Evolve Maternity – Newborn Exam Questions
And Answers Verified 100% Correct
A small-for-gestational-age (SGA) newborn who has just been admitted to the nursery
has a high-pitched cry, appears jittery, and exhibits irregular respirations. What
complication does the nurse suspect? - ANSWER- Hypoglycemia
What should the nurse recommend to a new mother when teaching her about the care
of the umbilical cord area? - ANSWER- Leave the area untouched or clean with soap
and water, then pat it dry.
What should the nurse do to enhance a neonate's behavioral development? -
ANSWER- Help the parents stimulate their awake baby through touch, sound, and sight
A 1-day-old newborn has just expelled a thick, greenish-black stool. The nurse
determines that this is the first stool. What should the nurse do next? - ANSWER-
Document the stool in the infant's record
A nurse prepares to administer vitamin K to a newborn. Why is vitamin K given
specifically to newborns? - ANSWER- A newborn's intestinal tract does not synthesize it
for several days after birth.
During assessment of a newborn, a practitioner diagnoses cephalhematoma and
informs the parents. The mother asks why her baby's head looks different. What does
the nurse take into consideration before responding in terms that the mother will
understand? - ANSWER- Swelling that is confined to one part of the scalp is caused by
hemorrhage beneath the periosteum.
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is
the priority nursing intervention for the newborn? - ANSWER- Suctioning the airway
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - ANSWER- Screening for phenylketonuria
The parents of a newborn tell the nurse that they do not want their infant's eyes treated
with a prophylactic agent. How should the nurse respond? - ANSWER- "You'll have to
sign an informed consent to refuse the treatment."
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
ANSWER- "Recovery usually occurs in about 3 months."
,A male born at 28 weeks' gestation weighs 2 lb 12 oz. What characteristic does the
nurse expect to observe? - ANSWER- Transparent red skin
An infant is born in the breech position and diagnosed with Erb palsy (Erb-Duchenne
paralysis). What clinical manifestation supports this conclusion? - ANSWER- Flaccid
arm with the elbow extended on the affected side
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? - ANSWER- 8
A nurse in the newborn nursery is monitoring an infant for jaundice related to ABO
incompatibility. What blood type does the mother usually have to cause this
incompatibility? - ANSWER- O
A newborn male is being discharged 4 hours after having had a circumcision. What
should the nurse instruct the mother to do? - ANSWER- Apply the diaper loosely for
several days
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
before planning nursing care? - ANSWER- "What is the baby's daily schedule?"
Vitamin K (Aquamephyton) is to be given to a newborn to aid clotting. Click on the area
where the injection will be administered. - ANSWER- The reason for using the vastus
lateralis is that the site does not contain major nerves or blood vessels. Other sites,
such as the ventrogluteal, which is not used until a child has been walking for 1 year,
carry risks. The vastus lateralis muscle, middle third, is the site of choice. Either leg may
be used.
Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. What condition of the
newborn is associated with hydramnios? - ANSWER- Esophageal atresia
A mother whose newborn infant son has a cleft lip and palate asks how to feed her baby
because he has difficulty suckling. What information should the nurse provide
concerning safe feeding technique for this infant? - ANSWER- "Give him brief rest
periods and frequent burpings during feedings so he can get rid of swallowed air."
A nurse notes that a healthy newborn is lying in the supine position with the head turned
to the side with the legs and arms extended on the same side and flexed on the
opposite side. Which reflex does the nurse identify? - ANSWER- Tonic neck
, On her first postpartum day, a client asks the nurse whether her baby has had a test for
phenylketonuria (PKU) yet. How should the nurse reply? - ANSWER- "The test won't be
done until your baby has had enough milk for the results to be accurate."
-The PKU test cannot be done until the newborn has ingested a high-phenylalanine
(formula or breast milk) diet for at least 24 hours.
What does the nurse expect concerning the alveoli in the lungs of a 28-week-gestation
neonate? - ANSWER- They have a tendency to collapse with each breath
One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140
beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended.
What Apgar score should the nurse assign to the newborn? Record your ANSWER
using a whole number. ___ - ANSWER- 8
Which parts of a newborn's body are usually affected by the rash erythema toxicum
neonatorum? Select all that apply. - ANSWER- A face
D trunk
E buttocks
During a newborn assessment the nurse counts the infant's cord vessels. What does
the nurse expect to observe in a healthy newborn? - ANSWER- Three vessels: one vein
and two arteries
A nurse is observing a newborn's respiratory rate. What clinical findings indicate that the
rate is within the expected range? - ANSWER- Irregular, abdominal, 30 to 60/min
-The expected breathing pattern is abdominal and irregular in rhythm and depth
(alternating between shallow and deep); the expected rate ranges from 30 to 60
breaths/min.Newborns' respirations are irregular and abdominal.
The nurse is caring for a newborn with caput succedaneum. The nurse is able to
differentiate caput succedaneum from cephalhematoma because caput succedaneum
features scalp edema that: - ANSWER- Crosses the suture line
Shortly after birth a newborn is found to have Erb's palsy. What condition does the
nurse suspect caused this problem? - ANSWER- Injury to brachial plexus during birth
A couple arrives at the newborn nursery asking to take their newborn grandson to his
mother's room. What is the best response by the nurse? - ANSWER- "Please go on to
see your daughter. I'll bring the baby to her room."
