NURS 320 FINAL EXAM PRACTICE QUESTIONS WITH
ANSWERS GRADED A+ 2022/2023
1. Which infant has the lowest risk of developing high levels of bilirubin?
a.
The infant who developed a cephalohematoma
b.
The infant who was bruised during a difficult birth
c.
The infant who uses brown fat to maintain temperature
d.
The infant who is breastfed during the first hour of life
ANS: D
2. How can nurses prevent evaporative heat loss in the newborn?
a.
Placing the baby away from the outside wall and the windows
b.
Keeping the baby out of drafts and away from air conditioners
c.
Drying the baby after birth and wrapping the baby in a dry blanket
d.
Warming the stethoscope and nurse’s hands before touching the baby
ANS: C
3. The nurse is preparing to administer a vitamin K injection to the infant shortly after birth.
Which is important to understand about vitamin K?
a.
It is necessary for the production of platelets.
b.
It is important for the production of red blood cells.
c.
It is not initially synthesized because of a sterile bowel at birth.
d.
It is responsible for the breakdown of bilirubin and the prevention of jaundice.
ANS: C
4. An infant at 36 weeks’ gestation was just delivered; included in the protocol for a preterm infant
is an initial blood glucose assessment. The nurse obtains the blood and the reading is 58 mg/dL.
What is the priority nursing action based on this reading?
a.
Document the finding in the newborn’s chart.
b.
Double-wrap the newborn under a warming unit.
c.
Feed the newborn a 10% dextrose solution.
d.
Notify the neonatal intensive care unit (NICU) of the pending admission.
ANS: A
5. Infants who develop cephalohematoma are at increased risk for:
a.
infection.
b.
jaundice.
c.
caput succedaneum.
d.
erythema toxicum.
ANS: B
,NURS 320 FINAL EXAM PRACTICE QUESTIONS WITH
ANSWERS GRADED A+ 2022/2023
6. The postpartum nurse is administering vitamin K (phytonadione) to a newborn. The prescribed
order is to administer one dose of 0.5 mg of vitamin K via the intramuscular (IM) route within 1
hour after birth. The ampule of vitamin K sent from the pharmacy is 1 mg/0.5 mL. How many
milliliters does the nurse draw up to administer the correct dose? Record your answer to two
decimal points.
mL
ANS:
0.25
7. A new client asks, “Why are you doing a gestational age assessment on my baby?” The nurse’s
best response is:
a.
“It was ordered by your physician.”
b.
“This must be done to meet insurance requirements.”
c.
“It helps us identify infants who are at risk for any problems.”
d.
“The gestational age determines how long the infant will be hospitalized.”
ANS: C
8. The clients says, “My baby is so thin and wrinkled. It looks like he has too much skin.” Which
is the most therapeutic response by the nurse to the new client’s statement?
a.
“You sound disappointed about how your infant looks.”
b.
“All mothers are concerned about how their babies look.”
c.
“Don’t worry. In no time he’ll fill out his skin and look just fine.”
d.
“You know, all the cigarettes you smoked interfered with the nourishment
he needed.”
ANS: A
9. Which assessment finding of a newborn requires prompt action by the nurse?
a.
Respiratory rate of 50 breaths/min
b.
Cyanosis of the extremities
c.
Pause in breathing lasting 20 seconds
d.
Pause in breathing for 15 seconds followed by rapid respirations
ANS: C
10. The nurse is receiving a shift report in the newborn nursery. Which client should the nurse
assess first?
a.
38-weeks’ gestation female newborn with a blood sugar level of 60 mg/dL
b.
Term male newborn with a noted axillary temperature of 37.2° C (99° F)
c.
40-weeks’ gestation female newborn with reported poor feed at last attempt
d.
39-weeks’ gestation male newborn who has been crying prior to initial bath
ANS: C
11. Which are early signs of hypoglycemia in the newborn for which the nurse should assess?
(Select all that apply.)
a.
