Clinical Assessment & Patient Care Flashcards
7 cards from real Low Risk Neonatal Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Assessment & Patient Care flashcards as text
A newborn at 1 minute has heart rate 110, slow irregular respirations, some limb flexion, grimace to stimulation, and a pink body with blue extremities. What is the Apgar score?
Answer: 6
HR>100 scores 2, and each of the other four categories scores 1, for a total of 6.
Jaundice visible within the first 24 hours of life should be considered:
Answer: Pathologic until proven otherwise
Jaundice in the first 24 hours is pathologic and requires prompt bilirubin measurement, often from hemolysis.
Which finding is most consistent with neonatal hypoglycemia?
Answer: Jitteriness and poor feeding
Jitteriness, lethargy, poor feeding, and hypotonia are common signs of low blood glucose in newborns.
What weight loss from birth weight in the first days is generally concerning in a breastfed newborn?
Answer: More than 10%
Loss above about 10% warrants feeding assessment and possible intervention, though up to 7-10% is common.
By day 5 of life, how many wet diapers per 24 hours indicate adequate hydration?
Answer: 6 or more
By about day 5, six or more wet diapers daily reflects adequate milk intake.
A scalp swelling that does NOT cross suture lines and appears several hours after birth is most likely:
Answer: Cephalohematoma
Cephalohematoma is a subperiosteal bleed limited by suture lines, unlike caput succedaneum.
What is a passing result for pulse oximetry screening for critical congenital heart disease?
Answer: SpO2 ≥ 95% in right hand or foot with ≤ 3% difference
A pass is SpO2 of 95% or higher in the right hand or either foot with a difference of 3% or less between them.
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