Maternal Newborn Nursing Test Newborn Assessment and Care

Question 1

At 1 minute of life, a newborn has a heart rate of 98 bpm, slow irregular respirations, some flexion of extremities, a grimace in response to stimulation, and a pink body with blue extremities.
What is the Apgar score?

Accepted Answer

6

Answer

5

Answer

7

Answer

8

Question 2

A term newborn is delivered and placed on the mother's abdomen. The nurse's initial assessment reveals the baby is breathing but has central cyanosis. What is the priority action?

Accepted Answer

Administer blow-by oxygen and reassess within 60 seconds

Answer

Begin chest compressions immediately

Answer

Stimulate the infant vigorously by rubbing the back

Answer

Transfer to the NICU without delay

Question 3

The nurse is performing a newborn assessment at 2 hours of life. Which finding requires immediate notification of the healthcare provider?

Accepted Answer

Nasal flaring and expiratory grunting

Answer

Respiratory rate of 52 breaths per minute

Answer

Milia on the nose and cheeks

Answer

Lanugo on the shoulders and back

Question 4

Which normal newborn reflex disappears by approximately 3–4 months of age and indicates intact neurological function at birth?

Accepted Answer

Moro (startle) reflex

Answer

Babinski reflex

Answer

Plantar grasp reflex

Answer

Rooting reflex

Question 5

A newborn's blood glucose is 38 mg/dL at 2 hours of life. The infant is alert and breastfeeding well. What is the appropriate nursing intervention?

Accepted Answer

Encourage breastfeeding and recheck glucose in 30–60 minutes

Answer

Initiate IV dextrose immediately

Answer

Transfer to NICU for monitoring

Answer

Administer glucagon intramuscularly

Question 6

When performing a gestational age assessment using the Ballard scale, which physical characteristic would indicate a post-term newborn?

Accepted Answer

Smooth, peeling skin with little vernix caseosa

Answer

Abundant lanugo covering the body

Answer

Soft, flat ear cartilage

Answer

Fused eyelids