Obstetric Nurse Newborn Assessment and Care Questions and Answers

Question 1

A nurse is assessing a newborn one minute after birth.
The findings include: heart rate of 110 bpm, a strong cry, active motion of all extremities, a grimace in response to suctioning, and a body that is pink with blue hands and feet.
What Apgar score should the nurse assign?

Accepted Answer

8

Answer

7

Answer

9

Answer

10

Question 2

During a newborn head-to-toe assessment, the nurse observes a soft, edematous area on the infant's scalp that extends across the suture lines. This finding is most consistent with which condition?

Accepted Answer

Caput succedaneum

Answer

Cephalohematoma

Answer

Molding

Answer

Subgaleal hemorrhage

Question 3

Which medication is administered prophylactically to a newborn shortly after birth to prevent ophthalmia neonatorum?

Accepted Answer

Erythromycin ophthalmic ointment

Answer

Phytonadione (Vitamin K)

Answer

Hepatitis B vaccine

Answer

Gentamicin sulfate

Question 4

A nurse is providing care to a term newborn immediately following delivery. To prevent heat loss through convection, which nursing intervention is most appropriate?

Accepted Answer

Keeping the newborn away from open windows and air vents.

Answer

Placing the newborn on a cold scale.

Answer

Thoroughly drying the newborn's skin.

Answer

Placing the newborn skin-to-skin with the mother.

Question 5

When assessing a newborn's reflexes, the nurse gently strokes the lateral aspect of the sole of the foot from the heel upward to the ball of the foot. Which response would indicate a normal Babinski reflex?

Accepted Answer

The toes hyperextend and fan out.

Answer

The toes curl downward and inward.

Answer

The infant pulls the foot away in response to the touch.

Answer

There is no discernible response from the toes.

Question 6

A nurse is assessing a 12-hour-old newborn and notes a yellowish tinge to the skin and sclera. This finding is most concerning for which of the following conditions?

Accepted Answer

Pathologic jaundice

Answer

Physiologic jaundice

Answer

Acrocyanosis

Answer

Erythema toxicum

Obstetric Nurse Newborn Assessment and Care Questions and Answers

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