NSG
NSG 3500 / NSG3500 E XAM 4: (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MATERNAL
HEALTH GUIDE| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)- GALEN
The head and chest measurements may be equal during the first few days of life. T/F? - ANS
✓True
How do we measure chest circumference? - ANS ✓Place measurement tape on nipple line
and wrap around entire thoracic area
How do we measure abdominal circumference? - ANS ✓- place tape above umbilicus and
circle infants' body
- abdomen should be same size as chest
What is the Ballard score? - ANS ✓- simplified score for assessment of fetal maturation of
newborns
- measures neuromuscular and physical maturity
- done within first 12 hours of life
What is the vernix caseosa? - ANS ✓- thick, white creamy material found in term infants
- covers large areas of skin in preterm infants
- skin protectant
I am a normal newborn trANSient rash, may start on face and spread to rest of body, persists
up to one month, no treatment needed. What am I? - ANS ✓Erythema toxicum
What does the nevi (stork bite) and mongolian spot usually disappear? - ANS ✓2 yrs
*gets more red when baby cries, usually behind the neck
In pre-term babies, ________ lanugo is present. In post-term, skin is tough, leathery, cracked,
and peeling. - ANS ✓more
Fontanelles should be soft and flat. A bulging fontanelle is a sign of what condition? What
about sunken fontanelles? - ANS ✓Increased ICP
Dehydration
What are Epstein pearls? - ANS ✓Small white cysts found on the hard palate of newborns.
Disappears within a few weeks.
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What is a Simian crease? - ANS ✓A single crease on the hand, it can be normal or can be a
sign of downs syndrome.
A dimple or tuft of hair at the top of the buttcrack can be a sign of? - ANS ✓Neural tube
defect
Do not circumcise with? - ANS ✓Hypospadias
No petroleum ointment is used after which type of circumcision sx? - ANS ✓PlastiBell
device
What are nursing considerations for circumcision? - ANS ✓- V/S every 30 min for 2 hrs
- evaluate first void and bleeding afterwards (biggest risk)
- teach parents to apply petroleum ointment as indicated and on S/S of infection
- diaper shouldn't be too loose or too tight
- therapeutic touch is beneficial for these infants in reducing pain
What is Dubowitz score? - ANS ✓Physical assessment of the neonate (after birth) to
determine the true gestational age.
A slanted low-set ear can be an indicator of? - ANS ✓Chromosomal abnormalities
What is it called when changes to the shape of the newborn head occurs and cranial bones
overlap? It is temporary and resolves within a few days. - ANS ✓Molding
A caput involves edema that crosses the suture line. A cephalohematoma also crosses the
suture line. T/F? - ANS ✓Cephalohematomas do not cross the suture line and are usually one
sided.
We do not circumicise with this condition: - ANS ✓hypospadias.
This reflex occurs when baby is supine and extend their arm and leg on the side to which
their head and jaw are turned to while flexing the the arm and leg on the opposite side. What
reflex is this? - ANS ✓Tonic neck or fencing reflex
This reflex occurs when baby is in prone position and the vertebral column is stroked. The
baby should respond to this stimuli by moving their buttocks in a curving motion toward the
side that is being stroked. What reflex is this? - ANS ✓Gallant reflex
What are nursing considerations for cord care? - ANS ✓- make sure there is 2 arteries and 1
vein
- avoid lotions or creams
- cord clamp stays on for 24 hrs
- fold and position diaper below cord stump
- sponge baths only until cord falls off
- keep area free from urine and wetness