2027 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
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The labor nurse is caring for Tiffany in the second stage of
labor. The fetal heart rate pattern has shown a baseline of 120-
130 beats per minute with recurrent variable decelerations
ranging from 80-90 beats per minute and lasting 15-40 seconds.
Based on these findings, what might the nurse anticipate when
the fetus is delivered? Select all that apply. Discovery of a
partial placental abruption
Nuchal cord
Low APGAR scores
Normal APGAR scores
Malfunctioning electronic fetal monitor - ANSWER -Nuchal cord
Low APGAR scores
Which statement reflects the newborn's visual abilities at birth?
Once the prophylactic antibiotic eye drops are administered,
newborns can see 8-10 inches away.
From birth, newborns can best see objects held a few inches
away.
,From birth, newborns can best see objects held 8-10 inches
away.
Newborns typically do not open their eyes for at least 12-18
hours. - ANSWER -
From birth, newborns can best see objects held 8-10
inches away.
What is the cause of molding in the newborn skull?
Presence of cerebral tumor
Overlapping of the unfused bones compressed during vaginal
delivery
Abnormal accumulation of cerebral spinal fluid
Use of forceps during vaginal delivery - ANSWER -Overlapping
of the unfused bones compressed during vaginal delivery
The nurse is assessing a newborn's vital signs. Which findings
require followup? Select all that apply.
Apical heart rate 100 beats per minute
Respiratory rate 40 breaths per minute
Axillary temperature 97.5°F (36.4°C)
Axillary temperature 99.4°F (37.4°C)
Apical heart rate 140 beats per minute
Respiratory rate 20 breaths per minute - ANSWER -Apical heart
rate 100 beats per minute
Axillary temperature 97.5°F (36.4°C)
Respiratory rate 20 breaths per minute
The newborn's umbilical cord at delivery normally contains
which components?
,Select all that apply.
Two veins and one artery
Two vessels
Gelatinous protective tissue
Tangles and knots
One vein and two arteries - ANSWER -Gelatinous protective
tissue
One vein and two arteries
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC)
on a newborn. Based on this finding, what assessment cues
should alert the nurse? Select all that apply.
Decreased blood oxygen saturation
Agitation
Tachypnea
Hypoglycemia
Lethargy
Hyperglycemia - ANSWER -Decreased blood oxygen saturation
Tachypnea
Hypoglycemia
Lethargy
The nurse observes a new mother placing her newborn on the
bed between her
legs, then unwrapping the newborn to change the diaper and
clothes. She stops
to answer her phone and is observed leaving the newborn
unwrapped. What
, implications may this have? Select all
that apply.
Jaundice in the
newborn
Newborn's blood glucose level may
decrease
Increased oxygen demand and consumption in
the newborn
Phenylketonuria in the newborn
Hypothermia in the newborn - ANSWER -Newborn's blood
glucose level may decrease
Increased oxygen demand and consumption in the newborn
Hypothermia in the newborn
The nurse observes pink stains in the diaper of a 1-day-old,
male newborn.
What conclusion does the nurse make based on this finding?
He is severely dehydrated.
He has pseudo-menstruation due to circulating maternal
hormones.
He has undergone physical trauma during the delivery.
He has a congenital renal abnormality.
He has uric acid crystals in his urine. - ANSWER -He has uric
acid crystals in his urine
A 12-hour-old newborn is found to have a dark brown, sticky,
thick mass of stool