NSG 3500 Exam 4 – Maternity (Galen College of
Nursing) 2026–2027 Complete Exam Questions
with Verified Answers and Rationales
Introduction
This document contains comprehensive practice questions,
verified answers, and rationales for NSG 3500 Exam 4
(Maternity) at Galen College of Nursing. It covers newborn
assessment, neonatal adaptation, high-risk newborn
conditions, congenital disorders, jaundice, respiratory
disorders, neonatal sepsis, newborn medications,
thermoregulation, reflexes, discharge teaching, and essential
nursing interventions. The material is organized in a question-
and-answer format and is designed as an exam preparation
resource aligned with maternity and neonatal nursing
concepts.
Exam Questions and Answers
Medical care of pain includes treating with newborns with
analgesia using ________________________________. ---
correct precise answer ---oral sucrose solutions
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What are complications/conditions of the preterm newborn? --
- correct precise answer ---- RDS
- apnea of prematurity
- bronchopulmonary dysplasia
- jaundice
- anemia of prematurity
- necrotizing entercolitis
- GERD
- retinopathy
- intraventricular hemorrhage
What are complications/conditions of the post-term newborn?
--- correct precise answer ---- meconium aspiration syndrome
- persistent pulmonary HTN
When does pathological jaundice occur? --- correct precise
answer ---Within the first 24 hours
When does physiological jaundice occur? --- correct precise
answer ---After 24 hours
I occur after the first 24-48 hours of life. My bilirubin level
is >5-7mg/dL. What am I? --- correct precise answer ---
Physiological jaundice
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In physiological jaundice, what are the peak days of bilirubin
for the preterm and term infant? --- correct precise answer ---
Preterm: 5th-7th days
Term: 3rd-5th day
In pathological jaundice, what are peak levels of bilirubin for
the preterm and term infant? --- correct precise answer ---
Preterm: >15 mg/dL
Term: >12.9 mg/dL
I occur within the first 24hrs of life. My bilirubin levels
increase by 0.5mg/dL per hour or 5mg/dL per day. I am
caused by disorders which may cause excessive hemolysis of
RBCs. What am I? --- correct precise answer ---Pathological
jaundice
What are normal bilirubin levels at birth? --- correct precise
answer ---3mg/dL or less
What are nursing considerations for phototherapy? --- correct
precise answer ---- accurately assess true skin color
- adequacy of hydration (urine output) and nutrition (weight
gain)
- temp
- eye protection to prevent retinal damage
- close eyes before placing on eye protection
- assess eyes regularly
- no facial lotions