QUESTIONS AND ANSWERS | CONTENT WELL ORGANIZED 2026/2027
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1. The Apgar score is completed at 1 and 5 minutes after birth to evaluate:
A. blood glucose
B. parent-infant bonding
C. newborn’s physiologic adjustment
D. circumcision status
Apgar measures appearance, pulse, grimace, activity, respiration.
2. A newborn’s normal respiratory rate is:
A. 10–20 breaths/min
B. 30–60 breaths/min
C. 70–90 breaths/min
D. 15–30 breaths/min
This is the normal range for neonates.
3. On assessment, acrocyanosis in a newborn is:
A. abnormal and requires immediate intervention
B. often normal in the first 24–48 hours
C. always a sign of hypoxia
D. diagnostic of sepsis
Peripheral cyanosis may be normal shortly after birth.
4. The earliest sign of respiratory distress in a newborn is:
A. cough
B. nasal flaring
C. grunting
D. tachycardia
Nasal flaring signals increased respiratory effort.
,5. The best initial action to prevent heat loss in a newborn is to:
A. dry the infant immediately after birth
B. place under a cool fan
C. wait to take temperature
D. give formula
Evaporation is the greatest source of heat loss; drying helps.
6. Brown fat in newborns is important for:
A. hematologic stability
B. thermoregulation
C. glucose storage
D. lung expansion
Brown fat generates heat via metabolism.
7. A normal response during the second period of reactivity includes:
A. lethargy
B. interest in environmental stimuli
C. apneic episodes
D. persistent hypotonia
Newborn shows alertness and may pass meconium.
8. The best assessment to determine gestational age is:
A. birth weight only
B. length only
C. physical and neurologic signs
D. Apgar score
Gestational age assessment includes multiple signs.
9. Normal newborn stool passed in the first 24 hours is:
A. yellow
B. white
C. meconium
D. bloody
Meconium is the first stool.
, 10.Which reflex is present at birth and disappears by 3–4 months?
A. walking
B. moro
C. parachute
D. thumb sucking
Moro reflex diminishes by ~3–4 months.
11.An expected finding in newborn thermoregulation is:
A. insensible water loss decreased
B. heat production through brown fat
C. shivering
D. hyperglycemia
Newborns use brown fat; they do not shiver much.
12.Early breastfeeding promotes:
A. maternal hypotension
B. delayed bonding
C. maternal-infant bonding and milk production
D. jaundice
Early contact supports bonding and lactation.
13.Before discharge, newborns should urinate by:
A. 12 hours
B. 24 hours
C. 48 hours
D. 72 hours
No urine by 24 hours may signal a problem.
14.A newborn with persistent central cyanosis requires:
A. observation
B. feeding
C. immediate intervention
D. swaddling
Central cyanosis indicates hypoxemia.