NUR 198 EXAM 3 QUESTIONS AND ANSWERS –
ALL 130 QUESTIONS Latest 2026/2027 Update |
Joyce University | Comprehensive Maternity
Nursing Exam
INTRODUCTION
This comprehensive study guide provides 130 practice questions for NUR 198 Exam 3 at
Joyce University. The exam covers the final maternity nursing content, including:
Newborn Care – Thermoregulation, hypoglycemia management, respiratory distress
syndrome, circumcision care, breastfeeding assessment
Postpartum Nursing – Fundal assessment, lochia, bonding/attachment, postpartum
complications
Cardiovascular Disorders – Atrial fibrillation, hypertension, heart failure,
cardiomyopathy, acute coronary syndrome
Musculoskeletal Disorders – Osteoporosis, fractures, compartment syndrome,
traction, joint arthroplasty
Endocrine & Other Conditions – Diabetes, thyroid disorders, adrenal disorders
Each question includes the correct answer in bold and a detailed rationale.
SECTION 1: NEWBORN CARE & THERMOREGULATION (Questions 1-25)
,1. The nurse is aware that a newborn must be dried completely after it is born to
prevent which type of heat loss?
A. Radiation
B. Conduction
C. Convection
D. Evaporation
Evaporation occurs when moisture on the newborn's skin evaporates, removing heat from
the body. Drying the newborn immediately after birth is a critical intervention to prevent
evaporative heat loss. Convection is heat loss to moving air (drafts), radiation is heat loss to
cold objects, and conduction is heat loss to a cold surface .
2. The nurse is aware that a newborn must be kept away from air conditioning to
prevent which type of heat loss?
A. Convection
B. Radiation
C. Conduction
D. Evaporation
Convection is heat loss that occurs when heat is transferred from the body to moving air,
such as from air conditioning or drafts. Keeping newborns away from air conditioning vents
prevents convective heat loss .
3. A nurse is caring for a large gestational age (LGA) newborn whose blood glucose
level is 15 mg/dL. Which intervention should be done for this newborn?
,A. Assess for hypothermia
B. Evaluate glucose levels again in 4 hours
C. Provide glucose water exclusively
D. Initiate IV 10% Dextrose in water in the neonatal unit
A blood glucose level of 15 mg/dL is critically low and requires immediate IV intervention.
LGA newborns are at risk for hypoglycemia due to hyperinsulinism. Glucose water is not
adequate for severe hypoglycemia. IV 10% Dextrose provides rapid correction .
4. A nurse is caring for a large gestational age (LGA) newborn whose blood glucose
level is 42 mg/dL. Which intervention has priority in the nurse's plan of care?
A. Provide glucose water exclusively
B. Evaluate glucose levels again in 4 hours
C. Offer a feeding with formula or breastmilk
D. Assess for hypothermia
A blood glucose of 42 mg/dL is near the low end of normal (normal is 40-45 mg/dL). Oral
feeding with formula or breastmilk is the first-line intervention for mild hypoglycemia. If
unable to feed, dextrose IV would be needed .
5. A nurse is caring for a newborn whose blood glucose level is less than 50 mg/dL.
Which intervention is first priority in the nurse's plan of care?
A. Assess for hypothermia
B. Evaluate blood glucose levels at 4 hours after birth
C. Provide glucose water exclusively
D. Feed with breast milk or formula
, For hypoglycemia (glucose < 40-45 mg/dL), the first intervention is feeding with breast milk
or formula to raise glucose levels. Glucose water is not recommended as it lacks calories
and can cause fluid shifts .
6. A nurse is giving discharge teaching to a postpartum client whose newborn had a
circumcision with the Plastibell technique. Which statement by the client indicates
she needs more teaching?
A. "I'll expect the plastic ring to fall off by itself within a week"
B. "I'll wash his penis with warm water and mild soap each day"
C. "I'll call the doctor if I see any bleeding"
D. "I'll make sure his diaper is loose in the front"
With the Plastibell technique, the penis should NOT be washed with soap until the ring falls
off; only warm water should be used to clean the area. The ring typically falls off in 5-8 days.
Bleeding should be reported. A loose diaper prevents friction .
7. The nurse is teaching a new mother how to tell if her infant is receiving enough
breast milk now that her milk is in. Which statement by the mother suggests the
client needs MORE teaching?
