NSG 3500 EXAM 4 STUDY GUIDE | 2026/
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS/GRADE A+ ASSURED/NEWEST
UPDATE!!!
Save
Terms in this set (107)
When is the APGAR score At 1 and 5 minutes after birth
assigned?
What are the five categories of the 1. HR
APGAR score? 2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
When the APGAR score is <9 at 5 True
minutes, it is more important to
stabilize the infant than keep them
with mom. T/F?
,What does each APGAR score >7 = normal
mean? 4-6 = low
<3 = critical
What are the 4 factors that Chemical factors: hypercarbia, acidosis, and
influence initiation of the first hypoxia
breath? Sensory factors: overwhelming stimuli aids in
transition
Thermal factors: drastic change in temp aids in
transition
Mechanical factors: thoracic squeeze through
birth causes fluid release and replacement with
air
Why does hypoxia, hypercarbia, - hypoxia causes blood oxygen (PO2) levels to
and acidosis trigger respirations? rise and pH to drop
- carbon dioxide levels (PCO2) begin to rise and
prompt the resp center within the medulla to
initiate breathing
Periodic breathing in a newborn is 5-15 seconds (approx 3 seconds is norm? P. 298)
not usually associated with any
change in skin color or HR. How
long are these pauses?
What are indicators of respiratory - apnea (no breathing for more than 20 seconds)
difficulties in the newborn? - expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at
rest
- high RR
, What are the five changes for - increased aortic pressure
successful cardiopulmonary - decreased venous pressure
adaptation? - increased systemic pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
What is the HR when baby is first 160-180 and then 30 min later it goes to 120-160
born?
The baby cannot become False.
hypoglycemic from heat loss. T/F?
How do newborns respond to They burn brown adipose tissue since they
cold? cannot shiver to maintain warmth
What can the nurse do to regulate - skin-to-skin contact with mom and warm
temperature in the newborn? blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and
monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
Blood volume is determined in True
large part by the timing of the
umbilical cord clamping. T/F?
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS/GRADE A+ ASSURED/NEWEST
UPDATE!!!
Save
Terms in this set (107)
When is the APGAR score At 1 and 5 minutes after birth
assigned?
What are the five categories of the 1. HR
APGAR score? 2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
When the APGAR score is <9 at 5 True
minutes, it is more important to
stabilize the infant than keep them
with mom. T/F?
,What does each APGAR score >7 = normal
mean? 4-6 = low
<3 = critical
What are the 4 factors that Chemical factors: hypercarbia, acidosis, and
influence initiation of the first hypoxia
breath? Sensory factors: overwhelming stimuli aids in
transition
Thermal factors: drastic change in temp aids in
transition
Mechanical factors: thoracic squeeze through
birth causes fluid release and replacement with
air
Why does hypoxia, hypercarbia, - hypoxia causes blood oxygen (PO2) levels to
and acidosis trigger respirations? rise and pH to drop
- carbon dioxide levels (PCO2) begin to rise and
prompt the resp center within the medulla to
initiate breathing
Periodic breathing in a newborn is 5-15 seconds (approx 3 seconds is norm? P. 298)
not usually associated with any
change in skin color or HR. How
long are these pauses?
What are indicators of respiratory - apnea (no breathing for more than 20 seconds)
difficulties in the newborn? - expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at
rest
- high RR
, What are the five changes for - increased aortic pressure
successful cardiopulmonary - decreased venous pressure
adaptation? - increased systemic pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
What is the HR when baby is first 160-180 and then 30 min later it goes to 120-160
born?
The baby cannot become False.
hypoglycemic from heat loss. T/F?
How do newborns respond to They burn brown adipose tissue since they
cold? cannot shiver to maintain warmth
What can the nurse do to regulate - skin-to-skin contact with mom and warm
temperature in the newborn? blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and
monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
Blood volume is determined in True
large part by the timing of the
umbilical cord clamping. T/F?
