Pediatric Nurse Exam Pediatric Nurse Neonatal and Newborn Care

Question 1

What is the normal respiratory rate for a newborn?

Accepted Answer

30–60 breaths per minute

Answer

12–20 breaths per minute

Answer

60–80 breaths per minute

Answer

20–30 breaths per minute

Question 2

Which component of the Apgar score assesses heart rate?

Accepted Answer

Pulse

Answer

Grimace

Answer

Activity

Answer

Appearance

Question 3

A newborn's Apgar score is 8 at 5 minutes. What is the most appropriate nursing response?

Accepted Answer

Continue routine observation and monitoring

Answer

Begin immediate resuscitation

Answer

Transfer to the NICU at once

Answer

Administer oxygen via bag-mask ventilation

Question 4

Which vitamin is administered intramuscularly to all newborns at birth to prevent hemorrhagic disease?

Accepted Answer

Vitamin K

Answer

Vitamin D

Answer

Vitamin A

Answer

Vitamin E

Question 5

What is the priority nursing intervention for a newborn with confirmed hypoglycemia and a blood glucose of 38 mg/dL?

Accepted Answer

Initiate early feeding or administer oral glucose gel

Answer

Immediately insert a peripheral IV for dextrose

Answer

Place under a radiant warmer and recheck in 1 hour

Answer

Obtain a blood culture before treating

Question 6

A newborn has not passed meconium within 48 hours of birth. Which condition should the nurse suspect?

Accepted Answer

Hirschsprung disease

Answer

Pyloric stenosis

Answer

Intussusception

Answer

Gastroesophageal reflux disease