Low Risk Neonatal Nurse Exam Low Risk Neonatal Nurse Exam Thermoregulation & Neonatal Environment 3

Question 1

A newly admitted newborn has a temperature of 38.5°C (101.3°F) rectally. Which assessment is the most important first step?

Accepted Answer

Assess environmental temperature and whether the infant is overdressed or under a warmer set too high

Answer

Administer acetaminophen immediately

Answer

Order blood cultures and start antibiotics empirically

Answer

Apply cool wet cloths to reduce fever

Question 2

What is the purpose of applying a stockinette cap to a newborn immediately after birth?

Accepted Answer

To reduce radiant and convective heat loss from the large head surface area

Answer

To prevent contact dermatitis from vernix

Answer

To protect the fontanelles from injury

Answer

To signal which newborns are breastfeeding

Question 3

Which finding indicates that rewarming of a hypothermic newborn is proceeding safely?

Accepted Answer

Temperature rises by 0.5–1°C per hour with improving skin color and glucose stability

Answer

Temperature rises by 2°C per hour

Answer

Infant begins shivering and crying vigorously

Answer

Temperature normalizes within 15 minutes

Question 4

A nurse swaddles a newborn for discharge education. Which teaching point about swaddling is most important for safety?

Accepted Answer

Always place a swaddled infant on the back to sleep to reduce SIDS risk

Answer

Swaddling tightly around the hips prevents hip dysplasia

Answer

Swaddling prevents the Moro reflex from disrupting sleep permanently

Answer

Swaddle with extra blankets in winter to maintain warmth

Question 5

Which assessment parameter is monitored most closely when a newborn is under phototherapy for hyperbilirubinemia?

Accepted Answer

Temperature, hydration status, and bilirubin levels

Answer

Blood pressure every 2 hours

Answer

Continuous pulse oximetry only

Answer

Daily chest X-ray for fluid balance

Question 6

A nurse is educating parents on the home environment for their newborn. Which room temperature range is recommended?

Accepted Answer

68–72°F (20–22°C)

Answer

60–65°F (15.6–18.3°C)

Answer

76–80°F (24.4–26.7°C)

Answer

Above 80°F (26.7°C) to prevent cold stress