Jitteriness
, NURS 320 FINAL EXAM PRACTICE QUESTIONS WITH
ANSWERS GRADED A+ 2022/2023
b.
Poor feeding
c.
Respiratory difficulty
d.
An increase in temperature
e.
A capillary refill of 2 seconds
ANS: A, B, C
12. Match each term with the correct definition.
a.
Bleeding between the periosteum and the skull
b.
An area of localized edema that appears over the vertex of the newborn’s head
c.
Changes in the shape of the head that allow it to pass through the birth canal
d. overriding sutures
Molding--------------------C
Cephalohematoma--------A
Caput succedaneum-------B
Theres a fourth---------
13. An infant’s temperature is recorded at 36 C (96.8 F) during the morning assessment in
the newborn nursery. Which priority action should the nurse implement?
a.
Note the findings in the electronic health record (EHR).
b.
Unwrap the infant and inspect for abnormalities.
c.
Provide the infant with glucose water.
d.
Make sure that the infant is wrapped securely with a blanket and recheck
temperature in 15 minutes.
ANS: D
14. The postpartum nurse is reviewing oral-nasal bulb suctioning with a first-time mom.
Which statement will the nurse need to correct?
a.
“Depress the bulb prior to inserting the tip.”
b.
“Suction the nose first and then the mouth.”
c.
“Keep a bulb syringe in the bassinet at all times.”
d.
“Gradually release the pressure on the bulb while withdrawing it.”
ANS: B
15. An hour after birth, the nurse assesses a newborn’s temperature and notes that it is 36.2° C
(97.2° F). The next activity planned for the newborn is the bath, and the new mother and father
are invited to participate in the procedure. What is the nurse’s next action?
a.
Take the infant’s temperature rectally.
b.
Ask the father to test the water to determine if it is too hot.
c.
Delay the bath until the newborn’s temperature is above 36.7° C (98° F).
d.
Explain to the new parents that no soap should be used to cleanse the eyes.
ANS: C
16. Which nursing action is a priority to prevent infection in the newborn? (Select all that apply.)
a.
Wearing gloves before touching neonates
ANSWERS GRADED A+ 2022/2023
1. Which infant has the lowest risk of developing high levels of bilirubin?
a.
The infant who developed a cephalohematoma
b.
The infant who was bruised during a difficult birth
c.
The infant who uses brown fat to maintain temperature
d.
The infant who is breastfed during the first hour of life
ANS: D
2. How can nurses prevent evaporative heat loss in the newborn?
a.
Placing the baby away from the outside wall and the windows
b.
Keeping the baby out of drafts and away from air conditioners
c.
Drying the baby after birth and wrapping the baby in a dry blanket
d.
Warming the stethoscope and nurse’s hands before touching the baby
ANS: C
3. The nurse is preparing to administer a vitamin K injection to the infant shortly after birth.
Which is important to understand about vitamin K?
a.
It is necessary for the production of platelets.
b.
It is important for the production of red blood cells.
c.
It is not initially synthesized because of a sterile bowel at birth.
d.
It is responsible for the breakdown of bilirubin and the prevention of jaundice.
ANS: C
4. An infant at 36 weeks’ gestation was just delivered; included in the protocol for a preterm infant
is an initial blood glucose assessment. The nurse obtains the blood and the reading is 58 mg/dL.
What is the priority nursing action based on this reading?
a.
Document the finding in the newborn’s chart.
b.
Double-wrap the newborn under a warming unit.
c.
Feed the newborn a 10% dextrose solution.
d.
Notify the neonatal intensive care unit (NICU) of the pending admission.
ANS: A
5. Infants who develop cephalohematoma are at increased risk for:
a.
infection.
b.
jaundice.
c.
caput succedaneum.
d.
erythema toxicum.
