NURS 5432
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) What is the proper way to resuscitate a NB? - ANSWER 1. dry then
heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for
cyanosis. Give Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response
in 30 secs = intubate.
5. Delay cord clamp for 60 secs.
2) What is NB asphyxia? - ANSWER The blood flow is interrupted
because of one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
3) What is NB apnea? - ANSWER Primary: physical stimulation is
needed to initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp =
add 2 mins PPV.
, There will be a delay in return of muscle tone and reflexes.
4) What size laryngoscope is need for NB? Premie? - ANSWER NB:
Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
5) Hyaline Membrane Disorder - ANSWER Patho: Deficiency of
surfactant resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations,
cyanosis, and expiratory grunting.
6) How to treat hyaline membrane disorder - ANSWER 1. CXR -
atelectasis with ground glass and hypoexpansion
2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
7) Feeding frequency of NB - ANSWER On demand every 2-5 hours
8) NB feeding need - ANSWER 0.5-1oz/feed
1.5-2.0oz/feed by day 3
9) How much daily vitamin D should a NB receive? - ANSWER 400 IU
daily
10) What additional supplement is needed if the breastfeeding mother
is a vegetarian? - ANSWER Zinc
,11) What medications are given at birth? - ANSWER Erythromycin
(to prevent conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
12) What is a premie-2 months old NB daily caloric need? -
ANSWER 120 kcal/kg/day
*Goal is to gain weight*
13) When are apgar scores taken? - ANSWER At 1 minute and 5
minute
*the higher the score, the better the health*
14) What does the APGAR assess? - ANSWER 1. Color
2. HR
3. Cry
4. Tone
5. Respiration
15) Newborn Reflexes - ANSWER 1. Root & Suck: NB will turn
head toward side of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly
retract them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes
will fan out (which is normal until age 2).
16) 5. Tonic neck: In supine, head is turned to one side. The same side
the head is turned, the arm will be extended while the opposite is bent.
, 17) When does the Moro reflex disappear? - ANSWER at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
18) When does the palmar grasp reflex disappear? - ANSWER at 4-
6 months
19) When does the Babinski reflex disappear? - ANSWER age 2; if
persists, it's a sign of CNS injury
20) When does the tonic neck reflex disappear? - ANSWER 5-7
mos
21) Ages of well-baby appointments - ANSWER 2, 6, 9, 12-15, 24
22) Meds that shouldn't be taken until after the 1st trimester -
ANSWER ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
23) Heart murmur Grades - ANSWER I: barely heard
II: soft but heard
III: moderately loud, no thrill
IV: loud with palpable thrill
V. very loud
VI: extremely loud (without stethoscope)
24) Causes of Murmurs - ANSWER VSD, ASD, Patent ductus
arteriosus
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) What is the proper way to resuscitate a NB? - ANSWER 1. dry then
heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for
cyanosis. Give Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response
in 30 secs = intubate.
5. Delay cord clamp for 60 secs.
2) What is NB asphyxia? - ANSWER The blood flow is interrupted
because of one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
3) What is NB apnea? - ANSWER Primary: physical stimulation is
needed to initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp =
add 2 mins PPV.
, There will be a delay in return of muscle tone and reflexes.
4) What size laryngoscope is need for NB? Premie? - ANSWER NB:
Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
5) Hyaline Membrane Disorder - ANSWER Patho: Deficiency of
surfactant resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations,
cyanosis, and expiratory grunting.
6) How to treat hyaline membrane disorder - ANSWER 1. CXR -
atelectasis with ground glass and hypoexpansion
2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
7) Feeding frequency of NB - ANSWER On demand every 2-5 hours
8) NB feeding need - ANSWER 0.5-1oz/feed
1.5-2.0oz/feed by day 3
9) How much daily vitamin D should a NB receive? - ANSWER 400 IU
daily
10) What additional supplement is needed if the breastfeeding mother
is a vegetarian? - ANSWER Zinc
,11) What medications are given at birth? - ANSWER Erythromycin
(to prevent conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
12) What is a premie-2 months old NB daily caloric need? -
ANSWER 120 kcal/kg/day
*Goal is to gain weight*
13) When are apgar scores taken? - ANSWER At 1 minute and 5
minute
*the higher the score, the better the health*
14) What does the APGAR assess? - ANSWER 1. Color
2. HR
3. Cry
4. Tone
5. Respiration
15) Newborn Reflexes - ANSWER 1. Root & Suck: NB will turn
head toward side of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly
retract them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes
will fan out (which is normal until age 2).
16) 5. Tonic neck: In supine, head is turned to one side. The same side
the head is turned, the arm will be extended while the opposite is bent.
, 17) When does the Moro reflex disappear? - ANSWER at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
18) When does the palmar grasp reflex disappear? - ANSWER at 4-
6 months
19) When does the Babinski reflex disappear? - ANSWER age 2; if
persists, it's a sign of CNS injury
20) When does the tonic neck reflex disappear? - ANSWER 5-7
mos
21) Ages of well-baby appointments - ANSWER 2, 6, 9, 12-15, 24
22) Meds that shouldn't be taken until after the 1st trimester -
ANSWER ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
23) Heart murmur Grades - ANSWER I: barely heard
II: soft but heard
III: moderately loud, no thrill
IV: loud with palpable thrill
V. very loud
VI: extremely loud (without stethoscope)
24) Causes of Murmurs - ANSWER VSD, ASD, Patent ductus
arteriosus
