Newborn UWORLD UPDATED ACTUAL
Exam Questions and CORRECT Answers
The nurse is caring for a group of 1-day-old clients in the newborn nursery. Which finding
requires immediate attention?
1. abdominal breathing with 15-second pauses in a sleeping newborn
2. apical pulse of 165/min in a newborn who is crying
3. heart murmur in a newborn who is feeding appropriately
4. respirations of 68/min with grunting in a newborn after cesarean birth - CORRECT
ANSWER -4
The nurse is preparing to teach the perinatal unit staff about caring for newborns with either
omphalocele or gastroschisis. Which of the following statements are appropriate for the nurse to
include? Select all that apply.
1. " an omphalocele with an intact peritoneal sac should be covered with a sterile, nonadherent
dressing immediately after birth"
2. "If immediate surgical repair of the defect is planned, the newborn should be fed via a
nasogastruc tube instead of breastfed"
3. "newborns with omphalocele or gastroschisis require IV access for fluid and electrolyte
replacement"
4. "Newborns with omphalocele or gastroschisis should be monitored closely for temperature
instability and infection"
5. " Petroleum jelly should be applied to the exposed bowel of newborns with gastroschisis
before it is covered with plastic." - CORRECT ANSWER - 1, 3, 4
The nursery nurse is performing assessments of several newborns. Which of the following
findings are abnormal and need to be reported to the health care provider? Select all that apply.
, 1. chest wall retractions
2. desquamation of the feet
3. head circumference of 13.5 in (34 cm)
4. Jaundiced appearance
5. no voiding in 24 hours - CORRECT ANSWER - 1, 4, 5
The nurse is caring for a newborn. Which of the following signs would indicate neonatal
abstinence syndrome? Select all that apply.
1. irritability and restlessness
2. meconium ileus and floppy muscle tone
3. microcephlay and cleft palate
4. nasal congestion and frequent sneezing
5. poor feeding and loose stools - CORRECT ANSWER - 1, 4,, 5
The nurse is caring for a client who had a vaginal birth 30 minutes ago. The client is having
difficulty with breastfeeding and is requesting assistance. Which action by the nurse would
require the charge nurse to intervene?
1. checks the newborn's position and sucking behaviour during breastfeeing
2. provides supplemental formula feedings until imporved breastfeeding occurs
3. shows the client how to hand express breastmilk
4. teaches the client to recognize newborn hunger cues - CORRECT ANSWER -2
The nurse is caring for a baby born at 30 weeks gestation and diagnosed with necrotizing
enterocolitis. Which nursing action should be implemented?
1. encouarge parents to increase skin-to-skin care
2. meausre abdominal girth daily
Exam Questions and CORRECT Answers
The nurse is caring for a group of 1-day-old clients in the newborn nursery. Which finding
requires immediate attention?
1. abdominal breathing with 15-second pauses in a sleeping newborn
2. apical pulse of 165/min in a newborn who is crying
3. heart murmur in a newborn who is feeding appropriately
4. respirations of 68/min with grunting in a newborn after cesarean birth - CORRECT
ANSWER -4
The nurse is preparing to teach the perinatal unit staff about caring for newborns with either
omphalocele or gastroschisis. Which of the following statements are appropriate for the nurse to
include? Select all that apply.
1. " an omphalocele with an intact peritoneal sac should be covered with a sterile, nonadherent
dressing immediately after birth"
2. "If immediate surgical repair of the defect is planned, the newborn should be fed via a
nasogastruc tube instead of breastfed"
3. "newborns with omphalocele or gastroschisis require IV access for fluid and electrolyte
replacement"
4. "Newborns with omphalocele or gastroschisis should be monitored closely for temperature
instability and infection"
5. " Petroleum jelly should be applied to the exposed bowel of newborns with gastroschisis
before it is covered with plastic." - CORRECT ANSWER - 1, 3, 4
The nursery nurse is performing assessments of several newborns. Which of the following
findings are abnormal and need to be reported to the health care provider? Select all that apply.
, 1. chest wall retractions
2. desquamation of the feet
3. head circumference of 13.5 in (34 cm)
4. Jaundiced appearance
5. no voiding in 24 hours - CORRECT ANSWER - 1, 4, 5
The nurse is caring for a newborn. Which of the following signs would indicate neonatal
abstinence syndrome? Select all that apply.
1. irritability and restlessness
2. meconium ileus and floppy muscle tone
3. microcephlay and cleft palate
4. nasal congestion and frequent sneezing
5. poor feeding and loose stools - CORRECT ANSWER - 1, 4,, 5
The nurse is caring for a client who had a vaginal birth 30 minutes ago. The client is having
difficulty with breastfeeding and is requesting assistance. Which action by the nurse would
require the charge nurse to intervene?
1. checks the newborn's position and sucking behaviour during breastfeeing
2. provides supplemental formula feedings until imporved breastfeeding occurs
3. shows the client how to hand express breastmilk
4. teaches the client to recognize newborn hunger cues - CORRECT ANSWER -2
The nurse is caring for a baby born at 30 weeks gestation and diagnosed with necrotizing
enterocolitis. Which nursing action should be implemented?
1. encouarge parents to increase skin-to-skin care
2. meausre abdominal girth daily