ANS: B
,NURS 320 FINAL EXAM PRACTICE QUESTIONS WITH
ANSWERS GRADED A+ 2022/2023
6. The postpartum nurse is administering vitamin K (phytonadione) to a newborn. The prescribed
order is to administer one dose of 0.5 mg of vitamin K via the intramuscular (IM) route within 1
hour after birth. The ampule of vitamin K sent from the pharmacy is 1 mg/0.5 mL. How many
milliliters does the nurse draw up to administer the correct dose? Record your answer to two
decimal points.
mL
ANS:
0.25
7. A new client asks, “Why are you doing a gestational age assessment on my baby?” The nurse’s
best response is:
a.
“It was ordered by your physician.”
b.
“This must be done to meet insurance requirements.”
c.
“It helps us identify infants who are at risk for any problems.”
d.
“The gestational age determines how long the infant will be hospitalized.”
ANS: C
8. The clients says, “My baby is so thin and wrinkled. It looks like he has too much skin.” Which
is the most therapeutic response by the nurse to the new client’s statement?
a.
“You sound disappointed about how your infant looks.”
b.
“All mothers are concerned about how their babies look.”
c.
“Don’t worry. In no time he’ll fill out his skin and look just fine.”
d.
“You know, all the cigarettes you smoked interfered with the nourishment
he needed.”
ANS: A
9. Which assessment finding of a newborn requires prompt action by the nurse?
a.
Respiratory rate of 50 breaths/min
b.
Cyanosis of the extremities
c.
Pause in breathing lasting 20 seconds
d.
Pause in breathing for 15 seconds followed by rapid respirations
ANS: C
10. The nurse is receiving a shift report in the newborn nursery. Which client should the nurse
assess first?
a.
38-weeks’ gestation female newborn with a blood sugar level of 60 mg/dL
b.
Term male newborn with a noted axillary temperature of 37.2° C (99° F)
c.
40-weeks’ gestation female newborn with reported poor feed at last attempt
d.
39-weeks’ gestation male newborn who has been crying prior to initial bath
ANS: C
11. Which are early signs of hypoglycemia in the newborn for which the nurse should assess?
(Select all that apply.)
a.
Jitteriness
, NURS 320 FINAL EXAM PRACTICE QUESTIONS WITH
ANSWERS GRADED A+ 2022/2023
b.
Poor feeding
c.
Respiratory difficulty
d.
An increase in temperature
e.
A capillary refill of 2 seconds
ANS: A, B, C
12. Match each term with the correct definition.
a.
Bleeding between the periosteum and the skull
b.
An area of localized edema that appears over the vertex of the newborn’s head
c.
Changes in the shape of the head that allow it to pass through the birth canal
d. overriding sutures
Molding--------------------C
Cephalohematoma--------A
Caput succedaneum-------B
Theres a fourth---------
13. An infant’s temperature is recorded at 36 C (96.8 F) during the morning assessment in
the newborn nursery. Which priority action should the nurse implement?
a.
Note the findings in the electronic health record (EHR).
b.
Unwrap the infant and inspect for abnormalities.
c.
Provide the infant with glucose water.
d.
Make sure that the infant is wrapped securely with a blanket and recheck
temperature in 15 minutes.
ANS: D
14. The postpartum nurse is reviewing oral-nasal bulb suctioning with a first-time mom.
Which statement will the nurse need to correct?
a.
“Depress the bulb prior to inserting the tip.”
b.
“Suction the nose first and then the mouth.”
c.
“Keep a bulb syringe in the bassinet at all times.”
d.
“Gradually release the pressure on the bulb while withdrawing it.”
ANS: B
15. An hour after birth, the nurse assesses a newborn’s temperature and notes that it is 36.2° C
(97.2° F). The next activity planned for the newborn is the bath, and the new mother and father
are invited to participate in the procedure. What is the nurse’s next action?
a.
Take the infant’s temperature rectally.
b.
Ask the father to test the water to determine if it is too hot.
c.
Delay the bath until the newborn’s temperature is above 36.7° C (98° F).
d.
Explain to the new parents that no soap should be used to cleanse the eyes.
ANS: C
16. Which nursing action is a priority to prevent infection in the newborn? (Select all that apply.)
a.
Wearing gloves before touching neonates
