NSG 212 Unit 3 Revised Exam Questions with
Answers
1.What is the normal range for a newborn's heart rate? Temp? respirations?
a. HR: 80-120, T: 97.4-97.7; Resp: 12-20
b. HR: 110-160, T: 97.7-99.5; Respirations: 30-60
c. HR: 100-150; T: 97.0-98.0; Resp: 20-40: b. HR: 110-160, T: 97.7-99.5;
Respira-
tions: 30-60
2.The "First Period of Reactivity" begins after delivery and lasts
approximate- ly
a. 30 min
b. 2hrs
c. 8hrs: a. 30 min
3.The most critical step in newborn transition from intrauterine to
extrauterine life is:
a. Increase in HR
b. Initiation of respirations
c. First meconium stool: b. Initiation of respirations
4.A way to prevent neonatal heat loss from conduction would be to:
a. Move the bassinette away from the window
b. Put a blanket on the scale prior to weighing
c. Put a cap on baby's head immediately after delivery.: b. Put a blanket on
the scale prior to weighing
5.Pathologic jaundice may be:
a. Present at birth
b. Only in preemies
c. Seen after 24hrs of life: a. Present at birth
6.Vitamin K must be given to infants within one hour after birth because:
a. An infant's gut is sterile
b. It is the first immunization on the newborn schedule
c. It is necessary to produce first stool: a. An infant's gut is sterile
7.When should an APGAR score be assessed in a newborn?
a. Within first 12 hours of life
b. Prior to discharge home
c. At 1 minute and 5 minutes after birth: c. At 1 minute and 5 minutes after
birth
8.A caput succedaneum:
a. Should be worn immediately after delivery
,b. Does not cross cranial suture lines
c. Crosses cranial suture lines: c. Crosses cranial suture lines
9.What is the purpose of the Newborn Screen before the infant is
discharged home?
a. It screens for potential child abuse
b. It screens for genetic metabolic diseases
c. It screens for potential breastfeeding success.: b. It screens for
genetic metabolic diseases
10.Which reflex is stimulated on an infant's foot?
a. Moro
b. Galant
c. Babinski: c. Babinski
11.Newborns are most susceptible to cold stress in the period shortly
after birth.
TRUE or FALSE?: TRUE
12.Nonshivering thermogenesis results in heat production for the
newborn by:
A. releasing glycogen from the liver.
B. increasing muscle activity.
C. producing vasoconstriction.
D. metabolizing brown fat.: D. metabolizing brown fat.
13.A newborn placed by a nursery door in an open crib is subjected to
cool air currents each time the door is opened. This produces heat loss
primarily by:
a. radiation.
b. evaporation.
c. convection.
d. conduction.: c. convection.
14.Hypothermia increases the newborn's risk for hypoglycemia, jaundice
and sepsis.
TRUE or FALSE?: TRUE
15.Which of the following is considered a normal newborn axillary
tempera- ture, according to guidelines of the World Health Organization?
a. 37.8°C (100°F)
b. 36.5°C (97.7°F)
c. 36.2°C (97.1°F)
d. 35.6°C (96°F): b. 36.5°C (97.7°F)
16.Heat loss by evaporation is most effectively prevented by:
A. keeping the newborn's crib away from a cold wall.
B. warming the surface of the scale before placing the newborn on it.
,C. thoroughly drying the newborn immediately after birth.
D. putting a T-shirt and diaper on the newborn.: C. thoroughly drying the
newborn immediately after birth.
17.Skin-to-skin contact with the mother is an effective way to prevent
cold stress for the healthy, term newborn.
TRUE or FALSE?: TRUE
18.Preterm newborns are at high risk for cold stress due to all of the
following EXCEPT:
A. high ratio of surface area to body mass.
B. immature temperature-control mechanisms.
C. poor muscle tone.
D. increased glycogen stores.: D. increased glycogen stores.
19.The priority intervention for a healthy, term newborn with mild
hypothermia is to:
A. put an extra blanket over the newborn in the open crib.
B. feed 2 ounces of glucose water.
C. re-warm slowly in an incubator or radiant warmer.
D. do nothing, and re-check the temperature in one hour.: C. re-warm
slowly in an incubator or radiant warmer.
20.Hypothermia in the newborn results in which of the following
physiologic changes?
A. Increased oxygen needs and decreased metabolic rate
B. Increased oxygen needs and metabolic rate
C. Decreased oxygen needs and increased metabolic rate
D. Decreased oxygen needs and metabolic rate: B. Increased oxygen needs
and metabolic rate
21.Spontaneous recovery of arm function following BPI is most likely
with which of the following types of nerve injury?
a. rupture
b. avulsion
c. neuropraxia
d. neuroma: c. neuropraxia
22.The most common type of BPI is Erb's
palsy. TRUE or FALSE?: TRUE
23.Risk of BPI is increased with which of the following maternal
illnesses during pregnancy?
