Obstetric Nurse Test Obstetric Nurse Newborn Assessment and Care 2

Question 1

A term newborn's axillary temperature is 36.0°C (96.8°F) at 2 hours of life. What is the nurse's priority intervention?

Accepted Answer

Place the newborn skin-to-skin with the mother and recheck in 30 minutes

Answer

Skin-to-skin contact (kangaroo care) is the safest, most effective first-line intervention for mild neonatal hypothermia in a stable newborn.

Question 2

Which finding on newborn skin assessment is considered a normal variant requiring no intervention?

Accepted Answer

Erythema toxicum neonatorum

Answer

Erythema toxicum is a benign, self-limiting newborn rash appearing in the first 1–3 days that requires no treatment.

Question 3

The nurse is teaching a new mother about newborn stool patterns. Which stool description is normal for a 3-day-old breastfed infant?

Accepted Answer

Transitional yellowish-green, loose, seedy

Answer

By day 3, breastfed infants transition from meconium to transitional stools that are yellowish-green, loose, and often seedy.

Question 4

When performing a newborn Ballard score assessment, which finding suggests a gestational age of approximately 40 weeks?

Accepted Answer

Full flexion of all four extremities at rest

Answer

Full flexion posture (score of 4 in posture) is characteristic of a term, 40-week newborn on the neuromuscular maturity scale.

Question 5

A newborn's bilirubin level at 24 hours of life is 8 mg/dL. The nurse's most appropriate action is to:

Accepted Answer

Notify the provider immediately as this is pathologic hyperbilirubinemia

Answer

Any bilirubin elevation visible in the first 24 hours of life is considered pathologic and requires immediate provider notification and evaluation.

Obstetric Nurse Test Practice Test