EVOLVE MATERNITY NEWBORN EXAM / MATERNITY EVOLVE
NEWBORN EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
How should the nurse assess a newborn's grasp reflex? - ANSWER: By pressing the
examining fingers against the palms of the newborn's hands
A client at 43 weeks' gestation has just given birth to an infant with typical
postmaturity characteristics. Which postmature signs does the nurse identify?
(Select all that apply.) - ANSWER: 1 Cracked and peeling skin
2 Long scalp hair and fingernails
5 Creases covering the neonate's full soles and palms
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents
that this vitamin is administered to: - ANSWER: Promote clotting of the blood
A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor
site on the scalp. For what complication should the nurse monitor this newborn? -
ANSWER: Infection
What should the nurse do when an apnea monitor sounds an alarm 10 seconds after
cessation of respirations? - ANSWER: Use tactile stimuli on the chest or extremities
Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome
when the laboratory report reveals: - ANSWER: An increased Paco 2 of 55 mm Hg
Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - ANSWER: 1 Small breast buds
2 Wrinkled thin skin
5 Pinnae that remain flat when folded
On the third postpartum day a mother visits the clinic and asks why her newborn's
skin has begun to appear yellow. The nurse explains that the change in her infant's
skin tone is the result of: - ANSWER: Breakdown of fetal red blood cells
A client at 36 weeks' gestation exhibits oligohydramnios. What newborn
complication should the nurse anticipate? - ANSWER: Intrauterine growth
restriction (IUGR)
A client has chosen not to have her son circumcised. What instruction should be
included in discharge teaching for the care of an uncircumcised neonate? - ANSWER:
Clean the penis with warm water at each diaper change.
,A nursing instructor provides education for the students on thermoregulation in the
nursery. The students determine that in the healthy full-term neonate, heat
production is accomplished by: - ANSWER: Metabolism of brown fat
At 10 hours of age a newborn has a large amount of mucus in the nasopharynx and
becomes cyanotic. What is the nurse's initial action? - ANSWER: Suctioning the
mouth
While a mother is inspecting her newborn she expresses concern that her baby's
eyes are crossed. How should the nurse respond? - ANSWER: "This is expected. Your
baby is trying to focus."
A nurse is caring for a preterm neonate with physiological jaundice who requires
phototherapy. What is the action of this therapy? - ANSWER: Breaks down the
bilirubin into a conjugated form
The mother of a newborn son tells the nurse that she is concerned about
circumcision because of the pain involved. What is the nurse's best response? -
ANSWER: "The health care provider will tell you how your baby's pain will be
controlled."
The nurse observes several dark round areas on a newborn's buttocks on a dark-
skinned neonate. How should this observation be documented? - ANSWER:
Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly found on the
back and buttocks of dark-skinned newborns; they are benign and fade gradually
over time.
While showing a new mother how to care for her infant's umbilical cord stump, the
nurse explains that the stump is a potential source of infection because: - ANSWER:
It contains exposed tissue and blood
The health care provider hands a neonate to a nurse immediately after birth. What
should the nurse do next for the newborn? - ANSWER: Dry and provide skin-to-skin
contact with the mother
-The priority is preventing heat loss; drying the newborn prevents heat loss
through evaporation, and skin-to-skin contact with the mother provides a warm
environment while promoting attachment.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - ANSWER: By suctioning the mouth before the nostrils
The parents of a newborn ask the nurse about several areas of deep-blue coloring on
their baby's lower back and buttocks. The nurse's response is based on the
, information that: - ANSWER: These areas usually are normal and will fade within the
first year.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological
jaundice). What clinical finding confirms this complication? - ANSWER: Jaundice that
develops in the first 12 to 24 hours
Supplemental oxygen is ordered for a preterm neonate with respiratory distress
syndrome (RDS). What action does the nurse take to reduce the possibility of
retinopathy of prematurity? - ANSWER: Verifying oxygen saturation frequently to
adjust flow on the basis of need
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - ANSWER: Suggest that she hold her baby
upright for 30 minutes after feeding
A newborn has small, whitish, pinpoint spots over the nose that are caused by
retained sebaceous secretions. When documenting this observation, a nurse
identifies them as: - ANSWER: Milia
-Milia are common, are not indicative of illness, and eventually disappear. Lanugo is
fine, downy hair.
What should the care of a newborn infant whose mother has had untreated syphilis
since the second trimester of pregnancy include? - ANSWER: Testing for congenital
syphilis
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - ANSWER: An injury to the brachial plexus
during birth
An infant born in the 36th week of gestation weighs 4 lb 3 oz (2062 g) and has Apgar
scores of 7 and 9. What nursing actions will be performed on the infant's admission
to the nursery? (Select all that apply.) - ANSWER: 1 Recording of vital signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature stable
Two days after birth a neonate's head circumference is 16 inches (40 cm) and the
chest circumference is 13 inches (32.5 cm). What does the nurse infer from these
measurements? - ANSWER: Enlarged head
A newborn male is admitted to the nursery. He weighs 10 lb 2 oz, which is 2 lb more
than the birthweight of any of his siblings. What should the nurse do in relation to
the baby's weight? - ANSWER: Perform serial glucose readings
NEWBORN EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
How should the nurse assess a newborn's grasp reflex? - ANSWER: By pressing the
examining fingers against the palms of the newborn's hands
A client at 43 weeks' gestation has just given birth to an infant with typical
postmaturity characteristics. Which postmature signs does the nurse identify?
