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

Heart rate <100=1, slow respirations=1, some flexion=1, grimace=1, acrocyanosis=1 — totaling an Apgar score of 6.

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

Central cyanosis in a breathing newborn warrants supplemental oxygen delivery (blow-by) and immediate reassessment to determine if further resuscitation is needed.

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

Nasal flaring and expiratory grunting are signs of respiratory distress in the newborn and require prompt medical evaluation.

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

The Moro reflex (symmetric arm extension/abduction followed by adduction) is present at birth and normally disappears by 3–4 months as cortical control matures.

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

A mildly low glucose of 38 mg/dL in an asymptomatic, feeding newborn is managed with continued breastfeeding and glucose recheck per protocol before escalating treatment.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Newborn Assessment and Care