complications Welcome to your Newborn Nursing Domain 5: Newborn Complications 1. Newborn Nursing: Newborn Complications A neonate is diagnosed with transient tachypnea. Which symptom is most characteristic of this condition? Rapid breathing Decreased heart rate Cyanosis around the mouth Frequent vomiting None 2. Newborn Nursing: Newborn Complications Which intervention is most appropriate for a newborn diagnosed with hypoglycemia? Immediate feeding or intravenous glucose Application of a warming blanket Administration of supplemental oxygen Frequent neurological assessments None 3. Newborn Nursing: Newborn Complications In assessing a newborn with suspected neonatal abstinence syndrome, which sign would not typically be associated with this condition? Tremors Lethargy Excessive crying Hyperactive reflexes None 4. Newborn Nursing: Newborn Complications A newborn exhibits bluish discoloration of the skin without respiratory distress. The condition is suspected to be acrocyanosis. What is the typical duration for this condition to resolve? 24 to 48 hours after birth One week after birth Immediately at birth Up to three months after birth None 5. Newborn Nursing: Newborn Complications What is the most effective management strategy for a newborn diagnosed with polycythemia? Hydration and partial exchange transfusion Phototherapy Increased feeding frequency Administration of erythropoietin None 6. Newborn Nursing: Newborn Complications Which of the following is not a common cause of neonatal jaundice? Blood type incompatibility Premature birth Breastfeeding failure Maternal diabetes None 7. Newborn Nursing: Newborn Complications A newborn is diagnosed with a congenital diaphragmatic hernia. Which clinical manifestation would typically be observed first? Cyanosis Bilious vomiting Scaphoid abdomen Inconsolable crying None 8. Newborn Nursing: Newborn Complications Which finding is least likely in a newborn with esophageal atresia? Polyhydramnios in the mother Excessive salivation Immediate post-feeding vomiting Weight gain None 9. Newborn Nursing: Newborn Complications Jaundice Respiratory distress Hypocalcemia Hypoglycemia None 10. Newborn Nursing: Newborn Complications In managing a newborn with suspected necrotizing enterocolitis 'NEC', what is the first-line treatment approach? Surgical intervention Probiotic supplementation Bowel rest and broad-spectrum antibiotics Immediate feeding with hypoallergenic formula None 11. Newborn Nursing: Newborn Complications What is a definitive diagnostic feature of a newborn with choanal atresia? Inability to pass a catheter through the nasal passages to the throat Frequent sneezing and nasal discharge Abnormal facial features Cyanosis relieved by crying None 12. Newborn Nursing: Newborn Complications A neonate with Pierre Robin sequence is most at risk for which complication? Hyperglycemia Feeding difficulties Hypothyroidism Uric acid nephropathy None 13. Newborn Nursing: Newborn Complications A newborn exhibits signs of meconium aspiration syndrome. Which of the following is not a common intervention? Supplemental oxygen Suctioning of the airways Intravenous fluid administration Immediate breastfeeding None 14. Newborn Nursing: Newborn Complications Which symptom is least likely in a newborn with congenital hypothyroidism? Jaundice Hoarse crying Hypertonia Umbilical hernia None 15. Newborn Nursing: Newborn Complications Which factor is least associated with the development of neonatal sepsis? Premature rupture of membranes Maternal infection Low birth weight Breastfeeding None 16. Newborn Nursing: Newborn Complications A neonate diagnosed with total anomalous pulmonary venous return is likely to require what intervention shortly after birth? Cardiac surgery Phototherapy Administration of surfactant Gastric tube feeding None 17. Newborn Nursing: Newborn Complications Which clinical finding is not expected in a newborn with fetal alcohol syndrome? Microcephaly Epicanthal folds Cleft palate Increased birth weight None 18. Newborn Nursing: Newborn Complications What is the primary concern for a newborn diagnosed with erythroblastosis fetalis? Hyperbilirubinemia Hypoglycemia Respiratory distress Hypocalcemia None 19. Newborn Nursing: Newborn Complications In a newborn with suspected bronchopulmonary dysplasia, which intervention is most critical? Administration of diuretics High-calorie feedings Continuous positive airway pressure therapy Corticosteroid therapy None 20. Newborn Nursing: Newborn Complications What is the least common manifestation of neonatal lupus? Skin rash Cardiac complications Liver dysfunction Renal involvement None 21. Newborn Nursing: Newborn Complications Which complication is least likely in a newborn following a maternal infection with rubella during pregnancy? Cataracts Deafness Cardiac defects Hyperglycemia None 22. Newborn Nursing: Newborn Complications In a neonate, what is a potential complication of untreated severe patent ductus arteriosus 'PDA'? Polycythemia Pulmonary hypertension Hypothyroidism Hypercalcemia None 23. Newborn Nursing: Newborn Complications Which finding is unusual in a newborn with Down syndrome? Single palmar crease Excessive moro reflex Flattened nasal bridge Small ears None 24. Newborn Nursing: Newborn Complications A newborn with suspected inborn error of metabolism is most urgently tested for which of the following? Uric acid levels Blood glucose levels Amino acid levels Electrolyte levels None 25. Newborn Nursing: Newborn Complications What is an unlikely symptom of a newborn with galactosemia? Jaundice Cataracts Excessive weight gain Hepatomegaly None 26. Newborn Nursing: Newborn Complications In evaluating a newborn for suspected congenital adrenal hyperplasia (CAH), which sign would be least likely? Virilization Hypotension Low sodium levels Increased pigmentation None 27. Newborn Nursing: Newborn Complications What intervention is most critical for a newborn with a confirmed diagnosis of maple syrup urine disease 'MSUD'? High-protein diet Dialysis Dietary restriction of branched-chain amino acids Supplementation with vitamins None 28. Newborn Nursing: Newborn Complications Which of the following is an uncommon feature of a newborn with Turner syndrome? Lymphedema Wide neck Tall stature Cardiac anomalies None 29. Newborn Nursing: Newborn Complications A newborn exhibits symptoms of hypocalcemia. Which of the following is not a typical cause in neonates? DiGeorge syndrome Excessive intake of cow's milk Maternal diabetes Premature birth None 30. Newborn Nursing: Newborn Complications In a neonate with congenital heart disease, which symptom would be atypical? Cyanosis Tachypnea Frequent urination Poor feeding None 1 out of 30 Time is Up! Time's up
