Maternal Newborn Nursing Test Neonatal Assessment and Immediate Care 2

Question 1

Which finding on newborn skin assessment is a normal variation that does NOT require intervention?

Accepted Answer

Erythema toxicum

Answer

Port-wine stain over the face

Answer

Pustular rash spreading rapidly

Answer

Pallor with mottling persisting beyond 2 hours

Question 2

What is the expected weight loss considered normal in a newborn during the first week of life?

Accepted Answer

Up to 7–10% of birth weight

Answer

Up to 15% of birth weight

Answer

Up to 3% of birth weight

Answer

No weight loss is normal

Question 3

A nurse is assessing gestational age using the Ballard score. Which neuromuscular maturity finding is expected in a full-term newborn (38–40 weeks)?

Accepted Answer

Arm recoil with brisk return to flexion

Answer

Arms remaining extended after release

Answer

Scarf sign with elbow easily past midline

Answer

Popliteal angle of 180 degrees

Question 4

A newborn has a yellow discoloration of the skin and sclerae at 18 hours of life. How should the nurse interpret this finding?

Accepted Answer

Pathological jaundice — notify the provider immediately

Answer

Normal physiological jaundice

Answer

Sign of adequate breastfeeding

Answer

Benign finding that resolves without treatment

Question 5

Which newborn measurement indicates macrosomia and increases risk for birth injuries?

Accepted Answer

Birth weight greater than 4,000 g (8 lb 13 oz)

Answer

Birth weight of 3,200 g (7 lb 1 oz)

Answer

Head circumference of 34 cm

Answer

Length of 50 cm

Question 6

Which newborn vital sign range is considered normal for a term newborn?

Accepted Answer

Heart rate 110–160 bpm, respiratory rate 30–60 breaths/min, temperature 36.5–37.5°C

Answer

Heart rate 80–100 bpm, respiratory rate 20–30 breaths/min, temperature 37.5–38.5°C

Answer

Heart rate 160–200 bpm, respiratory rate 60–80 breaths/min, temperature 36.0–36.5°C

Answer

Heart rate 100–120 bpm, respiratory rate 40–50 breaths/min, temperature 37.0–38.0°C