PEDS NR 328 Newborn Check your Knowledge- Chamberlain 2023

NEWBORN CHECK YOUR KNOWLEDGE
1. A baby is born precipitously in the ER. The nurse’s initial action
should be to: a. Establish an airway for the baby
b. Quickly tie and cut the umbilical cord
c. Move mother and baby to the birthing unit
d. Assess the condition of the fundus

Rationale:




2. When performing a newborn assessment, the nurse should measure the vital
signs in the following sequence:
a. Respirations, pulse, temperature
b. Respirations, temperature, pulse
c. Temperature, pulse, respirations
d. Pulse, respirations, temperature


Rationale:


3. When assessing a neonate 1 hour after birth, the nurse notes acrocyanosis of
both feet and hands, measures an axillary temperature of 95.5°F (35.3°C), an apical
pulse of 110 beats/minute, and a respiratory rate of 64 breaths/minute. Which
assessment would be the most concerning for the nurse?
a.
Tachycardia
b.
Hypothermia
c. Bradypnea
d. Hypoxia


Rationale:


4. A newborn has a strong cry and is actively moving her blue extremities when
stimulated. Vital signs are: P140, R48. What is her APGAR score?

a. 7
b. 8
c. 9
d.1
0

, Rationale