(ASSESSMENT A) 2026/2027 WITH 128
QUESTIONS AND CORRECT
ANSWERS RATED A+
DTRs should be...
+2
From gestational weeks ___ to ___, the fundal height is approximately equal to
the number of weeks of gestation plus or minus ____ cm.
18, 32; 2
T/F: A client must be NPO before completing a NST
False; there's no indication and hydration is encouraged
T/F: During a NST, the nurse should instruct the patient to press a button each
time fetal movement is detected.
True; it is provided; movement may not be evident on tracing or FHR monitor
What position should the patient be in for a NST?
Semi-Fowler's and tilted either to the right or left.
T/F: Massaging the abdomen does not stimulate fetal movement
True
Hypoglycemia Consistent Findings
Decreased temperature, poor feeding, respiratory distress and lethargy.
Hyperbilirubinemia Consistent Findings
Yellow sclera and oral mucosa, poor feeding
, T/F: Newborn is not at an increased risk for hyperbilirubinemia if they have
ecchymotic caput succadeneum
False; the NB is at a higher risk of hyperbilirubinemia
Sepsis Consistent Findings
Decreased temperature, yellow sclera and oral mucosa, poor feeding, respiratory
distress & lethargy
Expected Newborn Respiratory Rate
30 to 60 bpm
Expected Newborn Oxygen Saturation
Greater than 94%
Expected Newborn Temperature
97.7 to 99.5 F
Manifestations of Newborn Abstinence Syndrome (NAS)
Inconsolability, high-pitched cry, increased muscle tone, tremors (severe),
hyperactive Moro reflex, excessive pacifier sucking, poor feeding & loose stools
Risk Factor for Newborn Abstinence Syndrome
Maternal history of methadone use during pregnancy
Laboratory Findings of Newborn Abstinence Syndrome
Maternal and newborn urine toxicology screen positive for opiates
T/F: Parents should begin passive ROM exercises on the newborn's affected arm
after 2 weeks
False; exercises should begin after 1 week to restore function of the extremity.
T/F: The function of the wrists and fingers are affected with Erb-Duchenne
paralysis
False; the function is not affected.
Manifestations of Newborn Cold Stress