NSG 3500 EXAM 4 (2026-2027)
QUESTIONS AND CORRECT VERIFIED
ANSWERS | A+ GRADE VERIFIED
ANSWERS
What are Epstein pearls? Correct Answer Small white
cysts found on the hard palate of newborns. Disappears
within a few weeks.
What is a Simian crease? Correct Answer A single crease
on the hand, it can be normal or can be a sign of downs
syndrome.
A dimple or tuft of hair at the top of the buttcrack can be a
sign of? Correct Answer Neural tube defect
Do not circumcise with? Correct Answer Hypospadias
No petroleum ointment is used after which type of
circumcision sx? Correct Answer PlastiBell device
What are nursing considerations for circumcision? Correct
Answer - V/S every 30 min for 2 hrs
- evaluate first void and bleeding afterwards (biggest risk)
- teach parents to apply petroleum ointment as indicated
and on S/S of infection
- diaper shouldn't be too loose or too tight
- therapeutic touch is beneficial for these infants in
reducing pain
,What is Dubowitz score? Correct Answer Physical
assessment of the neonate (after birth) to determine the
true gestational age.
A slanted low-set ear can be an indicator of? Correct
Answer Chromosomal abnormalities
What is it called when changes to the shape of the
newborn head occurs and cranial bones overlap? It is
temporary and resolves within a few days. Correct Answer
Molding
A caput involves edema that crosses the suture line. A
cephalohematoma also crosses the suture line. T/F?
Correct Answer Cephalohematomas do not cross the
suture line and are usually one sided.
We do not circumicise with this condition: Correct Answer
hypospadias.
This reflex occurs when baby is supine and extend their
arm and leg on the side to which their head and jaw are
turned to while flexing the the arm and leg on the opposite
side. What reflex is this? Correct Answer Tonic neck or
fencing reflex
This reflex occurs when baby is in prone position and the
vertebral column is stroked. The baby should respond to
this stimuli by moving their buttocks in a curving motion
,toward the side that is being stroked. What reflex is this?
Correct Answer Gallant reflex
What are nursing considerations for cord care? Correct
Answer - make sure there is 2 arteries and 1 vein
- avoid lotions or creams
- cord clamp stays on for 24 hrs
- fold and position diaper below cord stump
- sponge baths only until cord falls off
- keep area free from urine and wetness
- continually assess for S/S of infection
How can we reduce pain after circumcision in babies?
Correct Answer - breastfeeding is a recommended first
pain relief modality
- tylenol and oral sucrose were previously thought to be
helpful but are no longer recommended
- lidocaine cream or injection
- nerve block via penile ring is most effective
What should do we do and include in discharge teaching?
Correct Answer - obtain BP, PKU, and O2 sats on all 4
limbs
- educate on bathing, feeding, safety, child care, follow-up
care
How do we classify high-risk newborns? Correct Answer -
SGA and LGA
- premature and post-term
, What are conditions affecting the SGA newborns? Correct
Answer - cold stress (a consequence of prolonged
hypothermia)
- temp instability
- pain
- hypoglycemia
- polycythemia (too many RBCs)
What are characteristics of an SGA newborn? Correct
Answer - wasted muscle tissue
- lack of brown fat
- scaffold abdomen (sunken in)
- eyes appear large with a "wise old man" look
- long fingernails
- meconium-stained thin cord
What are complications associated with LGA or
macrocosmic newborns? Correct Answer - shoulder
dystocia at delivery
- brachial nerve plexus injury
- asphyxia
- hyperinsulinemia and hypoglycemia
- hypocalcemia
Newborns with a diabetic mother are often LGA and are at
risk after delivery for: Correct Answer - transient
tachypnea due to delayed lung development
- LOW SUGAR from insulin overproduction
- LOW CALCIUM from decreased parathyroid production
- LOW MG due to metabolic abnormalities
QUESTIONS AND CORRECT VERIFIED
ANSWERS | A+ GRADE VERIFIED
ANSWERS
What are Epstein pearls? Correct Answer Small white
cysts found on the hard palate of newborns. Disappears
within a few weeks.
What is a Simian crease? Correct Answer A single crease
on the hand, it can be normal or can be a sign of downs
syndrome.
A dimple or tuft of hair at the top of the buttcrack can be a
sign of? Correct Answer Neural tube defect
Do not circumcise with? Correct Answer Hypospadias
No petroleum ointment is used after which type of
circumcision sx? Correct Answer PlastiBell device
What are nursing considerations for circumcision? Correct
Answer - V/S every 30 min for 2 hrs
- evaluate first void and bleeding afterwards (biggest risk)
- teach parents to apply petroleum ointment as indicated
and on S/S of infection
- diaper shouldn't be too loose or too tight
- therapeutic touch is beneficial for these infants in
reducing pain
,What is Dubowitz score? Correct Answer Physical
assessment of the neonate (after birth) to determine the
true gestational age.
A slanted low-set ear can be an indicator of? Correct
Answer Chromosomal abnormalities
What is it called when changes to the shape of the
newborn head occurs and cranial bones overlap? It is
temporary and resolves within a few days. Correct Answer
Molding
A caput involves edema that crosses the suture line. A
cephalohematoma also crosses the suture line. T/F?
Correct Answer Cephalohematomas do not cross the
suture line and are usually one sided.
We do not circumicise with this condition: Correct Answer
hypospadias.
This reflex occurs when baby is supine and extend their
arm and leg on the side to which their head and jaw are
turned to while flexing the the arm and leg on the opposite
side. What reflex is this? Correct Answer Tonic neck or
fencing reflex
This reflex occurs when baby is in prone position and the
vertebral column is stroked. The baby should respond to
this stimuli by moving their buttocks in a curving motion
,toward the side that is being stroked. What reflex is this?
Correct Answer Gallant reflex
What are nursing considerations for cord care? Correct
Answer - make sure there is 2 arteries and 1 vein
- avoid lotions or creams
- cord clamp stays on for 24 hrs
- fold and position diaper below cord stump
- sponge baths only until cord falls off
- keep area free from urine and wetness
- continually assess for S/S of infection
How can we reduce pain after circumcision in babies?
Correct Answer - breastfeeding is a recommended first
pain relief modality
- tylenol and oral sucrose were previously thought to be
helpful but are no longer recommended
- lidocaine cream or injection
- nerve block via penile ring is most effective
What should do we do and include in discharge teaching?
Correct Answer - obtain BP, PKU, and O2 sats on all 4
limbs
- educate on bathing, feeding, safety, child care, follow-up
care
How do we classify high-risk newborns? Correct Answer -
SGA and LGA
- premature and post-term
, What are conditions affecting the SGA newborns? Correct
Answer - cold stress (a consequence of prolonged
hypothermia)
- temp instability
- pain
- hypoglycemia
- polycythemia (too many RBCs)
What are characteristics of an SGA newborn? Correct
Answer - wasted muscle tissue
- lack of brown fat
- scaffold abdomen (sunken in)
- eyes appear large with a "wise old man" look
- long fingernails
- meconium-stained thin cord
What are complications associated with LGA or
macrocosmic newborns? Correct Answer - shoulder
dystocia at delivery
- brachial nerve plexus injury
- asphyxia
- hyperinsulinemia and hypoglycemia
- hypocalcemia
Newborns with a diabetic mother are often LGA and are at
risk after delivery for: Correct Answer - transient
tachypnea due to delayed lung development
- LOW SUGAR from insulin overproduction
- LOW CALCIUM from decreased parathyroid production
- LOW MG due to metabolic abnormalities
