NCLEX_CRUSADE_ACADEMY TEST - 16 RESPIRATORY_DISTRESS_SYNDROME_HYPOGLYCEMIA

1. According to the hierarchy of immediate newborn care, the first priority is: Attachment and safety. Thermoregulation. Promote normal respirations. Feeding.

2. If the newborn is stable, the Golden Hour intervention includes: Immediate IV glucose. Skin-to-skin contact. Oxygen therapy. Phototherapy.

3. Feeding frequency to prevent hypoglycemia should be: Every 6 hours. Every 45 hours. Every 23 hours. Once per shift.

4. Soap should not be used on nipples because it: Increases milk supply. Removes natural oils and causes cracking. Prevents infection. Reduces engorgement.

5. Estrogen-containing contraceptives postpartum are avoided because they: Cause mastitis. Decrease milk supply. Increase glucose. Cause hypothermia.

6. The underlying cause of Respiratory Distress Syndrome (RDS) is: Meconium obstruction. Surfactant deficiency. Congenital pneumonia. Cardiac defect.

7. Classic assessment findings of RDS include all EXCEPT: Grunting. Nasal flaring. Retractions. Strong cry without distress.

8. If hypoxia and acidosis occur in RDS, the nurse should anticipate: Immediate discharge. ABGs from umbilical artery. Feeding. Skin-to-skin only.

9. Correct positioning for an infant with RDS includes: Prone with neck flexed. Supine with neck slightly extended. Sitting upright. Side-lying only.

10. Oxygen therapy in RDS should use: Highest possible concentration. Lowest effective concentration. Room air only. Intermittent bursts only.

11. A major safety alert related to prolonged oxygen therapy is: NEC. Retinopathy of prematurity. Sepsis. Hypoglycemia.

12. Surfactant replacement must be administered via: IV route. IM injection. Endotracheal/intratracheal route only. Subcutaneous injection.

13. Surfactant should NEVER be given: Within 15 minutes of life. After X-ray confirmation. IV or IM. In premature infants.

14. Normal glucose range in first 72 hours is: 2040 mg/dL. 4060 mg/dL. 70120 mg/dL. 100150 mg/dL.

15. Glucose <40 mg/dL requires: Routine monitoring. Immediate intervention. Recheck in 2 hours. No action.

16. A jittery newborn should be assessed immediately for: Sepsis. Hypoglycemia. Polycythemia. Jaundice.

17. LGA infants >4000g are at increased risk for: Hyperglycemia. Hypoglycemia. NEC. Polycythemia only.

18. Hyperbilirubinemia in a term infant is defined as bilirubin >: 8 mg/dL. 10 mg/dL. 12 mg/dL. 15 mg/dL.

19. Kernicterus results in: Temporary jaundice. Permanent neurological damage. Hypoglycemia. Respiratory distress.

20. Jaundice assessment should be performed under: Artificial light. Natural light. Blue phototherapy light. Flashlight only.

21. During phototherapy, the infants eyes must be: Exposed. Covered with opaque patches. Washed hourly. Covered with gauze only.

22. Loose green stools during phototherapy indicate: Therapy failure. Intestinal infection. Bilirubin excretion and therapy success. Need to stop therapy.

23. Phototherapy lights should be turned off before drawing blood to: Prevent hypothermia. Prevent bilirubin breakdown in sample. Calm infant. Reduce infection.

24. A crying infant with HR 180 most likely indicates: Instability. Expected tachycardia with crying. Hypoglycemia. Sepsis.

25. An LGA infant with weight 4660g should be prioritized for: Bonding support. Glucose monitoring. Phototherapy. Surfactant therapy.

26. Which is considered a 'Never Event'?. Covering genitals during phototherapy. Administering surfactant IV. Early feeding. Monitoring vitals.

27. Phototherapy should NOT be stopped for: Fever. Loose green stool. Elevated bilirubin. Eye irritation.

28. The final clinical message emphasizes: Intervene before assessing. Assess first, validate, then intervene. Always call provider first. Focus only on lab values.