Maternal Newborn Nursing Test Neonatal Assessment and Immediate Care 3

Question 1

A nurse is preparing to give a newborn the first bath. Which condition must be met before the bath is given?

Accepted Answer

The newborn's temperature must be stable at 36.5°C or above for at least 1 hour

Answer

The newborn must be at least 12 hours old

Answer

The newborn must have passed the first meconium stool

Answer

The provider must write a bath order

Question 2

Which newborn screening test, performed before hospital discharge, detects critical congenital heart defects (CCHD)?

Accepted Answer

Pulse oximetry screening on the right hand and either foot

Answer

12-lead electrocardiogram

Answer

Chest X-ray

Answer

Echocardiogram

Question 3

A nurse assesses a large bruise over the occiput of a newborn's head that does not cross the suture line and is firm to touch. This finding is consistent with which condition?

Accepted Answer

Cephalhematoma

Answer

Caput succedaneum

Answer

Subdural hematoma

Answer

Molding

Question 4

Which finding in a newborn's urinary output during the first 48 hours is a concern for dehydration?

Accepted Answer

Fewer than 1–2 wet diapers in 24 hours

Answer

6–8 wet diapers in 24 hours

Answer

Pale yellow urine

Answer

Uric acid crystals (brick-red staining) on the diaper

Question 5

A nurse notes a white, cheese-like substance covering a newborn's skin. What is this substance and what should the nurse do?

Accepted Answer

Vernix caseosa — leave it in place as it protects the skin and promotes colonization with beneficial bacteria

Answer

Vernix caseosa — remove it completely with the first bath

Answer

Milia — apply moisturizing lotion

Answer

Lanugo — document only, no action needed

Question 6

Which assessment finding in a male newborn requires notification of the provider?

Accepted Answer

Undescended testicle (cryptorchidism)

Answer

Smegma beneath the foreskin

Answer

Rugae on the scrotum

Answer

Testes palpable in the inguinal canal