A. "The infant will have frequent loose yellow stools each day"
B. "The infant will no longer have rooting reflex"
C. "The infant should have six wet diapers daily"
D. "The infant should gain weight at a steady rate"
ALL 130 QUESTIONS Latest 2026/2027 Update |
Joyce University | Comprehensive Maternity
Nursing Exam
INTRODUCTION
This comprehensive study guide provides 130 practice questions for NUR 198 Exam 3 at
Joyce University. The exam covers the final maternity nursing content, including:
Newborn Care – Thermoregulation, hypoglycemia management, respiratory distress
syndrome, circumcision care, breastfeeding assessment
Postpartum Nursing – Fundal assessment, lochia, bonding/attachment, postpartum
complications
Cardiovascular Disorders – Atrial fibrillation, hypertension, heart failure,
cardiomyopathy, acute coronary syndrome
Musculoskeletal Disorders – Osteoporosis, fractures, compartment syndrome,
traction, joint arthroplasty
Endocrine & Other Conditions – Diabetes, thyroid disorders, adrenal disorders
Each question includes the correct answer in bold and a detailed rationale.
SECTION 1: NEWBORN CARE & THERMOREGULATION (Questions 1-25)
,1. The nurse is aware that a newborn must be dried completely after it is born to
prevent which type of heat loss?
A. Radiation
B. Conduction
C. Convection
D. Evaporation
Evaporation occurs when moisture on the newborn's skin evaporates, removing heat from
the body. Drying the newborn immediately after birth is a critical intervention to prevent
evaporative heat loss. Convection is heat loss to moving air (drafts), radiation is heat loss to
cold objects, and conduction is heat loss to a cold surface .
2. The nurse is aware that a newborn must be kept away from air conditioning to
prevent which type of heat loss?
A. Convection
B. Radiation
C. Conduction
D. Evaporation
Convection is heat loss that occurs when heat is transferred from the body to moving air,
such as from air conditioning or drafts. Keeping newborns away from air conditioning vents
prevents convective heat loss .
3. A nurse is caring for a large gestational age (LGA) newborn whose blood glucose
level is 15 mg/dL. Which intervention should be done for this newborn?
,A. Assess for hypothermia
B. Evaluate glucose levels again in 4 hours
C. Provide glucose water exclusively
D. Initiate IV 10% Dextrose in water in the neonatal unit
A blood glucose level of 15 mg/dL is critically low and requires immediate IV intervention.
LGA newborns are at risk for hypoglycemia due to hyperinsulinism. Glucose water is not
adequate for severe hypoglycemia. IV 10% Dextrose provides rapid correction .
4. A nurse is caring for a large gestational age (LGA) newborn whose blood glucose
level is 42 mg/dL. Which intervention has priority in the nurse's plan of care?
A. Provide glucose water exclusively
B. Evaluate glucose levels again in 4 hours
C. Offer a feeding with formula or breastmilk
D. Assess for hypothermia
A blood glucose of 42 mg/dL is near the low end of normal (normal is 40-45 mg/dL). Oral
feeding with formula or breastmilk is the first-line intervention for mild hypoglycemia. If
unable to feed, dextrose IV would be needed .
5. A nurse is caring for a newborn whose blood glucose level is less than 50 mg/dL.
Which intervention is first priority in the nurse's plan of care?
A. Assess for hypothermia
B. Evaluate blood glucose levels at 4 hours after birth
C. Provide glucose water exclusively
D. Feed with breast milk or formula
, For hypoglycemia (glucose < 40-45 mg/dL), the first intervention is feeding with breast milk
or formula to raise glucose levels. Glucose water is not recommended as it lacks calories
and can cause fluid shifts .
6. A nurse is giving discharge teaching to a postpartum client whose newborn had a
circumcision with the Plastibell technique. Which statement by the client indicates
she needs more teaching?
A. "I'll expect the plastic ring to fall off by itself within a week"
B. "I'll wash his penis with warm water and mild soap each day"
C. "I'll call the doctor if I see any bleeding"
D. "I'll make sure his diaper is loose in the front"
With the Plastibell technique, the penis should NOT be washed with soap until the ring falls
off; only warm water should be used to clean the area. The ring typically falls off in 5-8 days.
Bleeding should be reported. A loose diaper prevents friction .
7. The nurse is teaching a new mother how to tell if her infant is receiving enough
breast milk now that her milk is in. Which statement by the mother suggests the
client needs MORE teaching?
A. "The infant will have frequent loose yellow stools each day"
B. "The infant will no longer have rooting reflex"
C. "The infant should have six wet diapers daily"
D. "The infant should gain weight at a steady rate"