A. Rubella
B. Hepatitis A
C. Varicella
D. Genital herpes: C. Varicella
, 24.Due to a BPI, a newborn's arm is held close to her body, straight, and
is internally rotated, with flexion of the wrist and fingers. A grasp reflex
is
Answers
1.What is the normal range for a newborn's heart rate? Temp? respirations?
a. HR: 80-120, T: 97.4-97.7; Resp: 12-20
b. HR: 110-160, T: 97.7-99.5; Respirations: 30-60
c. HR: 100-150; T: 97.0-98.0; Resp: 20-40: b. HR: 110-160, T: 97.7-99.5;
Respira-
tions: 30-60
2.The "First Period of Reactivity" begins after delivery and lasts
approximate- ly
a. 30 min
b. 2hrs
c. 8hrs: a. 30 min
3.The most critical step in newborn transition from intrauterine to
extrauterine life is:
a. Increase in HR
b. Initiation of respirations
c. First meconium stool: b. Initiation of respirations
4.A way to prevent neonatal heat loss from conduction would be to:
a. Move the bassinette away from the window
b. Put a blanket on the scale prior to weighing
c. Put a cap on baby's head immediately after delivery.: b. Put a blanket on
the scale prior to weighing
5.Pathologic jaundice may be:
a. Present at birth
b. Only in preemies
c. Seen after 24hrs of life: a. Present at birth
6.Vitamin K must be given to infants within one hour after birth because:
a. An infant's gut is sterile
b. It is the first immunization on the newborn schedule
c. It is necessary to produce first stool: a. An infant's gut is sterile
7.When should an APGAR score be assessed in a newborn?
a. Within first 12 hours of life
b. Prior to discharge home
c. At 1 minute and 5 minutes after birth: c. At 1 minute and 5 minutes after
birth
8.A caput succedaneum:
a. Should be worn immediately after delivery
,b. Does not cross cranial suture lines
c. Crosses cranial suture lines: c. Crosses cranial suture lines
9.What is the purpose of the Newborn Screen before the infant is
discharged home?
a. It screens for potential child abuse
b. It screens for genetic metabolic diseases
c. It screens for potential breastfeeding success.: b. It screens for
genetic metabolic diseases
10.Which reflex is stimulated on an infant's foot?
a. Moro
b. Galant
c. Babinski: c. Babinski
11.Newborns are most susceptible to cold stress in the period shortly
after birth.
TRUE or FALSE?: TRUE
12.Nonshivering thermogenesis results in heat production for the
newborn by:
A. releasing glycogen from the liver.
B. increasing muscle activity.
C. producing vasoconstriction.
D. metabolizing brown fat.: D. metabolizing brown fat.
13.A newborn placed by a nursery door in an open crib is subjected to
cool air currents each time the door is opened. This produces heat loss
primarily by:
a. radiation.
b. evaporation.
c. convection.
d. conduction.: c. convection.
14.Hypothermia increases the newborn's risk for hypoglycemia, jaundice
and sepsis.
TRUE or FALSE?: TRUE
15.Which of the following is considered a normal newborn axillary
tempera- ture, according to guidelines of the World Health Organization?
a. 37.8°C (100°F)
b. 36.5°C (97.7°F)
c. 36.2°C (97.1°F)
d. 35.6°C (96°F): b. 36.5°C (97.7°F)
16.Heat loss by evaporation is most effectively prevented by:
A. keeping the newborn's crib away from a cold wall.
B. warming the surface of the scale before placing the newborn on it.
,C. thoroughly drying the newborn immediately after birth.
D. putting a T-shirt and diaper on the newborn.: C. thoroughly drying the
newborn immediately after birth.
17.Skin-to-skin contact with the mother is an effective way to prevent
cold stress for the healthy, term newborn.
TRUE or FALSE?: TRUE
18.Preterm newborns are at high risk for cold stress due to all of the
following EXCEPT:
A. high ratio of surface area to body mass.
B. immature temperature-control mechanisms.
C. poor muscle tone.
D. increased glycogen stores.: D. increased glycogen stores.
19.The priority intervention for a healthy, term newborn with mild
hypothermia is to:
A. put an extra blanket over the newborn in the open crib.
B. feed 2 ounces of glucose water.
C. re-warm slowly in an incubator or radiant warmer.
D. do nothing, and re-check the temperature in one hour.: C. re-warm
slowly in an incubator or radiant warmer.
20.Hypothermia in the newborn results in which of the following
physiologic changes?
A. Increased oxygen needs and decreased metabolic rate
B. Increased oxygen needs and metabolic rate
C. Decreased oxygen needs and increased metabolic rate
D. Decreased oxygen needs and metabolic rate: B. Increased oxygen needs
and metabolic rate
21.Spontaneous recovery of arm function following BPI is most likely
with which of the following types of nerve injury?
a. rupture
b. avulsion
c. neuropraxia
d. neuroma: c. neuropraxia
22.The most common type of BPI is Erb's
palsy. TRUE or FALSE?: TRUE
23.Risk of BPI is increased with which of the following maternal
illnesses during pregnancy?
A. Rubella
B. Hepatitis A
C. Varicella
D. Genital herpes: C. Varicella
, 24.Due to a BPI, a newborn's arm is held close to her body, straight, and
is internally rotated, with flexion of the wrist and fingers. A grasp reflex
is
