🍼 NICU Nursing MCQs | Neonatal Intensive Care Unit Questions with Answers | The Nurse 👶
Welcome to The Nurse!
In this video, we bring you a set of high-yield NICU Nursing MCQs designed to help you master the key concepts of Neonatal Intensive Care Nursing. Ideal for nursing students, staff nurses, and exam aspirants preparing for competitive nursing exams and interviews.
✅ What’s Inside:
✔️ Important NICU-related multiple choice questions
✔️ Detailed explanations and rationales
✔️ Topics include neonatal assessment, thermoregulation, neonatal resuscitation, common conditions, medications, and more!
✔️ Based on latest nursing guidelines and clinical practices
💡 A must-watch for those aiming to work in NICUs or preparing for exams like RRB, AIIMS, NIMHANS, NVS, and Staff Nurse Recruitments.
📌 Like, Share & Subscribe to The Nurse for more:
👩⚕️ Nursing MCQs by specialty
📖 Study materials & notes
📺 Video lectures & exam strategies
#NICUNursing #NeonatalNursing #NursingMCQs #TheNurse #NursingQuiz #NursingExamPrep #StaffNurseExam #NeonatalCare #NursingEducation #NursingStudents
Welcome to The Nurse!
In this video, we bring you a set of high-yield NICU Nursing MCQs designed to help you master the key concepts of Neonatal Intensive Care Nursing. Ideal for nursing students, staff nurses, and exam aspirants preparing for competitive nursing exams and interviews.
✅ What’s Inside:
✔️ Important NICU-related multiple choice questions
✔️ Detailed explanations and rationales
✔️ Topics include neonatal assessment, thermoregulation, neonatal resuscitation, common conditions, medications, and more!
✔️ Based on latest nursing guidelines and clinical practices
💡 A must-watch for those aiming to work in NICUs or preparing for exams like RRB, AIIMS, NIMHANS, NVS, and Staff Nurse Recruitments.
📌 Like, Share & Subscribe to The Nurse for more:
👩⚕️ Nursing MCQs by specialty
📖 Study materials & notes
📺 Video lectures & exam strategies
#NICUNursing #NeonatalNursing #NursingMCQs #TheNurse #NursingQuiz #NursingExamPrep #StaffNurseExam #NeonatalCare #NursingEducation #NursingStudents
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LearningTranscript
00:00Hi friends, welcome to the channel The Nurse. Here we are discussing about neonatal intensive
00:05care related nursing questions and answers with their explanations. We will move to the
00:10topic. Before that, if you are not subscribed to our channel, please subscribe. We will
00:15move to the topic. Neonatal intensive care related questions and answers. First question,
00:25which of the following is the primary cause of anemia of prematurity?
00:30Blood loss due to frequent lab draws, insufficient iron intake, decreased erythropoietin
00:36production, hemolysis due to RH incompatibility. Here correct answer is decreased erythropoietin
00:45production. In the prematurity, there will be decreased erythropoietin that will lead to
00:50decreased hemoglobin production.
00:53Anemia of prematurity of course due to low erythropoietin levels leading to reduced red
01:01blood cell production. Frequent blood sampling and iron deficiency can contribute but the
01:07primary cause is immature erythropoietin regulation in the case of prematurity. Which neonatal condition
01:15is characterized by high bilirubin levels due to excessive hemolysis. Physiological jaundice,
01:21breast milk jaundice, hemolytic disease of newborn, Gilbert's syndrome.
01:29Correct answer is here hemolytic disease of the newborn.
01:33Hemolytic disease of the newborn occurs due to RH or ABO incompatibility leading to excessive
01:43hemolysis, severe jaundice and risk for kernicterus if untreated. Kernicterus it will happens after
01:52bilirubin reaches above the 20 milligram per deciliter. It affects brain.
01:57What is the primary goal of antibiotic profile axis in neonates at risk for group B streptococcus
02:06infection? Reduced neonatal respiratory distress. Prevent early onset sepsis and meningitis.
02:14Promote maternal immunity. Eliminate fever during labor.
02:21Correct answer here prevent early onset sepsis and meningitis.
02:27Intrapartum antibiotic profile axis or IAP is administered to mothers colonized with
02:33GBS to prevent neonatal early onset sepsis and meningitis which can be life threatening.
02:41So in case of mothers is suspected or having colonized GBS so that in that case there is a
02:50high chance for neonatal early onset sepsis and meningitis. So in order to prevent that conditions
02:57we can administer intrapartum antibiotic profile axis.
03:00Which infection control measure is most effective in preventing the spread of methicillin resistant
03:09streptococcus aureus or MRSA in neonatal intensive care unit? Use of broad spectrum antibiotics,
03:17routine decontamination of neonatal skin, strict hand hygiene compliance, increased use of mechanical
03:24regulation. Correct answer strict hand hygiene compliance. MRSA is in neonatal ICU is largely
03:35prevented by strict hand hygiene protocols, minimizing cross-contamination and protecting vulnerable
03:41neonates. Next question. Which immunoglobulin is primarily transferred from the mother to fetus
03:51through the placenta? It is a common question. Options are IgA, IgM, IgE, IgG.
03:58So correct answer is IgG immunoglobulin that is usually transferred from mother to fetus through
04:09placenta. IgG is the only immunoglobulin that crosses the placenta providing passive immunity to the fetus.
04:20This helps protect the newborn against infection during the first few months of life.
04:32So can you name one more immunoglobulin that is transferred from mother to baby through breast milk.
04:40By breastfeeding, baby will get immunoglobulin. Which immunoglobulin is transferred from mother
04:50to neonates by giving breastfeeding?
04:58Which neonatal infection is most commonly prevented by administering intramuscular vitamin K at birth?
