NM717 Newborn Comprehensive Resource To Help You Ace
2026-2027 Exams Includes Frequently Tested Questions
With Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. A newborn boy is being discharged 4 hours after having had a circumcision.
What should the nurse instruct the mother to do?
a) Apply the diaper loosely for several days
b) Give a crushed baby aspirin if there is irritability
c) Check for bleeding every 2 hours during the first day home
d) Call the practitioner if there is whitish exudate around the glans - CORRECT
ANSWER Apply the diaper loosely for several days
(The diaper is applied loosely to prevent pressure on the circumcised area
because the glans remains tender for 2 to 3 days. Aspirin may prolong
clotting and is contraindicated in children because of its relationship to Reye
syndrome. Acetaminophen and comfort measures may be prescribed. The
caregiver should check for bleeding every hour for the first 12 hours after
the circumcision. Whitish exudate around the glans is expected and does
not indicate an infectious process.)
2. A newborn's discharge from the hospital is being delayed because of a
rising reticulocyte count. The infant's mother, who is being discharged, asks
the nurse why her baby must stay. The nurse's response is based on the
understanding that the infant must be observed for what?
a) Bacterial infection
b) Significant jaundice
c) Bleeding tendencies
d) Adequate oxygenation - CORRECT ANSWER Significant jaundice
, (A rising reticulocyte count indicates accelerated erythropoietic activity that
may reflect increased red blood cell (RBC) destruction; increased RBC
destruction increases the bilirubin level, causing jaundice. With an infection
the sedimentation rate or white blood cell (WBC) count, not the
reticulocyte count, is increased. Although the reticulocyte count may be
increased with chronic blood loss, there are no data to indicate that the
infant is bleeding. This test does not reflect respiratory function.)
3. A mother is concerned that her newborn will be exposed to communicable
diseases after she is discharged. While teaching the mother ways to
decrease the risk of infection, what type of immunity should the nurse
explain was transferred to her baby through the placenta?
a) Active natural
b) Passive natural
c) Active artificial
d) Passive artificial - CORRECT ANSWER Passive natural
(Passive natural immunity is developed from an antigen-antibody response
in the mother that is transmitted to the fetus. Active natural immunity is
acquired by an individual in response to a disease or an infection. Active
artificial immunity is acquired by an individual in response to small amounts
of antigenic material (e.g., vaccination). Passive artificial immunity is
conferred by the injection of antibodies prepared in another host.)
4. A client is rooming in with her newborn. The nurse observes the infant lying
quietly in the bassinet with the eyes open wide. What action should the
nurse take in response to the infant's behavior?
a) Brightening the lights in the room
b) Encouraging the mother to talk to her baby
,c) Wrapping and then turning the infant to the side
d) Beginning physical and behavioral assessments - CORRECT ANSWER
Encouraging the mother to talk to her baby
(A quiet, alert state is an optimal time for infant stimulation. Bright lights
are disturbing to newborns and may impede mother-infant interaction.
Wrapping and then turning the infant to the side is done for the sleeping
infant. Physical and behavioral assessments are not the priorities; they may
be delayed.)
5. The nurse is caring for a newborn with a caput succedaneum. What is the
priority nursing action?
a) Supporting the parents
b) Recording neurologic signs
c) Applying a hard protective cap on the head
d) Applying ice packs to the hematoma - CORRECT ANSWER Supporting the
parents
(Parents need support and reassurance that their newborn is not
permanently damaged. Caput succedaneum does not cause impaired
neurologic function. No special protection of the head is required; routine
safety measures are adequate.)
6. The practice of separating parents from their newborn immediately after
birth and limiting their time with the infant during the first few days after
delivery contradicts studies related to what?
a) Early rooming-in
b) Taking-in behaviors
c) Taking-hold behaviors
, d) Parent-child attachment - CORRECT ANSWER Parent-child attachment
(There is a sensitive period in the first minutes or hours after birth during
which it is important for later interpersonal development that the parents
have close contact with their newborn. Rooming-in may not be instituted
immediately after birth. Taking-in is a maternal psychologic behavior
described by Reva Rubin that occurs during the first 2 postpartum days.
Taking-hold is a maternal psychologic behavior described by Rubin that
occurs after the third postpartum day.)
7. Which newborn assessment finding will probably necessitate prolonged
follow-up care?
a) Apgar score of 5
b) Weight of 3500 g
c) Umbilical cord with two blood vessels
d) Blood glucose level of 50 mg/dL (1.7 to 3.3 mmol/L) - CORRECT
ANSWER Umbilical cord with two blood vessels
(The congenital absence of a blood vessel in the umbilical cord is often associated
with life-threatening congenital anomalies. There should be two arteries and one
vein. The interval at which the Apgar score was obtained was not provided. A
weight of 3500 g is average for a full-term newborn. The expected glucose level in
a healthy newborn is 40 to 69 mg/dL (1.7 to 3.3 mmol/L))
8. A newborn is admitted to the nursery. The newborn weighs 10 lb, 2 oz
(4592 g), which is 2 lb (907 g) more than the birthweight of any of the
neonate's siblings. Which intervention should the nurse implement in
relation to this baby's birth weight?
a) Document the findings
2026-2027 Exams Includes Frequently Tested Questions
With Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. A newborn boy is being discharged 4 hours after having had a circumcision.
