RNC-OB: The Newborn || Most Recent Exam 2026/2027
Actual Complete Real Verified Exam Questions And
Correct Answers (Verified Answers) Already Graded
A+ | Guaranteed Success!! Newest Exam!!!
A nurse in the newborn nursery is monitoring a preterm
newborn infant for respiratory distress syndrome. Which
assessment signs if noted in the newborn infant would
alert the nurse to the possibility of this syndrome?
1. Hypotension and Bradycardia
2. Tachypnea and retractions
3. Acrocyanosis and grunting
4. The presence of a barrel chest with grunting - Answer-2.
Tachypnea and retractions - The infant with respiratory
distress syndrome may present with signs of cyanosis,
tachypnea or apnea, nasal flaring, chest wall retractions,
or audible grunts.
A nurse in a newborn nursery is performing an
assessment of a newborn infant. The nurse is preparing to
measure the head circumference of the infant. The nurse
would most appropriately:
1. Wrap the tape measure around the infant's head and
measure just above the eyebrows.
,2|Page
2. Place the tape measure under the infants head at the
base of the skull and wrap around to the front just above
the eyes
3. Place the tape measure under the infants head, wrap
around the occiput, and measure just above the ey -
Answer-3. To measure the head circumference, the nurse
should place the tape measure under the infant's head,
wrap the tape around the occiput, and measure just above
the eyebrows so that the largest area of the occiput is
included.
A postpartum nurse is providing instructions to the mother
of a newborn infant with hyperbilirubinemia who is being
breastfed. The nurse provides which most appropriate
instructions to the mother?
1. Switch to bottle feeding the baby for 2 weeks
2. Stop the breast feedings and switch to bottle-feeding
permanently
3. Feed the newborn infant less frequently
4. Continue to breast-feed every 2-4 hours - Answer-4.
Continue to breast-feed every 2-4 hours - Breast feeding
should be initiated within 2 hours after birth and every 2-4
hours thereafter. The other options are not necessary.
,3|Page
A nurse on the newborn nursery floor is caring for a
neonate. On assessment the infant is exhibiting signs of
cyanosis, tachypnea, nasal flaring, and grunting.
Respiratory distress syndrome is diagnosed, and the
physician prescribes surfactant replacement therapy. The
nurse would prepare to administer this therapy by:
1. Subcutaneous injection
2. Intravenous injection
3. Instillation of the preparation into the lungs through an
endotracheal tube
4. Intramuscular injection - Answer-3. The aim of therapy
in RDS is to support the disease until the disease runs its
course with the subsequent development of surfactant.
The infant may benefit from surfactant replacement
therapy. In surfactant replacement, an exogenous
surfactant preparation is instilled into the lungs through an
endotracheal tube.
A nurse is assessing a newborn infant following
circumcision and notes that the circumcised area is red
with a small amount of bloody drainage. Which of the
following nursing actions would be most appropriate?
1. Document the findings
2. Contact the physician
, 4|Page
3. Circle the amount of bloody drainage on the dressing
and reassess in 30 minutes
4. Reinforce the dressing - Answer-1. Document the
findings - The penis is normally red during the healing
process. A yellow exudate may be noted in 24 hours, and
this is a part of normal healing. The nurse would expect
that the area would be red with a small amount of bloody
drainage. If the bleeding is excessive, the nurse would
apply gentle pressure with sterile gauze. If bleeding is not
controlled, then the blood vessel may need to be ligated,
and the nurse would contact the physician. Because the
findings identified in the question are normal, the nurse
would document the assessment.
A nurse in a delivery room is assisting with the delivery of
a newborn infant. After the delivery, the nurse prepares to
prevent heat loss in the newborn resulting from
evaporation by:
1. Warming the crib pad
2. Turning on the overhead radiant warmer
3. Closing the doors to the room
4. Drying the infant in a warm blanket - Answer-4. Drying
the infant in a warm blanket - Evaporation of moisture from
a wet body dissipates heat along with the moisture.