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    Exam Review

    1. A nurse is providing newborn nutrition education to new parents.The nurse will include which of the following as a sign (cue) of feeding readiness?
      A)
      The infant stretches their arms out and then back in toward their body.
      B)
      The infant turns their head toward their parent’s voice.
      C)
      The infant grasps the parent’s finger when placed in the infant’s palm.
      D)
      The infant brings their hand to their mouth.
    2. Which of the following statements accurately describes a characteristic of the newborn immune system?
      A)
      Newborns are born with fully developed immune responses capable of independently fighting infections from birth.
      B)
      Newborns have a mature gut microbiome that supports their immune system immediately after birth.
      C)
      Newborns rely solely on their innate immune system without any contribution from maternal antibodies.
      D)
      Newborns receive passive immunity through the placenta and colostrum, but their own immune system is not fully functional until several months of age.
    3. A nursery nurse is admitting a neonate and is performing the neonatal assessment.The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening.What is the next appropriate action should the nurse take?
      A)
      Ask another nurse to verify the heart rate as this is an abnormal finding.
      B)
      Call the provider and request they come to the hospital immediately for this abnormal finding to further assess the neonate.
      C)
      Prepare the newborn for transport to the NICU for further cardiac observation.
      D)
      Document the expected finding.
    4. A nurse is teaching a newborn’s parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?
      A)
      Wipe the cord daily with alcohol prep pads.
      B)
      Keep the cord moist.
      C)
      Fold the top of the diaper underneath the cord.
      D)
      Apply petroleum jelly to the cord stump.
    Page 1 of 8

    Exam Review

    1. A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
      A)
      Placing your child on her back when sleeping will decrease the risk of SIDS.
      B)
      SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.
      C)
      SIDS rates have been rising over the last 10 years.
      D)
      Sleep apnea is the main cause of SIDS.
    2. A nurse is caring for a newborn and assessing newborn reflexes.To elicit the Babinski reflex, the nurse should take which of the following actions?
      A)
      Tickle the outer edge of the sole of the newborn’s foot moving up toward the toes.
      B)
      Turn the newborn’s head quickly to one side.
      C)
      Hold the newborn vertically allowing one foot to touch the table surface.
      D)
      Clap near the crib and make a loud noise.
    3. A nurse is assessing a newborn 1 hour after birth.Which of the following respiratory rates is within the expected reference range for a newborn?
      A)
      110/min.
      B)
      100/min.
      C)
      24/min.
      D)
      60/min.
    4. A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?
      A)
      Inwardly turned foot on the affected side.
      B)
      Gluteal folds are asymmetrical.
      C)
      Absence of Babinski sign.
      D)
      Absence of stepping reflex.
    Page 2 of 8

    Exam Review

    1. The nurse is preparing to teach the postpartum mom about newborn feeding cues.Which of the following behaviors of the infant would be considered early hunger cues? Select all that apply.
      (SATA)
      A)
      Sucking on their fingers.
      B)
      Smacking their lips.
      C)
      Extending their tongue.
      D)
      Crying.
      E)
      Rooting.
    2. A nurse in the newborn nursery is caring for a group of newborns.Which of the following newborns requires immediate intervention?
      A)
      A newborn who is 12 hours post-delivery and has a temperature of 37.0°C (98.6°F).
      B)
      A newborn who is 27 hours post-delivery and has not voided.
      C)
      A newborn who is 18 hours post-delivery and has not passed meconium.
      D)
      A newborn who is 18 hours post-delivery and has acrocyanosis.
    3. A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?
      A)
      Small for gestational age (SGA).
      B)
      Appropriate (average) for gestational age (AGA).
      C)
      Low birth weight.
      D)
      Large for gestational age (LGA).
    4. The nurse is caring for a newborn one hour after delivery.Which of the following assessment findings does the nurse identify as signs of respiratory distress? (Select all that apply)
      A)
      Flexion of arms.
      B)
      Caput succedaneum.
      C)
      Heart rate 158 bpm.
      D)
      Respiratory rate 66/min.
      E)
      Acrocyanosis.
      F)
      Subcostal retractions.
      G)
      Nasal flaring.
      H)
      Grunting.
    Page 3 of 8

