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

Erythema toxicum neonatorum is a benign, self-limiting rash of unknown cause appearing in 30–70% of full-term newborns and requires no treatment.

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

Newborns typically lose up to 7–10% of birth weight in the first few days due to fluid shifts and meconium passage; birth weight is usually regained by 10–14 days.

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

Full-term newborns demonstrate active flexion tone, so when the arm is extended and released, it quickly returns to the flexed position (brisk arm recoil).

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

Jaundice appearing within the first 24 hours of life is always pathological (e.g., hemolytic disease) and requires immediate evaluation and treatment to prevent kernicterus.

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

Macrosomia is defined as birth weight >4,000 g and is associated with increased risk of shoulder dystocia, fractures, and brachial plexus injury during delivery.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Neonatal Assessment and Immediate Care 2