(Select all that apply.) - ANSWER: 1 Cracked and peeling skin
2 Long scalp hair and fingernails
5 Creases covering the neonate's full soles and palms
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents
that this vitamin is administered to: - ANSWER: Promote clotting of the blood
A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor
site on the scalp. For what complication should the nurse monitor this newborn? -
ANSWER: Infection
What should the nurse do when an apnea monitor sounds an alarm 10 seconds after
cessation of respirations? - ANSWER: Use tactile stimuli on the chest or extremities
Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome
when the laboratory report reveals: - ANSWER: An increased Paco 2 of 55 mm Hg
Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - ANSWER: 1 Small breast buds
2 Wrinkled thin skin
5 Pinnae that remain flat when folded
On the third postpartum day a mother visits the clinic and asks why her newborn's
skin has begun to appear yellow. The nurse explains that the change in her infant's
skin tone is the result of: - ANSWER: Breakdown of fetal red blood cells
A client at 36 weeks' gestation exhibits oligohydramnios. What newborn
complication should the nurse anticipate? - ANSWER: Intrauterine growth
restriction (IUGR)
A client has chosen not to have her son circumcised. What instruction should be
included in discharge teaching for the care of an uncircumcised neonate? - ANSWER:
Clean the penis with warm water at each diaper change.
,A nursing instructor provides education for the students on thermoregulation in the
nursery. The students determine that in the healthy full-term neonate, heat
production is accomplished by: - ANSWER: Metabolism of brown fat
At 10 hours of age a newborn has a large amount of mucus in the nasopharynx and
becomes cyanotic. What is the nurse's initial action? - ANSWER: Suctioning the
mouth
While a mother is inspecting her newborn she expresses concern that her baby's
eyes are crossed. How should the nurse respond? - ANSWER: "This is expected. Your
baby is trying to focus."
A nurse is caring for a preterm neonate with physiological jaundice who requires
phototherapy. What is the action of this therapy? - ANSWER: Breaks down the
bilirubin into a conjugated form
The mother of a newborn son tells the nurse that she is concerned about
circumcision because of the pain involved. What is the nurse's best response? -
ANSWER: "The health care provider will tell you how your baby's pain will be
controlled."
The nurse observes several dark round areas on a newborn's buttocks on a dark-
skinned neonate. How should this observation be documented? - ANSWER:
Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly found on the
back and buttocks of dark-skinned newborns; they are benign and fade gradually
over time.
While showing a new mother how to care for her infant's umbilical cord stump, the
nurse explains that the stump is a potential source of infection because: - ANSWER:
It contains exposed tissue and blood
The health care provider hands a neonate to a nurse immediately after birth. What
should the nurse do next for the newborn? - ANSWER: Dry and provide skin-to-skin
contact with the mother
-The priority is preventing heat loss; drying the newborn prevents heat loss
through evaporation, and skin-to-skin contact with the mother provides a warm
environment while promoting attachment.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - ANSWER: By suctioning the mouth before the nostrils
The parents of a newborn ask the nurse about several areas of deep-blue coloring on
their baby's lower back and buttocks. The nurse's response is based on the
, information that: - ANSWER: These areas usually are normal and will fade within the
first year.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological
jaundice). What clinical finding confirms this complication? - ANSWER: Jaundice that
develops in the first 12 to 24 hours
Supplemental oxygen is ordered for a preterm neonate with respiratory distress
syndrome (RDS). What action does the nurse take to reduce the possibility of
retinopathy of prematurity? - ANSWER: Verifying oxygen saturation frequently to
adjust flow on the basis of need
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - ANSWER: Suggest that she hold her baby
upright for 30 minutes after feeding
A newborn has small, whitish, pinpoint spots over the nose that are caused by
retained sebaceous secretions. When documenting this observation, a nurse
identifies them as: - ANSWER: Milia
-Milia are common, are not indicative of illness, and eventually disappear. Lanugo is
fine, downy hair.
What should the care of a newborn infant whose mother has had untreated syphilis
since the second trimester of pregnancy include? - ANSWER: Testing for congenital
syphilis
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - ANSWER: An injury to the brachial plexus
during birth
An infant born in the 36th week of gestation weighs 4 lb 3 oz (2062 g) and has Apgar
scores of 7 and 9. What nursing actions will be performed on the infant's admission
to the nursery? (Select all that apply.) - ANSWER: 1 Recording of vital signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature stable
Two days after birth a neonate's head circumference is 16 inches (40 cm) and the
chest circumference is 13 inches (32.5 cm). What does the nurse infer from these
measurements? - ANSWER: Enlarged head
A newborn male is admitted to the nursery. He weighs 10 lb 2 oz, which is 2 lb more
than the birthweight of any of his siblings. What should the nurse do in relation to
the baby's weight? - ANSWER: Perform serial glucose readings