And Answers Verified 100% Correct
A small-for-gestational-age (SGA) newborn who has just been admitted to the nursery
has a high-pitched cry, appears jittery, and exhibits irregular respirations. What
complication does the nurse suspect? - ANSWER- Hypoglycemia
What should the nurse recommend to a new mother when teaching her about the care
of the umbilical cord area? - ANSWER- Leave the area untouched or clean with soap
and water, then pat it dry.
What should the nurse do to enhance a neonate's behavioral development? -
ANSWER- Help the parents stimulate their awake baby through touch, sound, and sight
A 1-day-old newborn has just expelled a thick, greenish-black stool. The nurse
determines that this is the first stool. What should the nurse do next? - ANSWER-
Document the stool in the infant's record
A nurse prepares to administer vitamin K to a newborn. Why is vitamin K given
specifically to newborns? - ANSWER- A newborn's intestinal tract does not synthesize it
for several days after birth.
During assessment of a newborn, a practitioner diagnoses cephalhematoma and
informs the parents. The mother asks why her baby's head looks different. What does
the nurse take into consideration before responding in terms that the mother will
understand? - ANSWER- Swelling that is confined to one part of the scalp is caused by
hemorrhage beneath the periosteum.
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is
the priority nursing intervention for the newborn? - ANSWER- Suctioning the airway
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - ANSWER- Screening for phenylketonuria
The parents of a newborn tell the nurse that they do not want their infant's eyes treated
with a prophylactic agent. How should the nurse respond? - ANSWER- "You'll have to
sign an informed consent to refuse the treatment."
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
ANSWER- "Recovery usually occurs in about 3 months."
,A male born at 28 weeks' gestation weighs 2 lb 12 oz. What characteristic does the
nurse expect to observe? - ANSWER- Transparent red skin
An infant is born in the breech position and diagnosed with Erb palsy (Erb-Duchenne
paralysis). What clinical manifestation supports this conclusion? - ANSWER- Flaccid
arm with the elbow extended on the affected side
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? - ANSWER- 8
A nurse in the newborn nursery is monitoring an infant for jaundice related to ABO
incompatibility. What blood type does the mother usually have to cause this
incompatibility? - ANSWER- O
A newborn male is being discharged 4 hours after having had a circumcision. What
should the nurse instruct the mother to do? - ANSWER- Apply the diaper loosely for
several days
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
before planning nursing care? - ANSWER- "What is the baby's daily schedule?"
Vitamin K (Aquamephyton) is to be given to a newborn to aid clotting. Click on the area
where the injection will be administered. - ANSWER- The reason for using the vastus
lateralis is that the site does not contain major nerves or blood vessels. Other sites,
such as the ventrogluteal, which is not used until a child has been walking for 1 year,
carry risks. The vastus lateralis muscle, middle third, is the site of choice. Either leg may
be used.
Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. What condition of the
newborn is associated with hydramnios? - ANSWER- Esophageal atresia
A mother whose newborn infant son has a cleft lip and palate asks how to feed her baby
because he has difficulty suckling. What information should the nurse provide
concerning safe feeding technique for this infant? - ANSWER- "Give him brief rest
periods and frequent burpings during feedings so he can get rid of swallowed air."
A nurse notes that a healthy newborn is lying in the supine position with the head turned
to the side with the legs and arms extended on the same side and flexed on the
opposite side. Which reflex does the nurse identify? - ANSWER- Tonic neck
, On her first postpartum day, a client asks the nurse whether her baby has had a test for
phenylketonuria (PKU) yet. How should the nurse reply? - ANSWER- "The test won't be
done until your baby has had enough milk for the results to be accurate."
-The PKU test cannot be done until the newborn has ingested a high-phenylalanine
(formula or breast milk) diet for at least 24 hours.
What does the nurse expect concerning the alveoli in the lungs of a 28-week-gestation
neonate? - ANSWER- They have a tendency to collapse with each breath
One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140
beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended.
What Apgar score should the nurse assign to the newborn? Record your ANSWER
using a whole number. ___ - ANSWER- 8
Which parts of a newborn's body are usually affected by the rash erythema toxicum
neonatorum? Select all that apply. - ANSWER- A face
D trunk
E buttocks
During a newborn assessment the nurse counts the infant's cord vessels. What does
the nurse expect to observe in a healthy newborn? - ANSWER- Three vessels: one vein
and two arteries
A nurse is observing a newborn's respiratory rate. What clinical findings indicate that the
rate is within the expected range? - ANSWER- Irregular, abdominal, 30 to 60/min
-The expected breathing pattern is abdominal and irregular in rhythm and depth
(alternating between shallow and deep); the expected rate ranges from 30 to 60
breaths/min.Newborns' respirations are irregular and abdominal.
The nurse is caring for a newborn with caput succedaneum. The nurse is able to
differentiate caput succedaneum from cephalhematoma because caput succedaneum
features scalp edema that: - ANSWER- Crosses the suture line
Shortly after birth a newborn is found to have Erb's palsy. What condition does the
nurse suspect caused this problem? - ANSWER- Injury to brachial plexus during birth
A couple arrives at the newborn nursery asking to take their newborn grandson to his
mother's room. What is the best response by the nurse? - ANSWER- "Please go on to
see your daughter. I'll bring the baby to her room."
