SUMMARY NSG 3500 EXAM 4 STUDY
GUIDE | 2026 UPDATE | WITH COMPLETE
SOLUTIONS GRADED A+
When is the Hepatitis B vaccine given? - ANSWER Within the first 24 hours of
life.
Which is suctioned first: mouth or nose? - ANSWER Mouth first.
Why avoid suctioning the back of the throat? - ANSWER Can stimulate vagal
response and bradycardia.
What is the priority after circumcision? - ANSWER Monitor for bleeding and
first void.
What yellow finding is normal after circumcision? - ANSWER Yellow
exudate/granulation tissue.
What promotes early infant attachment? - ANSWER Skin-to-skin, rooming-in,
breastfeeding, eye contact.
,What is kangaroo care? - ANSWER Skin-to-skin holding of infant against
parent's chest.
What gestational age defines preterm? - ANSWER Less than 37 weeks.
What gestational age defines post-term? - ANSWER 42 weeks or greater.
What birth weight defines low birth weight (LBW)? - ANSWER Less than
2500 g.
What does SGA stand for? - ANSWER Small for gestational age.
What percentile defines SGA? - ANSWER Below the 10th percentile.
What percentile defines LGA? - ANSWER Above the 90th percentile.
What are the hallmark signs of prematurity? - ANSWER Thin skin, weak cry,
poor suck, hypotonia, lanugo.
Why do premature infants have temperature instability? - ANSWER Low
brown fat stores.
What causes RDS? - ANSWER Surfactant deficiency.
, What are the hallmark signs of RDS? - ANSWER Grunting, retractions, nasal
flaring, cyanosis.
What causes bronchopulmonary dysplasia? - ANSWER Prolonged oxygen and
ventilator use.
What causes retinopathy of prematurity? - ANSWER Excess oxygen exposure
damages retinal vessels.
What is NEC? - ANSWER Intestinal inflammation and necrosis in premature
infants.
What are the hallmark signs of NEC? - ANSWER Abdominal distention,
bloody stools, feeding intolerance.
What are the risks of post-term infants? - ANSWER Meconium aspiration,
hypoglycemia, placental insufficiency.
What are the hallmark signs of a post-term infant? - ANSWER Dry cracked
skin, long nails, thin body.
What causes meconium aspiration syndrome (MAS)? - ANSWER Fetal distress
causing meconium passage and aspiration.
What are the hallmark signs of MAS? - ANSWER Respiratory distress and
meconium-stained fluid.
, What causes TTN? - ANSWER Delayed lung fluid absorption.
Which newborns are at greater risk for TTN? - ANSWER Cesarean birth
infants.
Which newborns are at high risk for hypoglycemia? - ANSWER SGA, LGA,
infants of diabetic mothers, preterm infants.
What are the hallmark signs of neonatal hypoglycemia? - ANSWER Jitteriness,
lethargy, poor feeding.
What can cold stress cause? - ANSWER Hypoglycemia, respiratory distress,
metabolic acidosis.
What are the hallmark signs of neonatal sepsis? - ANSWER Temperature
instability, lethargy, poor feeding, respiratory distress.
Why do premature infants have feeding difficulties? - ANSWER Weak
suck/swallow coordination and fatigue.
What is gavage feeding? - ANSWER Feeding through a tube into the stomach.
What is TPN? - ANSWER Total parenteral nutrition delivered IV.
GUIDE | 2026 UPDATE | WITH COMPLETE
SOLUTIONS GRADED A+
When is the Hepatitis B vaccine given? - ANSWER Within the first 24 hours of
life.
Which is suctioned first: mouth or nose? - ANSWER Mouth first.
Why avoid suctioning the back of the throat? - ANSWER Can stimulate vagal
response and bradycardia.
What is the priority after circumcision? - ANSWER Monitor for bleeding and
first void.
What yellow finding is normal after circumcision? - ANSWER Yellow
exudate/granulation tissue.
What promotes early infant attachment? - ANSWER Skin-to-skin, rooming-in,
breastfeeding, eye contact.
,What is kangaroo care? - ANSWER Skin-to-skin holding of infant against
parent's chest.
What gestational age defines preterm? - ANSWER Less than 37 weeks.
What gestational age defines post-term? - ANSWER 42 weeks or greater.
What birth weight defines low birth weight (LBW)? - ANSWER Less than
2500 g.
What does SGA stand for? - ANSWER Small for gestational age.
What percentile defines SGA? - ANSWER Below the 10th percentile.
What percentile defines LGA? - ANSWER Above the 90th percentile.
What are the hallmark signs of prematurity? - ANSWER Thin skin, weak cry,
poor suck, hypotonia, lanugo.
Why do premature infants have temperature instability? - ANSWER Low
brown fat stores.
What causes RDS? - ANSWER Surfactant deficiency.
, What are the hallmark signs of RDS? - ANSWER Grunting, retractions, nasal
flaring, cyanosis.
What causes bronchopulmonary dysplasia? - ANSWER Prolonged oxygen and
ventilator use.
What causes retinopathy of prematurity? - ANSWER Excess oxygen exposure
damages retinal vessels.
What is NEC? - ANSWER Intestinal inflammation and necrosis in premature
infants.
What are the hallmark signs of NEC? - ANSWER Abdominal distention,
bloody stools, feeding intolerance.
What are the risks of post-term infants? - ANSWER Meconium aspiration,
hypoglycemia, placental insufficiency.
What are the hallmark signs of a post-term infant? - ANSWER Dry cracked
skin, long nails, thin body.
What causes meconium aspiration syndrome (MAS)? - ANSWER Fetal distress
causing meconium passage and aspiration.
What are the hallmark signs of MAS? - ANSWER Respiratory distress and
meconium-stained fluid.
, What causes TTN? - ANSWER Delayed lung fluid absorption.
Which newborns are at greater risk for TTN? - ANSWER Cesarean birth
infants.
Which newborns are at high risk for hypoglycemia? - ANSWER SGA, LGA,
infants of diabetic mothers, preterm infants.
What are the hallmark signs of neonatal hypoglycemia? - ANSWER Jitteriness,
lethargy, poor feeding.
What can cold stress cause? - ANSWER Hypoglycemia, respiratory distress,
metabolic acidosis.
What are the hallmark signs of neonatal sepsis? - ANSWER Temperature
instability, lethargy, poor feeding, respiratory distress.
Why do premature infants have feeding difficulties? - ANSWER Weak
suck/swallow coordination and fatigue.
What is gavage feeding? - ANSWER Feeding through a tube into the stomach.
What is TPN? - ANSWER Total parenteral nutrition delivered IV.
