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

Bathing is delayed until the newborn's temperature is stable (≥36.5°C) to prevent cold stress and hypothermia; WHO recommends delaying the first bath ≥24 hours.

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

CCHD screening uses pulse oximetry on the right hand (preductal) and one foot (postductal); a difference >3% or reading <95% warrants further evaluation.

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

Cephalhematoma is a collection of blood between the periosteum and skull bone that does not cross suture lines, is firm to palpation, and appears within hours after birth.

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

Fewer than 1–2 wet diapers in the first 24–48 hours indicates inadequate fluid intake and possible dehydration, especially in breastfed infants.

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 is a protective biofilm that moisturizes newborn skin, has antimicrobial properties, and should be left in place or gently massaged into the skin.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Neonatal Assessment and Immediate Care 3