    Exam Review

    1. A nursery nurse is caring for a newborn who was born 2 hours ago.Upon review of the prenatal records, the nurse notes the following prenatal panel results: A positive, Hepatitis B positive, RPR negative, Rubella immune, HIV negative, GBS positive.In addition to Vitamin K and Erythromycin ophthalmic ointment, what injection(s) should the newborn receive?
      A)
      Hepatitis B vaccine only, administered within 1 hour of birth.
      B)
      Hepatitis B vaccine and Hepatitis B immunoglobulin administered within 12 hours of delivery.
      C)
      Hepatitis B immunoglobulin (HBIG) only, administered within 12 hours of birth.
      D)
      Hepatitis B immunoglobulin (HBIG) within 12 hours, followed by hepatitis B vaccine monthly for 12 months.
    2. A nurse is completing a full assessment of a newborn at 4 hours of life. For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding. Note: each column must have at least one response option selected.
      A)
      Milia
      B)
      Barrel-shaped chest
      C)
      Respiratory rate 66/min
      D)
      Acrocyanosis present
      E)
      Polydactyly
    3. A nurse places a newborn under a radiant heat warmer after birth.The purpose of this action is to prevent which of the following in the newborn?
      A)
      Shivering.
      B)
      Cold stress.
      C)
      Brown fat production.
      D)
      Basal metabolic rate reduction.
    4. A nurse is assessing a newborn who was born at 42.5 weeks of gestation.Which of the following findings should the nurse expect?
      A)
      Faint red marks on the plantar surface.
      B)
      Copious vernix.
      C)
      Dry, cracked skin.
      D)
      Scant scalp hair.
    Page 4 of 8

    Exam Review

    1. A nurse on the labor and delivery unit is caring for a newborn immediately following birth.Which of the following actions by the nurse caring for the newborn reduces heat loss by evaporation?
      A)
      Drying the newborn’s skin thoroughly.
      B)
      Maintaining ambient room temperature at 24°C (75°F).
      C)
      Placing the newborn on a warm surface.
      D)
      Preventing air drafts.
    2. A nurse is caring for a newborn delivered by vaginal birth after 3 hours of pushing.The newborn’s mother asks about the swollen area on her son’s head.After palpation and identification that the swelling does cross the suture line, which of the following is an appropriate response by the nurse?
      A)
      “This is erythema toxicum, which is a transient condition.”.
      B)
      “A caput succedaneum occurs due to prolonged pressure of the head against the cervix.”.
      C)
      “Mongolian spots can be found on the skin of many newborns.”.
      D)
      “This is a cephalhematoma, which can occur spontaneously.”. .
    3. A nurse is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn.Which route and dose should the nurse apply?
      A)
      Apply 1-2 cm ribbon from outer to inner canthus.
      B)
      Apply 2-3 inch ribbon from inner to outer canthus.
      C)
      Apply 1-2 cm ribbon from inner to outer canthus.
      D)
      Apply 1-2 inch ribbon to upper eyelid.
    4. A nurse is caring for a newborn and calculating the Apgar score. At 1 minute after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry; flexed extremities; cries in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn’s Apgar score.
    Page 5 of 8

    Exam Review

    1. A nurse is preparing to administer 1 mg Phytonadione to a neonate. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)
    2. A nurse is providing discharge instructions for newborn care.The parents have chosen to formula feed their infant.What should the nurse include in the discharge teaching about bottle feeding? (Select all that apply)
      A)
      Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water.
      B)
      Hold the baby in a supine position during feedings.
      C)
      Only burp the baby after they have finished the entire feeding.
      D)
      Do not prop the bottle.
      E)
      Keep the nipple full of formula throughout the feeding.
      F)
      Prepared formula can be kept in the refrigerator for 48 hours.
    3. The nursery nurse is receiving a report on her assigned 4 neonates.Which of the following conditions is high risk for unconjugated bilirubin and jaundice?
      A)
      Microcephaly.
      B)
      Polydactyly.
      C)
      Caput succedaneum.
      D)
      Cephalohematoma.
    4. A nurse is caring for a newborn whose mother has diabetes mellitus.The nurse should recognize which of the following potential newborn complications as the priority focus of care?
      A)
      Hyperbilirubinemia.
      B)
      Hypomagnesemia.
      C)
      Hypocalcemia.
      D)
      Hypoglycemia.
    Page 6 of 8