NU 673 ASSESSMENT MIDTERM FINAL
PAPER 2026 COMPLETE QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ A newborn who is floppy and limp, blue in color with HR 60 and
minimal respiratory effort has just been delivered. The newborn has no
grimace and a very weak cry. What is the best immediate response to the
infant? Answer: Begin neonatal resuscitation.
Apgar = 2P. 804-805
⩥ What is the most important reason for assessing both gestational age
and birth weight for any infant? Answer: These two factors help to
anticipate certain medical and developmental problems.
⩥ A clinician arrives that the hospital several hours after the birth of a
full-term infant. There were no problems with the pregnancy, labor or
delivery. The nurse asks if the baby should be taken to the nursery for
exam. What is the best response? Answer: The infant should be
examined in the presence of the parents so they can be taught about what
their newborn can do.
P. 808-809
,⩥ The nurse in the newborn nursery is concerned about BB-Jones.
APGARs were 9 and 10 at 1 and 5 minutes. On the fourth day of life, the
infant has developed a tremor. What factor would be most concerning
about the tremor? Answer: The infant has asymmetric limb movement.
P. 808
⩥ A mother brings her 9-month-old son to the practice, concerned that
he is not yet sitting by himself. He has good head control and can grasp
a rattle but is unable to roll over, crawl, or pull to stand. What should the
clinician explain to the mother? Answer: The delay in his physical motor
skills is concerning and warrants a more complete developmental history
and possible referral for early intervention.
By 9 months, infants should be able to sit, roll over, and even pull up to
stand.
P. 809-811
⩥ A 44-year-old female presents to the clinic with a complaint of a mass
in the right breast. She only had 1 mammogram at age 43 as a routine
screening after discussion with her PCP. After an investigation reveals a
benign cyst, what advice should be given to their patient about screening
for breast cancer in her age group? Answer: The patient is in compliance
with the USPSTF recommendations for her age group and risk factors
prior to her current complaint.
, P. 429-431
⩥ What is true about MRI as a screening modality for breast cancer in
the general population? Answer: Sensitivity of screening for breast
cancer increases with breast MRI at the expense of specificity (i.e. false
positives).
P. 431
⩥ A 35-year-old G0P0 presents with bilateral nipple discharge. The
sample is consistent with breast milk. CBC, BMP, TSH and HCG are
normal. What is the most likely diagnosis? Answer: Prolactinoma -
pituitary tumor (may suppress menstruation)
P. 439
⩥ A 22-year-old G0P0 presents after finding a mass on a BSE at home.
What is true about BSE and self-detection of breast cancer? Answer:
This patient (age range 15-25 years) is more likely to find a
fibroadenoma than a cancer on BSE.
P. 423-424
PAPER 2026 COMPLETE QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ A newborn who is floppy and limp, blue in color with HR 60 and
minimal respiratory effort has just been delivered. The newborn has no
grimace and a very weak cry. What is the best immediate response to the
infant? Answer: Begin neonatal resuscitation.
Apgar = 2P. 804-805
⩥ What is the most important reason for assessing both gestational age
and birth weight for any infant? Answer: These two factors help to
anticipate certain medical and developmental problems.
⩥ A clinician arrives that the hospital several hours after the birth of a
full-term infant. There were no problems with the pregnancy, labor or
delivery. The nurse asks if the baby should be taken to the nursery for
exam. What is the best response? Answer: The infant should be
examined in the presence of the parents so they can be taught about what
their newborn can do.
P. 808-809
,⩥ The nurse in the newborn nursery is concerned about BB-Jones.
APGARs were 9 and 10 at 1 and 5 minutes. On the fourth day of life, the
infant has developed a tremor. What factor would be most concerning
about the tremor? Answer: The infant has asymmetric limb movement.
P. 808
⩥ A mother brings her 9-month-old son to the practice, concerned that
he is not yet sitting by himself. He has good head control and can grasp
a rattle but is unable to roll over, crawl, or pull to stand. What should the
clinician explain to the mother? Answer: The delay in his physical motor
skills is concerning and warrants a more complete developmental history
and possible referral for early intervention.
By 9 months, infants should be able to sit, roll over, and even pull up to
stand.
P. 809-811
⩥ A 44-year-old female presents to the clinic with a complaint of a mass
in the right breast. She only had 1 mammogram at age 43 as a routine
screening after discussion with her PCP. After an investigation reveals a
benign cyst, what advice should be given to their patient about screening
for breast cancer in her age group? Answer: The patient is in compliance
with the USPSTF recommendations for her age group and risk factors
prior to her current complaint.
, P. 429-431
⩥ What is true about MRI as a screening modality for breast cancer in
the general population? Answer: Sensitivity of screening for breast
cancer increases with breast MRI at the expense of specificity (i.e. false
positives).
P. 431
⩥ A 35-year-old G0P0 presents with bilateral nipple discharge. The
sample is consistent with breast milk. CBC, BMP, TSH and HCG are
normal. What is the most likely diagnosis? Answer: Prolactinoma -
pituitary tumor (may suppress menstruation)
P. 439
⩥ A 22-year-old G0P0 presents after finding a mass on a BSE at home.
What is true about BSE and self-detection of breast cancer? Answer:
This patient (age range 15-25 years) is more likely to find a
fibroadenoma than a cancer on BSE.
P. 423-424
