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NSG 3500 Exam 4 Review (35 Questions) | Neonatal Nursing, NICU Care, Newborn Assessment & Respiratory Disorders Study Guide | Galen College of Nursing

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This detailed NSG 3500 Exam 4 Review study guide contains 35 comprehensive nursing exam questions and verified answers focused on neonatal nursing, newborn assessment, NICU care, respiratory adaptation, thermoregulation, and high-risk infant management. The document is designed to help nursing students master essential maternal-newborn nursing concepts commonly tested in nursing school examinations, pediatric nursing courses, and NCLEX-style assessments. Key topics covered include neonatal cardiopulmonary adaptation, respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), persistent pulmonary hypertension, thermoregulation, hypoglycemia, jaundice, maternal-infant bonding, immunization protocols, sudden unexplained infant death (SUID) prevention, premature infant pain assessment (PIPP), congenital diaphragmatic hernia (CDH), intrauterine growth restriction (IUGR), small-for-gestational-age (SGA) newborn care, apnea of prematurity, CPAP management, neonatal nutrition, and phenylketonuria (PKU) management. The material also provides clinically relevant nursing interventions related to neonatal safety, oxygen therapy, developmental care, infection prevention, neonatal assessment findings, and evidence-based NICU nursing practices. Multiple select-all-that-apply (SATA) questions and scenario-based application questions strengthen critical thinking and clinical judgment skills required for nursing exams and patient care settings. This resource is highly beneficial for students enrolled in maternal-newborn nursing, pediatric nursing, neonatal intensive care nursing, obstetric nursing, and NCLEX preparation courses. It is particularly useful for Galen College of Nursing students as well as ADN and BSN learners seeking additional review material for neonatal and pediatric nursing content. The concepts reviewed in this document align with evidence-based nursing practice guidelines and authoritative nursing education resources, including: Hockenberry, M. J., & Wilson, D. (2023). Wong’s Essentials of Pediatric Nursing (12th ed.). Elsevier. Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2022). Maternal Child Nursing Care (7th ed.). Elsevier. American Academy of Pediatrics (AAP). (2024). Guidelines for Perinatal and Neonatal Care. This organized exam review resource offers a structured approach to mastering neonatal nursing concepts, improving exam performance, reinforcing evidence-based clinical practice, and preparing students for success in pediatric and maternal-child nursing courses. Keywords neonatal nursing, NICU nursing, newborn assessment, respiratory distress syndrome, transient tachypnea of the newborn, neonatal hypoglycemia, thermoregulation, maternal newborn nursing, pediatric nursing exam questions, CPAP newborn care, apnea of prematurity, persistent pulmonary hypertension, SGA newborn, intrauterine growth restriction, newborn jaundice, congenital diaphragmatic hernia, PIPP pain assessment, neonatal oxygen therapy, phenylketonuria nursing, infant safety, SUID prevention, neonatal adaptation, maternal infant bonding, pediatric NCLEX questions, Galen College of Nursing, NSG 3500, newborn respiratory disorders, neonatal intensive care, neonatal pharmacology, nursing exam review

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NSG 3500 Exam 4 Review 2026
EXAM QUESTIONS AND
ANSWERS | 100% PASS



The perinatal nurse explains the cardiopulmonary adaptations that occur

in the neonate to a student nurse. Which of the following statements

accurately describes the sequence of these changes?

A. "As air enters the lungs, the PO2 rises in the alveoli, which causes

pulmonary

artery relaxation and results in an increase in pulmonary vascular

resistance."

,B. "As the pulmonary vascular resistance increases, pulmonary blood

flow increases,

reaching 100% by the first 24 hours of life."

C. "Decreased pulmonary blood volume contributes to the conversion

from fetal to

newborn circulation."

D. "Once the pulmonary circulation has been functionally established,

blood is


distributed throughout the lungs." - ANSWER ✔✔D. "Once the

pulmonary circulation has been functionally established, blood is

distributed throughout the lungs."

New parents are concerned that after initially breastfeeding their baby 2

hours after being born, she is sleeping soundly and will not awaken.

What action by the nurse is most appropriate?

A. Call the rapid response team.

B. Document the neonate's behavior in the chart.

C. Reassure the parents that this is normal.

, D. Stimulate the baby to wake her up. - ANSWER ✔✔C. Reassure

the parents that this is normal.

What action by the nurse is most important to prevent respiratory

depression in a newly born infant?

A. Bathe the infant in warm water before giving to the mother.

B. Dress the infant in warm clothing and place in a warmer.

C. Dry the infant and place on the mother's bare chest.

D. Turn the delivery room temperature up to 85°F (29.4°C). -

ANSWER ✔✔C. Dry the infant and place on the mother's bare chest.


A new mother with a 6-hour-old infant calls the nursing station

complaining that her baby is so cold he is shivering. What action by the

nurse is most appropriate?




A. Bring warm blankets to wrap the baby in.

B. Encourage the mother to feed him a warmed bottle.

C. Perform a thorough head-to-toe assessment.


D. Set the room temperature higher. - ANSWER ✔✔C. Perform a

thorough head-to-toe assessment.



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