NCLEX practice exam – set 1 – neonates

A 3.5-kg neonate was delivered vaginally at 39 weeks’ gestation. At 5 minutes of life, the neonate has a heart rate (HR) of 115, respiratory rate (RR) of 65 with intermittent grunting, flaccid tone, no response to stimulus, and pale white in color. The infant’s Apgar score should be:

Standard commercial infant formulas contain 20 calories per ounce. An infant was fed 45 mL at each of eight feedings in a 24-hour period. How many calories did this infant receive?

A septic preterm infant’s IV infiltrated. While attempting to obtain new IV access, the nurse should monitor the infant carefully for:

The nurse instructs a primaparous client about bottle-feeding her newborn infant. Which of the following demonstrates that the client understands the instructions?

Which statement indicates that the mother needs additional teaching following circumcision of her newborn son?

A nurse notes that a mother has neurofibromatosis. The nurse should assess the neonate for:

Metabolic screening of an infant reveals an elevated phenylketonuria (PKU) level. Which statement indicates that the parents understand this disease?

When performing external cardiac massage on a 28-week gestation neonate, the nurse should:

A neonate has received 8 hours of phototherapy for hyperbilirubinemia. The nurse should notify the health care provider if which of the following is noted?

A post-term neonate, weighing 4.1 kg (9 lb, 1 oz) with Apgar scores of 8 at 1 minute and 9 at 5 minutes following cesarean delivery, is exhibiting tremors of the hands and feet, and an increased respiratory rate. Which nursing diagnosis would be a priority?