NEWBORN SAUNDERS NCLEX
CERTIFICATION TEST PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
●● The mother of a newborn calls the clinic and reports that when
cleaning the umbilical cord, she noticed that the cord was moist and that
discharge was present. What is the most appropriate nursing instruction
for this mother?
1.
Bring the infant to the clinic.
2.
This is a normal occurrence.
3.
Increase the number of times that the cord is cleaned per day.
4.
Monitor the cord for another 24 to 48 hours and call the clinic if the
discharge continues.. Answer: 1
,Symptoms of umbilical cord infection are moistness, oozing, discharge,
and a reddened base around the cord. If symptoms of infection occur, the
client should be instructed to notify a health care provider (HCP). If
these symptoms occur, antibiotics may be necessary. Options 2, 3, and 4
are inappropriate nursing interventions for the description given in the
question.
●● The nurse is assessing a newborn after circumcision and notes that
the circumcised area is red with a small amount of bloody drainage.
Which nursing action is most appropriate?
1.
Apply gentle pressure.
2.
Reinforce the dressing.
3.
Document the findings.
4.
Contact the health care provider (HCP).. Answer: 3
,The penis is normally red during the healing process after circumcision.
A yellow exudate may be noted in 24 hours, and this is part of normal
healing. The nurse would expect that the area would be red with a small
amount of bloody drainage. Only if the bleeding were excessive would
the nurse apply gentle pressure with a sterile gauze. If bleeding cannot
be controlled, the blood vessel may need to be ligated, and the nurse
would notify the health care provider. Because the findings identified in
the question are normal, the nurse would document the assessment
findings.
●● The nurse in a newborn nursery is monitoring a preterm newborn for
respiratory distress syndrome. Which assessment findings would alert
the nurse to the possibility of this syndrome?
1.
Tachypnea and retractions
2.
Acrocyanosis and grunting
3.
Hypotension and bradycardia
4.
Presence of a barrel chest and acrocyanosis. Answer: 1
, A newborn infant with respiratory distress syndrome may present with
clinical signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall
retractions, or audible grunts. Acrocyanosis, a bluish discoloration of the
hands and feet, is associated with immature peripheral circulation, and is
common in the first few hours of life. Options 2, 3, and 4 do not indicate
clinical signs of respiratory distress syndrome.
●● The postpartum nurse is providing instructions to the mother of a
newborn with hyperbilirubinemia who is being breast-fed. The nurse
should provide which most appropriate instruction to the mother?
1.
Feed the newborn less frequently.
2.
Continue to breast-feed every 2 to 4 hours.
3.
Switch to bottle-feeding the infant for 2 weeks.
4.
Stop breast-feeding and switch to bottle-feeding permanently.. Answer:
2
CERTIFICATION TEST PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
●● The mother of a newborn calls the clinic and reports that when
cleaning the umbilical cord, she noticed that the cord was moist and that
discharge was present. What is the most appropriate nursing instruction
for this mother?
1.
Bring the infant to the clinic.
2.
This is a normal occurrence.
3.
Increase the number of times that the cord is cleaned per day.
4.
Monitor the cord for another 24 to 48 hours and call the clinic if the
discharge continues.. Answer: 1
,Symptoms of umbilical cord infection are moistness, oozing, discharge,
and a reddened base around the cord. If symptoms of infection occur, the
client should be instructed to notify a health care provider (HCP). If
these symptoms occur, antibiotics may be necessary. Options 2, 3, and 4
are inappropriate nursing interventions for the description given in the
question.
●● The nurse is assessing a newborn after circumcision and notes that
the circumcised area is red with a small amount of bloody drainage.
Which nursing action is most appropriate?
1.
Apply gentle pressure.
2.
Reinforce the dressing.
3.
Document the findings.
4.
Contact the health care provider (HCP).. Answer: 3
,The penis is normally red during the healing process after circumcision.
A yellow exudate may be noted in 24 hours, and this is part of normal
healing. The nurse would expect that the area would be red with a small
amount of bloody drainage. Only if the bleeding were excessive would
the nurse apply gentle pressure with a sterile gauze. If bleeding cannot
be controlled, the blood vessel may need to be ligated, and the nurse
would notify the health care provider. Because the findings identified in
the question are normal, the nurse would document the assessment
findings.
●● The nurse in a newborn nursery is monitoring a preterm newborn for
respiratory distress syndrome. Which assessment findings would alert
the nurse to the possibility of this syndrome?
1.
Tachypnea and retractions
2.
Acrocyanosis and grunting
3.
Hypotension and bradycardia
4.
Presence of a barrel chest and acrocyanosis. Answer: 1
, A newborn infant with respiratory distress syndrome may present with
clinical signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall
retractions, or audible grunts. Acrocyanosis, a bluish discoloration of the
hands and feet, is associated with immature peripheral circulation, and is
common in the first few hours of life. Options 2, 3, and 4 do not indicate
clinical signs of respiratory distress syndrome.
●● The postpartum nurse is providing instructions to the mother of a
newborn with hyperbilirubinemia who is being breast-fed. The nurse
should provide which most appropriate instruction to the mother?
1.
Feed the newborn less frequently.
2.
Continue to breast-feed every 2 to 4 hours.
3.
Switch to bottle-feeding the infant for 2 weeks.
4.
Stop breast-feeding and switch to bottle-feeding permanently.. Answer:
2
