The nurse is receiving over the telephone a labora

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Question 1 of 5

The nurse is receiving over the telephone a laboratory results report of a neonate's blood glucose level. The nurse should:

A. Write the results in the chart, and receive confirmation from the caller that the nurse understands the results. B. Repeat the results to the caller from the laboratory, write the results on scrap paper first, and then transfer the results to the chart. C. Indicate to the caller that the nurse cannot receive verbal results from laboratory tests for neonates, and ask the laboratory to bring the written results to the nursery. D. Request that the laboratory send the results by email to transfer to the client's electronic record.

Correct Answer: A

Rationale: Writing the results and confirming with the caller ensures accuracy and compliance with documentation protocols.

Question 2 of 5

A neonate born at 38 weeks' gestation is admitted to the neonatal nursery for observation. The neonate's mother, who is positive for human immunodeficiency virus (HIV) infection, has received no prenatal care. The mother asks the nurse if her neonate is positive for HIV. The nurse can tell the mother which of the following?

A. More than $50 \%$ of neonates born to mothers who are positive for HIV will be positive at 18 months of age.' B. An enlarged liver at birth generally means the neonate is HIV positive.' C. A complete blood count analysis is the primary method for determining whether the neonate is HIV positive.' D. Most neonates are asymptomatic at birth and usually test positive for the HIV antibody at this time.'

Correct Answer: D

Rationale: Most neonates born to HIV-positive mothers test positive for HIV antibodies at birth due to maternal antibody transfer but are asymptomatic, with true infection status determined later.

Question 3 of 5

A newborn with a cleft palate at 1 hour of life has a nursing diagnosis of Risk for Infection related to potential aspiration during feedings. Which of the following nursing actions would support the best feeding practice for this infant?

A. Use an appropriate nipple and bottle set. B. Encourage the mother to breast-feed. C. Assess daily weights and wet diapers to monitor intake. D. Allow unlimited length of time for each feeding.

Correct Answer: A

Rationale: Using an appropriate nipple and bottle set designed for cleft palate infants minimizes aspiration risk during feedings.

Question 4 of 5

While caring for a male neonate diagnosed with gastroschisis, the nurse observes that the parents seem hesitant to touch the neonate because of his appearance. The nurse determines the presence of which of the following stages of grief?

A. Denial. B. Shock. C. Bargaining. D. Anger.

Correct Answer: B

Rationale: The parents' hesitation to touch the neonate suggests shock, as they are likely overwhelmed by the neonate's condition.

Question 5 of 5

After the physician explains the prognosis and medical management for atrial septal defect to a primiparous client whose 2-day-old female neonate was diagnosed with this condition, the nurse determines that the mother needs further instructions when she says which of the following?

A. As my child grows, she may have increased fatigue and difficulty breathing.' B. My child may need to have antibiotics if she develops an infection.' C. This condition occurs more commonly in females than in males.' D. About half of the children born with this defect heal spontaneously.'

Correct Answer: C

Rationale: Atrial septal defects are not significantly more common in females, indicating a need for further instruction.

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NCLEX RN Maternity Questions Questions

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