What should the nurse instruct the mother to do?
a) Apply the diaper loosely for several days
b) Give a crushed baby aspirin if there is irritability
c) Check for bleeding every 2 hours during the first day home
d) Call the practitioner if there is whitish exudate around the glans - CORRECT
ANSWER Apply the diaper loosely for several days
(The diaper is applied loosely to prevent pressure on the circumcised area
because the glans remains tender for 2 to 3 days. Aspirin may prolong
clotting and is contraindicated in children because of its relationship to Reye
syndrome. Acetaminophen and comfort measures may be prescribed. The
caregiver should check for bleeding every hour for the first 12 hours after
the circumcision. Whitish exudate around the glans is expected and does
not indicate an infectious process.)
2. A newborn's discharge from the hospital is being delayed because of a
rising reticulocyte count. The infant's mother, who is being discharged, asks
the nurse why her baby must stay. The nurse's response is based on the
understanding that the infant must be observed for what?
a) Bacterial infection
b) Significant jaundice
c) Bleeding tendencies
d) Adequate oxygenation - CORRECT ANSWER Significant jaundice
, (A rising reticulocyte count indicates accelerated erythropoietic activity that
may reflect increased red blood cell (RBC) destruction; increased RBC
destruction increases the bilirubin level, causing jaundice. With an infection
the sedimentation rate or white blood cell (WBC) count, not the
reticulocyte count, is increased. Although the reticulocyte count may be
increased with chronic blood loss, there are no data to indicate that the
infant is bleeding. This test does not reflect respiratory function.)
3. A mother is concerned that her newborn will be exposed to communicable
diseases after she is discharged. While teaching the mother ways to
decrease the risk of infection, what type of immunity should the nurse
explain was transferred to her baby through the placenta?
a) Active natural
b) Passive natural
c) Active artificial
d) Passive artificial - CORRECT ANSWER Passive natural
(Passive natural immunity is developed from an antigen-antibody response
in the mother that is transmitted to the fetus. Active natural immunity is
acquired by an individual in response to a disease or an infection. Active
artificial immunity is acquired by an individual in response to small amounts
of antigenic material (e.g., vaccination). Passive artificial immunity is
conferred by the injection of antibodies prepared in another host.)
4. A client is rooming in with her newborn. The nurse observes the infant lying
quietly in the bassinet with the eyes open wide. What action should the
nurse take in response to the infant's behavior?
a) Brightening the lights in the room
b) Encouraging the mother to talk to her baby
,c) Wrapping and then turning the infant to the side
d) Beginning physical and behavioral assessments - CORRECT ANSWER
Encouraging the mother to talk to her baby
(A quiet, alert state is an optimal time for infant stimulation. Bright lights
are disturbing to newborns and may impede mother-infant interaction.
Wrapping and then turning the infant to the side is done for the sleeping
infant. Physical and behavioral assessments are not the priorities; they may
be delayed.)
5. The nurse is caring for a newborn with a caput succedaneum. What is the
priority nursing action?
a) Supporting the parents
b) Recording neurologic signs
c) Applying a hard protective cap on the head
d) Applying ice packs to the hematoma - CORRECT ANSWER Supporting the
parents
(Parents need support and reassurance that their newborn is not
permanently damaged. Caput succedaneum does not cause impaired
neurologic function. No special protection of the head is required; routine
safety measures are adequate.)
6. The practice of separating parents from their newborn immediately after
birth and limiting their time with the infant during the first few days after
delivery contradicts studies related to what?
a) Early rooming-in
b) Taking-in behaviors
c) Taking-hold behaviors
, d) Parent-child attachment - CORRECT ANSWER Parent-child attachment
(There is a sensitive period in the first minutes or hours after birth during
which it is important for later interpersonal development that the parents
have close contact with their newborn. Rooming-in may not be instituted
immediately after birth. Taking-in is a maternal psychologic behavior
described by Reva Rubin that occurs during the first 2 postpartum days.
Taking-hold is a maternal psychologic behavior described by Rubin that
occurs after the third postpartum day.)
7. Which newborn assessment finding will probably necessitate prolonged
follow-up care?
a) Apgar score of 5
b) Weight of 3500 g
c) Umbilical cord with two blood vessels
d) Blood glucose level of 50 mg/dL (1.7 to 3.3 mmol/L) - CORRECT
ANSWER Umbilical cord with two blood vessels
(The congenital absence of a blood vessel in the umbilical cord is often associated
with life-threatening congenital anomalies. There should be two arteries and one
vein. The interval at which the Apgar score was obtained was not provided. A
weight of 3500 g is average for a full-term newborn. The expected glucose level in
a healthy newborn is 40 to 69 mg/dL (1.7 to 3.3 mmol/L))
8. A newborn is admitted to the nursery. The newborn weighs 10 lb, 2 oz
(4592 g), which is 2 lb (907 g) more than the birthweight of any of the
neonate's siblings. Which intervention should the nurse implement in
relation to this baby's birth weight?
a) Document the findings
