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
The Moro reflex normally disappears by approximately what age?
Answer: 4-6 months
The Moro (startle) reflex generally fades by 4-6 months of age.
An asymmetric Moro reflex in a newborn should raise suspicion for:
Answer: Clavicle fracture or brachial plexus injury
Unequal arm movement may signal a fractured clavicle or brachial plexus palsy after a difficult delivery.
Which finding is a common early sign of neonatal sepsis?
Answer: Temperature instability
Early sepsis is often nonspecific, with temperature instability, lethargy, poor feeding, and respiratory changes.
A newborn develops blotchy red macules with a pale yellow center on day 2, and is otherwise well. This is most consistent with:
Answer: Erythema toxicum neonatorum
Erythema toxicum is a benign, self-resolving rash that appears at 24-72 hours of life.
Blue-gray patches over the sacrum and buttocks of a dark-skinned newborn are most likely:
Answer: Congenital dermal melanocytosis (Mongolian spots)
These are benign pigmented birthmarks that should be documented to avoid being mistaken for bruising.
Which combination indicates respiratory distress in a newborn?
Answer: Grunting, nasal flaring, and retractions
Grunting, flaring, and chest retractions show increased work of breathing and need prompt evaluation.
A normal umbilical cord contains how many vessels?
Answer: Two arteries and one vein
The normal cord has two arteries and one vein; a single umbilical artery may be associated with anomalies.
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