Maternal Newborn Nursing Test Newborn Assessment and Care 3

Question 1

A newborn has a cephalohematoma identified on assessment. Which statement about cephalohematoma is accurate?

Accepted Answer

It is a collection of blood between the periosteum and skull bone limited by suture lines

Answer

It crosses the suture lines of the skull

Answer

It is caused by molding of the skull during labor

Answer

It resolves within 24 hours after delivery

Question 2

The nurse assesses a newborn's respiratory rate as 68 breaths per minute consistently over 15 minutes. What condition does this most likely indicate?

Accepted Answer

Tachypnea suggesting respiratory distress

Answer

Normal respiratory rate for a newborn

Answer

Bradypnea requiring immediate resuscitation

Answer

Cheyne-Stokes breathing pattern

Question 3

A breastfed newborn has a bilirubin level of 18 mg/dL at 5 days of life. The pediatrician suspects breast milk jaundice. Which action is most appropriate?

Accepted Answer

Increase breastfeeding frequency to 10–12 times per day

Answer

Permanently discontinue breastfeeding

Answer

Temporarily interrupt breastfeeding for 24–48 hours and provide formula

Answer

Administer exchange transfusion immediately

Question 4

Which newborn screening test is mandatory in all US states and detects a condition that causes intellectual disability if untreated?

Accepted Answer

Phenylketonuria (PKU) blood spot screening

Answer

Cystic fibrosis sweat chloride test

Answer

Glucose-6-phosphate dehydrogenase test

Answer

Direct Coombs test

Question 5

A nurse is preparing to administer erythromycin ophthalmic ointment to a newborn. What is the purpose of this medication?

Accepted Answer

To provide prophylaxis against ophthalmia neonatorum from gonorrhea and Chlamydia

Answer

To prevent vitamin A deficiency and improve vision

Answer

To treat congenital cataracts

Answer

To reduce intraocular pressure in the newborn

Question 6

A newborn is assessed and found to have Erb's palsy. Which structure was most likely injured during delivery?

Accepted Answer

Brachial plexus at C5–C6 nerve roots

Answer

Cervical spinal cord at C3–C4

Answer

Facial nerve (cranial nerve VII)

Answer

Phrenic nerve at C3–C5