05:04This condition. Group B. Structococcus. Neonatal meningitis. Hemorrhagic disease of the newborn.
05:10Cytomegranavirus infection.
05:14Correct answer here. Hemorrhagic disease of the newborn.
05:18Vitamin K deficiency can lead to hemorrhagic disease of the newborn causing
05:22spontaneous bleeding due to impaired clotting factor activation.
05:27Administering vitamin K at birth prevents this condition.
05:30Seventh question. Which condition is most commonly associated with
05:37hypernatremia in neonates? Congenital adrenal hyperplasia, breastfeeding failure, dehydration,
05:45neonatal hypoglycemia, respiratory distress syndrome.
05:50The correct answer is breastfeeding failure, dehydration.
05:54Hypernatremia in neonates often results from inadequate fluid intake.
06:00Particularly, when breastfeeding is ineffective, leading to dehydration and elevated sodium levels.
06:09So, it is the blood become concentrated and the sodium level will be increased in that cases,
06:18because of dehydration.
06:20Eighth question. Which electrolytic imbalance is most likely to occur in neonates with prolonged
06:27phototherapy for jaundice? Hyperkalemia,
06:31hypocalcemia, hypermagnesemia, hyponatremia?
06:36Correct answer, hypocalcemia.
06:44Prolonged phototherapy can reduce calcium levels due to increased metabolism of vitamin D
06:51and altered calcium hemostasis. It will lead to hypocalcemia and neuromuscular irritability.
06:59Next question. Which pain assessment tool is most commonly used for neonates in the NICU?
07:10Ohmbecker faces pain scale, cries scale, plaque scale, numeric rating scale.
07:19So, important term is neonates.
07:21So, correct answer here, cry scale. So, what is cry scale? The cry scale is a
07:33validated neonatal pain assessment tool that evaluates crying, oxygen requirements, increased vital signs,
07:42expression and sleeplessness in preterm and term infants.
07:47So, that is why I told to concentrate on neonates. In other condition, we can use
07:55Ohmbecker pain scale, but for neonates, we can use cry scale as a most appropriate tool.
08:05Tenth question. Which non-pharmacological intervention is most effective in reducing
08:10pain during minor procedures like heel pricks in neonates?
08:14Tenth question.
08:15Skin-to-skin contact, cold compress application, early discharge from NICU, complete fasting before
08:22procedures. Correct answer here, skin-to-skin contact.
08:30Tangaryo mother care or skin-to-skin contact has been shown to significantly reduce pain responses in
08:37neonates by promoting comfort and stabilization.
08:40Tenth question. Which medication is commonly used to close a patent ductus arteriosus or PDA in preterm
08:51neonates? Ibuprofen, dopamine, ceftriaxone, morphine.
08:57Correct answer is ibuprofen. Can you comment one more medicines in comment section that is used to
09:08used for closure of patent ductus arteriosus? Please comment below.
09:12Ibuprofen and indomethacin are prostaglandin inhibitors commonly used to medically close a PDA in preterm
09:23infants. They work by reducing prostaglandin production which keeps the ductus arteriosus open.
09:30So ibuprofen and indomethacin used for closure of PDA.
09:40Which of the following antibiotics should be avoided in neonates due to the risk of chronic
09:45terrors? Ampicillin, gendamycin, ceftriaxone, vancomycin.
09:50Correct answer is ceftriaxone. Ceftriaxone displaces bilirubin from albumin binding sites,
10:02increasing the risk of chronic terrors. A form of bilirubin induced neurotoxicity in neonates.
10:12Thirteenth question. Which feeding strategy is recommended for neonates at risk of
10:19NEC. That is necrotizing enterocolitis.
10:24Rapid bolus formula feeds. Exclusive parenteral nutrition.
10:28Gradual advancement of human milk feeds. Delayed feeding initiation beyond 10 days.
10:38Correct answer is option C. Gradual advancement of human milk feeds.
10:41Human milk is protective against NEC due to its immunological components.
10:51Gradual advancement helps prevent intestinal over distension and reduces the risk of bacterial
10:58overgrowth.
10:59Next question. Which supplement is essential for bone mineralization in preterm neonates receiving
11:12prolonged pre-parenteral nutrition? Iron, vitamin K, calcium and phosphorus, omega-3 fatty acids.
11:21Correct answer is calcium and phosphorus.
11:29Preterm infants have increased needs for calcium and phosphorus due to rapid bone mineralization.
11:36Parenteral nutrition must contain adequate amounts to prevent osteopenia of prematurity.
11:4415th question. Which neonatal condition is caused by a deficiency of glucose-6-phosphatase?
11:57Galactosemia, glycogen storage disease type 1 or von Geerkes disease, phenylketonuria,
12:06maple syrup urine disease.
12:10Correct answer is glycogen storage disease type 1 or von Geerkes disease.
12:20Von Geerkes disease results from a deficiency of glucose-6-phosphatase leading to severe
12:27hypoglycemia, hepatomegaly and lactic acidosis.
12:30It requires careful dietary management to prevent metabolic crisis.
12:3916th question. Which metabolic disorder is associated with musty smelling urine in neonates?
12:46Phenylketonuria, tyrosinemia, cystic fibrosis, organic acidemia.
12:54Correct answer is phenylketonuria.
12:56Phenylketonuria or PKU is a genetic metabolic disorder that causes an inability to break down
13:04phenylalanine, leading to accumulation and musty smelling urine due to excess phenylketones.
13:13So, that is about today's video. We have discussed 16 questions related to
13:18neonatal intensive care nursing. So, thank you for watching this video. If you have any
13:23doubt means you can comment it below. I will try to solve your doubts. So, please share with your
13:30friends and don't forget to like and subscribe this channel than us. Thank you.
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