Title RECALLS 6 - NP2 - SC ✅

31. Clarisse observes that a newborn is jittery and has a weak cry. Which of the following should be her first action? A. Assess the baby’s blood glucose level B. Feed the baby immediately C. Place the baby under a radiant warmer D. Notify the pediatrician 32. A mother asks why the nurse applies antibiotic ointment to the newborn’s eyes after birth. Which explanation is most accurate? A. To prevent irritation from the birth canal B. To prevent gonococcal and chlamydial infections C. To remove meconium-stained secretions D. To improve visual acuity 33. Which assessment finding in a newborn requires immediate intervention? A. Irregular respirations at 40 breaths per minute B. Acrocyanosis of the hands and feet C. Axillary temperature of 35.5°C (95.9°F) D. Flexed posture 34. While teaching a mother about umbilical cord care, which statement by the mother indicates understanding? A. “I’ll keep the cord covered with a clean diaper at all times.” B. “I’ll clean the cord and keep it dry.” C. “I’ll apply powder on the cord to absorb moisture.” D. “I’ll remove the cord clamp myself after it dries.” 35. On the second postpartum day, Clarisse notices a mother’s breasts are firm, warm, and slightly tender. What should she recommend? A. Stop breastfeeding until the discomfort resolves B. Apply cold compresses and bind the breasts C. Continue breastfeeding frequently to relieve engorgement D. Avoid fluid intake until the breasts soften Situation: Nurse Janine is assigned to the high-risk pregnancy unit. She is caring for mothers with conditions such as pre-eclampsia, gestational diabetes, and preterm labor. She must prioritize maternal and fetal safety through careful monitoring and timely interventions. 36. A client at 32 weeks of gestation with pre-eclampsia reports a severe headache and blurred vision. What should Janine do first? A. Check the client’s reflexes B. Place the client on left lateral position and assess blood pressure C. Administer an analgesic D. Prepare for immediate delivery 37. A woman with gestational diabetes asks why her blood glucose must be tightly controlled during pregnancy. Which is the best response? A. “It prevents hypoglycemia during labor.” B. “It ensures your baby will not be overweight at birth.” C. “It will prevent you from developing type 2 diabetes later on.” D. “It helps avoid respiratory distress syndrome in your baby.” 38. Which finding in a 30-week gestation client on magnesium sulfate for preterm labor requires immediate intervention? A. Deep tendon reflexes are 2+ B. Fetal heart rate is 140 bpm C. Urine output is 50 mL/hour D. Respiratory rate is 10 breaths per minute 39. Which statement by a pregnant woman receiving corticosteroids for fetal lung maturity indicates the need for further teaching? A. “This medication will help my baby’s lungs develop faster.” B. “I might need additional doses if I don’t deliver soon.” C. “I should expect the medication to stop my contractions.” D. “It is given to reduce the risk of respiratory problems in my baby.” 40. Janine notes clonus when assessing a client with preeclampsia. This finding suggests which complication is likely to develop? A. Preterm labor B. Respiratory depression C. Eclampsia D. Placenta previa Situation: Nurse Elena is assigned to the community health clinic where she provides prenatal education and follow-up for adolescent mothers. She also organizes immunization drives and teaches family planning methods to promote maternal and child health in the community. 41. During a prenatal class, Elena is asked why iron supplementation is important in pregnancy. Which is the best response? A. “It helps prevent constipation during pregnancy.” B. “It ensures proper fetal lung development.” C. “It prevents maternal anemia and supports fetal growth.” D. “It prevents premature rupture of membranes.” 42. While reviewing the vaccination record of a 6-week-old infant, Elena notes that the child has not received the BCG vaccine. What should she do? A. Refer the child for catch-up immunization B. Wait until the infant is 6 months old C. Administer vitamin A supplementation instead D. Begin the DPT series first before giving BCG 43. A 16-year-old pregnant client asks how often she should visit the clinic for prenatal checkups in the first 28 weeks of pregnancy. What should Elena advise? A. Every week B. Every 2 weeks C. Every month D. Only if she feels contractions 44. A teenage mother asks about the lactational amenorrhea method (LAM) for family planning. Which condition must be met for this method to be effective? A. The infant is less than 6 months old and breastfeeding is exclusive B. She is supplementing with formula every 4 hours C. Her menstrual periods have resumed D. The infant is already taking solid foods 45. During a home visit, Elena notices the umbilical stump of a newborn is red and foul-smelling. What is the nurse’s priority action? A. Apply alcohol to the stump B. Refer the infant immediately for medical evaluation C. Teach the mother proper cord care D. Schedule a follow-up visit in 2 days Situation: Nurse Sofia is working in the neonatal intensive care unit (NICU). She is caring for preterm and low-birth-weight infants who require specialized monitoring, thermoregulation, and nutritional support. She must also teach parents how to care for their fragile newborns. 46. Sofia is caring for a preterm infant who is placed in an incubator. Which assessment finding indicates the infant is maintaining adequate thermoregulation? A. Axillary temperature of 35.5°C (95.9°F) B. Crying continuously C. Mottled skin and increased irritability D. Pink skin and relaxed posture 47. Which intervention should Sofia implement to reduce the risk of necrotizing enterocolitis (NEC) in a preterm infant? A. Administer high-volume formula feedings early B. Delay feedings until the infant gains weight C. Encourage breastfeeding and give small, frequent feeds D. Use hypertonic solutions to stimulate bowel motility 48. A very-low-birth-weight infant suddenly develops abdominal distention, bloody stools, and lethargy. What is Sofia’s priority action? A. Continue feedings to maintain nutrition B. Notify the physician immediately C. Place the infant in a prone position D. Massage the abdomen to relieve gas 49. Which statement by parents of a NICU infant indicates correct understanding of kangaroo (skin-to-skin) care? 3 | Page