Pediatric Nurse Exam Pediatric Nurse Neonatal and Newborn Care 1

Question 1

What is the normal respiratory rate for a newborn?

Accepted Answer

30–60 breaths per minute

Answer

A normal newborn respiratory rate is 30–60 breaths per minute, which is higher than the adult range.

Question 2

Which component of the Apgar score assesses heart rate?

Accepted Answer

Pulse

Answer

The 'P' in the Apgar acronym stands for Pulse, which evaluates the newborn's heart rate at 1 and 5 minutes after birth.

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

An Apgar score of 7–10 indicates a vigorous newborn requiring only routine monitoring and care.

Question 4

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

Accepted Answer

Vitamin K

Answer

Vitamin K is given at birth because newborns have low clotting factor levels and are deficient in this vitamin, which is essential for blood coagulation.

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

Early feeding or oral dextrose gel is the first-line treatment for mild neonatal hypoglycemia before escalating to IV dextrose.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nurse Neonatal and Newborn Care 1