©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU 404 Unit 5 Exam Questions and
Answers
What is acrocyanosis? - Ans:✔✔-peripheral cyanosis; bluish discoloration of hands and feet in most
newborns at birth that is a normal finding for the first 24 hr
- may last for 7-10 days
The Ballard scale is.... - Ans:✔✔-a gestational age assessment.
- abbreviated scale determines gestational age.
- Dubowitz score.
Core values - Ans:✔✔-professional values
In regards to maternal history, we need to know if mom has had... - Ans:✔✔-any communicable diseases
or been around someone with a communicable disease in the past 14 days
Involution is - Ans:✔✔-reduction in size of the uterus after birth and its return to its non-pregnant
conditions
The uterus decreases _______ a day - Ans:✔✔-1-2 cm (1 finger breath)
Page 1/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Subinvolution is - Ans:✔✔-failure of a part (e.g. the uterus) to reduce to its normal size and condition
after enlargement from functional activity.
Subinvolution is r/t - Ans:✔✔-fibromas, infection, or retained placenta fragments
The first assessment of the newborn is performed when? - Ans:✔✔-immediately after birth and at
discharge
The FHR could be elevated if... - Ans:✔✔-mom is dehydrated.
A c-section puts baby at greater risk for... - Ans:✔✔-retained secretions.
- vaginal births aid in clearing baby's lungs bc it compresses baby's chest. (intrathoracic pressure)
Do babies have discharges? - Ans:✔✔-no.
If mom's RPR is active, will the baby go home? - Ans:✔✔-no.
- check for syphilis in all newborns
- make sure RPR in non reactive
Describe Apgar scoring. - Ans:✔✔-rapid numeric assessment of the newborn's transition to extrauterine
life based on 5 signs that indicate the physical state of the neonate
Page 2/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are the 5 signs in the Apgar scoring? - Ans:✔✔-1: heart rate, based on auscultation or palpation of
the umbilical cord.
2: resp. effort, based on observed movement of the chest wall.
3: muscle tone, based on degree of flexion and movements of extremities
4: reflex irritability, based on response to suctioning of the nares/gentle slaps on soles of feet
5: generalized skin color, described as pallor, cyanotic, or pink.
When do we do Apgar scoring? - Ans:✔✔-1 min, 5 min, 10 min.
- even if infant scores perfectly, he/she will still be reassessed.
What does a 0-3 Apgar score indicate? - Ans:✔✔-distress
What does a 4-6 Apgar score indicate? - Ans:✔✔-moderate difficulty
What does a 7-10 Apgar score indicate? - Ans:✔✔-infant should have no difficulty adjusting to
extrauterine life
If a baby is not moving or crying, we give a gentle rub on the .... - Ans:✔✔-sternum
When using the bulb syringe, we suction the... - Ans:✔✔-mouth first, then nose while baby is on moms
perineum
Page 3/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does wharton's jelly do? - Ans:✔✔-keeps umbilical cord from getting tangled
Where do we cut umbilical cord? - Ans:✔✔-right in front of cord clamp
- check to make sure vessels (3) are there: 2 arteries, 1 vein.
The first temp we take is - Ans:✔✔-rectal; axillary temps after that. (remove vernix under arm, it alters
reading)
After a bath, we should get another - Ans:✔✔-temp; be sure it has not dropped
- if baby gets too cold they will have cold stress
How often do we take VS - Ans:✔✔-every 30 min until stable
The postpartum period is the - Ans:✔✔-interval between birth and the return of the reproductive organs
to their normal non-pregnant state
- aka the puerperium, or 4th trimester of pregnancy
Postpartum nursing assessment involves - Ans:✔✔-rest, ambulation, nutrition, B&B (bladder and bowel)
function, lactation, health promotion
What does ambulation help the mom do in the postpartum period? - Ans:✔✔-helps mom pass gas,
decrease risk of thrombus formation, helps strengthen the body
Page 4/37
FIRST PUBLISH OCTOBER 2024
NU 404 Unit 5 Exam Questions and
Answers
What is acrocyanosis? - Ans:✔✔-peripheral cyanosis; bluish discoloration of hands and feet in most
newborns at birth that is a normal finding for the first 24 hr
- may last for 7-10 days
The Ballard scale is.... - Ans:✔✔-a gestational age assessment.
