EVOLVE MATERNITY NEWBORN EXAM
2024-2025 / MATERNITY EVOLVE
NEWBORN EXAM ACTUAL EXAM 175
QUESTIONS AND CORRECT DETAILED
ANSWERS Latest Update
How should the nurse assess a newborn's grasp reflex?Latest UpdateBy pressing the
examining fingers against the palms of the newborn's handszz
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.)Latest
Update1 Cracked and peeling skin
2 Long scalp hair and fingernails
5 Creases covering the neonate's full soles and palmszz
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:Latest UpdatePromote clotting of the bloodzz
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?Latest UpdateInfectionzz
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What should the nurse do when an apnea monitor sounds an alarm 10 seconds after cessation
of respirations?Latest UpdateUse tactile stimuli on the chest or extremitieszz
Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome when the
laboratory report reveals:Latest UpdateAn increased Paco 2 of 55 mm Hgzz
Which characteristics should alert the nurse to conclude that a male newborn is a preterm
infant? (Select all that apply.)Latest Update1 Small breast buds
2 Wrinkled thin skin
5 Pinnae that remain flat when foldedzz
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:Latest UpdateBreakdown of fetal red blood cellszz
A client at 36 weeks' gestation exhibits oligohydramnios. What newborn complication should
the nurse anticipate?Latest UpdateIntrauterine growth restriction (IUGR)zz
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?Latest UpdateClean the penis
with warm water at each diaper change.zz
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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:Latest UpdateMetabolism of brown fatzz
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?Latest UpdateSuctioning the mouthzz
While a mother is inspecting her newborn she expresses concern that her baby's eyes are
crossed. How should the nurse respond?Latest Update"This is expected. Your baby is trying to
focus."zz
A nurse is caring for a preterm neonate with physiological jaundice who requires
phototherapy. What is the action of this therapy?Latest UpdateBreaks down the bilirubin into
a conjugated formzz
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?Latest Update"The health care
provider will tell you how your baby's pain will be controlled."zz
The nurse observes several dark round areas on a newborn's buttocks on a dark-skinned
neonate. How should this observation be documented?Latest UpdateMongolian spots
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-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.zz
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:Latest UpdateIt contains
exposed tissue and bloodzz
The health care provider hands a neonate to a nurse immediately after birth. What should the
nurse do next for the newborn?Latest UpdateDry 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.zz
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?Latest
UpdateBy suctioning the mouth before the nostrilszz
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