NRS 240: Care of Newborn & Fam
D, E, F Correct Answer: A newborn male is estimated at 40 wks of gestation following an assessment
using the New Ballard Scale. New Ballard Scale findings consistent with the newborn's full-term status
are: select all
A. apical pulse of 120 bpm, regular, strong
B. popliteal angle of 160 degrees
C. weight of 3200 g placing him at 50th percentile
D. thinning of lanugo with some bald areas
E. Testes descended into scrotum
F. Elbow does not pass midline when arm is pulled across the chest
C, E Correct Answer: The nurse evaluates the lab results of a 4 hr old newborn. Which results require
notification of the pediatrician? Select all.
A. hemoglobin 20 g/dL
B. hematocrit 54%
C. glucose 34 mg/dL
D. WBC 24,000
E. calcium 7 mg/dL
B Correct Answer: A newborn male ha been designated as large for gestational age. His mother was dx
with gestational diabetes late in pregnancy. The nurse should be alert for signs of hypoglycemia. Which
assessment finding is consistent with hypoglycemia?
A. high-pitch cry
B. jitteriness
C. hyperthermia
D. laryngospasm
A Correct Answer: A radiant warmer will be used to help a newborn girl stabilize her temp. The nurse
doing this care measure should:
A. undress and dry the infant before placing her in the warmer
B. set the control panel between 35 C - 38 C
C. place the thermistor probe on her abdomen just below her umbilical cord
D. assess her rectal temperature every hour until her temperature stabilizes
B Correct Answer: A newborn male has been scheduled for circumcision. Essential nursing care
measures following this procedure include:
A. use the new ballard score to determine if the baby is in pain
B. applying petroleum ointment to the site with every diaper change until healed
C. checking the penis for bleeding q 15 minutes for the first 4 hours
D. teaching the parents to remove the yellowish exudate that forms over the glans w/ a diaper wipe
B, C, D Correct Answer: A dr. has ordered that a newborn receive hep B vaccination prior to discharge.
In fulfilling this order the nurse should: Select all
A. confirm that the mother is hep B positive before injection is given
B. obtain parental consent prior to administration
, C. inform the parents that the next vaccine in the series needs to be done at 1-2 months
D. administer the injection into the vastus lateralis muscle
E. use a 1" 23G needle
F. insert the needle at a 45 degree angle
B, C, E, F Correct Answer: A nurse is preparing to adminsiter erythromycin opthalmic ointment 0.5% to a
newborn after birth. What actions are appropriate?
select all.
A. administer the ointment within 30 mins of birth
B. wear gloves
C. cleanse eyes if secretions are present
D. squeeze an ointment ribbon of 3 cm into the lower conjunctival sac
E. wipe away any excess ointment after 1 minute
F. apply the ointment from the inner to outer canthus.
stimulate Correct Answer: what should you do if a baby isn't crying?
1, 5 Correct Answer: APGAR score should be performed at ____,___ minutes after birth.
appearance Correct Answer: the A in apgar scoring stands for
pulse Correct Answer: the P in apgar stands for
grimace Correct Answer: the G in apgar stands for
Activity Correct Answer: the second A in apgar stands for?
Respiratory effort Correct Answer: the R in APGAR stands for?
1 Correct Answer: a HR <100
2 Correct Answer: HR > 100
0 Correct Answer: absent HR
0 Correct Answer: absent respiratory effort
1 Correct Answer: slow, weak cry
2 Correct Answer: good cry
0 Correct Answer: flaccid muscle tone
1 Correct Answer: some flexion of extremities
2 Correct Answer: well flexed extremities
0 Correct Answer: no response to reflex irritability
D, E, F Correct Answer: A newborn male is estimated at 40 wks of gestation following an assessment
using the New Ballard Scale. New Ballard Scale findings consistent with the newborn's full-term status
are: select all
A. apical pulse of 120 bpm, regular, strong
B. popliteal angle of 160 degrees
C. weight of 3200 g placing him at 50th percentile
D. thinning of lanugo with some bald areas
E. Testes descended into scrotum
F. Elbow does not pass midline when arm is pulled across the chest
C, E Correct Answer: The nurse evaluates the lab results of a 4 hr old newborn. Which results require
notification of the pediatrician? Select all.
A. hemoglobin 20 g/dL
B. hematocrit 54%
C. glucose 34 mg/dL
D. WBC 24,000
E. calcium 7 mg/dL
B Correct Answer: A newborn male ha been designated as large for gestational age. His mother was dx
with gestational diabetes late in pregnancy. The nurse should be alert for signs of hypoglycemia. Which
assessment finding is consistent with hypoglycemia?
A. high-pitch cry
B. jitteriness
C. hyperthermia
D. laryngospasm
A Correct Answer: A radiant warmer will be used to help a newborn girl stabilize her temp. The nurse
doing this care measure should:
A. undress and dry the infant before placing her in the warmer
B. set the control panel between 35 C - 38 C
C. place the thermistor probe on her abdomen just below her umbilical cord
D. assess her rectal temperature every hour until her temperature stabilizes
B Correct Answer: A newborn male has been scheduled for circumcision. Essential nursing care
measures following this procedure include:
A. use the new ballard score to determine if the baby is in pain
B. applying petroleum ointment to the site with every diaper change until healed
C. checking the penis for bleeding q 15 minutes for the first 4 hours
D. teaching the parents to remove the yellowish exudate that forms over the glans w/ a diaper wipe
B, C, D Correct Answer: A dr. has ordered that a newborn receive hep B vaccination prior to discharge.
In fulfilling this order the nurse should: Select all
A. confirm that the mother is hep B positive before injection is given
B. obtain parental consent prior to administration
, C. inform the parents that the next vaccine in the series needs to be done at 1-2 months
D. administer the injection into the vastus lateralis muscle
E. use a 1" 23G needle
F. insert the needle at a 45 degree angle
B, C, E, F Correct Answer: A nurse is preparing to adminsiter erythromycin opthalmic ointment 0.5% to a
newborn after birth. What actions are appropriate?
select all.
A. administer the ointment within 30 mins of birth
B. wear gloves
C. cleanse eyes if secretions are present
D. squeeze an ointment ribbon of 3 cm into the lower conjunctival sac
E. wipe away any excess ointment after 1 minute
F. apply the ointment from the inner to outer canthus.
stimulate Correct Answer: what should you do if a baby isn't crying?
1, 5 Correct Answer: APGAR score should be performed at ____,___ minutes after birth.
appearance Correct Answer: the A in apgar scoring stands for
pulse Correct Answer: the P in apgar stands for
grimace Correct Answer: the G in apgar stands for
Activity Correct Answer: the second A in apgar stands for?
Respiratory effort Correct Answer: the R in APGAR stands for?
1 Correct Answer: a HR <100
2 Correct Answer: HR > 100
0 Correct Answer: absent HR
0 Correct Answer: absent respiratory effort
1 Correct Answer: slow, weak cry
2 Correct Answer: good cry
0 Correct Answer: flaccid muscle tone
1 Correct Answer: some flexion of extremities
2 Correct Answer: well flexed extremities
0 Correct Answer: no response to reflex irritability