- abbreviated scale determines gestational age.
- Dubowitz score.
Core values - Ans:✔✔-professional values
In regards to maternal history, we need to know if mom has had... - Ans:✔✔-any communicable diseases
or been around someone with a communicable disease in the past 14 days
Involution is - Ans:✔✔-reduction in size of the uterus after birth and its return to its non-pregnant
conditions
The uterus decreases _______ a day - Ans:✔✔-1-2 cm (1 finger breath)
Page 1/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Subinvolution is - Ans:✔✔-failure of a part (e.g. the uterus) to reduce to its normal size and condition
after enlargement from functional activity.
Subinvolution is r/t - Ans:✔✔-fibromas, infection, or retained placenta fragments
The first assessment of the newborn is performed when? - Ans:✔✔-immediately after birth and at
discharge
The FHR could be elevated if... - Ans:✔✔-mom is dehydrated.
A c-section puts baby at greater risk for... - Ans:✔✔-retained secretions.
- vaginal births aid in clearing baby's lungs bc it compresses baby's chest. (intrathoracic pressure)
Do babies have discharges? - Ans:✔✔-no.
If mom's RPR is active, will the baby go home? - Ans:✔✔-no.
- check for syphilis in all newborns
- make sure RPR in non reactive
Describe Apgar scoring. - Ans:✔✔-rapid numeric assessment of the newborn's transition to extrauterine
life based on 5 signs that indicate the physical state of the neonate
Page 2/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are the 5 signs in the Apgar scoring? - Ans:✔✔-1: heart rate, based on auscultation or palpation of
the umbilical cord.
2: resp. effort, based on observed movement of the chest wall.
3: muscle tone, based on degree of flexion and movements of extremities
4: reflex irritability, based on response to suctioning of the nares/gentle slaps on soles of feet
5: generalized skin color, described as pallor, cyanotic, or pink.
When do we do Apgar scoring? - Ans:✔✔-1 min, 5 min, 10 min.
- even if infant scores perfectly, he/she will still be reassessed.
What does a 0-3 Apgar score indicate? - Ans:✔✔-distress
What does a 4-6 Apgar score indicate? - Ans:✔✔-moderate difficulty
What does a 7-10 Apgar score indicate? - Ans:✔✔-infant should have no difficulty adjusting to
extrauterine life
If a baby is not moving or crying, we give a gentle rub on the .... - Ans:✔✔-sternum
When using the bulb syringe, we suction the... - Ans:✔✔-mouth first, then nose while baby is on moms
perineum
Page 3/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does wharton's jelly do? - Ans:✔✔-keeps umbilical cord from getting tangled
Where do we cut umbilical cord? - Ans:✔✔-right in front of cord clamp
- check to make sure vessels (3) are there: 2 arteries, 1 vein.
The first temp we take is - Ans:✔✔-rectal; axillary temps after that. (remove vernix under arm, it alters
reading)
After a bath, we should get another - Ans:✔✔-temp; be sure it has not dropped
- if baby gets too cold they will have cold stress
How often do we take VS - Ans:✔✔-every 30 min until stable
The postpartum period is the - Ans:✔✔-interval between birth and the return of the reproductive organs
to their normal non-pregnant state
- aka the puerperium, or 4th trimester of pregnancy
Postpartum nursing assessment involves - Ans:✔✔-rest, ambulation, nutrition, B&B (bladder and bowel)
function, lactation, health promotion
What does ambulation help the mom do in the postpartum period? - Ans:✔✔-helps mom pass gas,
decrease risk of thrombus formation, helps strengthen the body
Page 4/37
