NEONATOLOGY LATEST UPDATED ACTUAL FINAL
EXAM PREP WITH 100 COMPLETE DETAILED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH HIGH YIELD
RATIONALES RATED A+ GRADE MOST RECENT!!!
1. A newborn is delivered at 38 weeks gestation with a
birth weight of 2,500 g. This infant is classified as:
A) Term, appropriate for gestational age (AGA)
B) Preterm, small for gestational age (SGA)
C) Term, low birth weight
D) Post-term, large for gestational age
Answer: A
Rationale: 38 weeks is term (37-42 weeks); 2,500 g is
within normal range for term (≥2,500 g).
2. A newborn has a one-minute Apgar score of 4. The
nurse should:
A) Continue routine care
B) Initiate resuscitation (ventilation, oxygen)
C) Bathe the newborn immediately
D) Feed the newborn
, Answer: B
Rationale: Apgar <7 at 1 minute requires
resuscitation; <3 severe distress.
3. The normal heart rate range for a term newborn is:
A) 60-80 bpm
B) 80-100 bpm
C) 110-160 bpm
D) 160-200 bpm
Answer: C
Rationale: Normal newborn heart rate is 110-160
bpm.
4. A newborn has respiratory distress with grunting,
nasal flaring, and subcostal retractions. The nurse
should first:
A) Administer oxygen and notify the provider
B) Feed the newborn
C) Place the newborn in a prone position
D) Discharge home
Answer: A
Rationale: Signs of respiratory distress require
immediate evaluation and oxygen.
,5. A preterm infant at 30 weeks gestation is at highest
risk for:
A) Respiratory distress syndrome (RDS) due to
surfactant deficiency
B) Hyperbilirubinemia
C) Sepsis
D) Hypoglycemia
Answer: A
Rationale: Surfactant production is insufficient
before 34-36 weeks, causing RDS.
6. The nurse administers surfactant to a preterm infant
with RDS. The expected outcome is:
A) Improved oxygenation and reduced ventilator
requirements
B) Decreased heart rate
C) Increased pulmonary vascular resistance
D) Apnea
Answer: A
Rationale: Surfactant reduces surface tension,
improves lung compliance.
7. A newborn with jaundice has a total bilirubin of 15
mg/dL at 48 hours of life. The most appropriate
, initial treatment is:
A) Phototherapy
B) Exchange transfusion
C) IV fluids only
D) No treatment
Answer: A
Rationale: Phototherapy is first-line for significant
hyperbilirubinemia.
8. Kernicterus is a complication of:
A) Severe unconjugated hyperbilirubinemia
B) Hypoglycemia
C) Respiratory distress syndrome
D) Neonatal sepsis
Answer: A
Rationale: Kernicterus is bilirubin-induced neurologic
dysfunction from high unconjugated bilirubin.
9. A newborn’s bilirubin level is rising rapidly (＞0.5
mg/dL/hour). The nurse should prepare for:
A) Exchange transfusion
B) Discharge home
C) Oral feeding only
D) Antipyretic administration
EXAM PREP WITH 100 COMPLETE DETAILED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH HIGH YIELD
RATIONALES RATED A+ GRADE MOST RECENT!!!
1. A newborn is delivered at 38 weeks gestation with a
birth weight of 2,500 g. This infant is classified as:
A) Term, appropriate for gestational age (AGA)
B) Preterm, small for gestational age (SGA)
C) Term, low birth weight
D) Post-term, large for gestational age
Answer: A
Rationale: 38 weeks is term (37-42 weeks); 2,500 g is
within normal range for term (≥2,500 g).
2. A newborn has a one-minute Apgar score of 4. The
nurse should:
A) Continue routine care
B) Initiate resuscitation (ventilation, oxygen)
C) Bathe the newborn immediately
D) Feed the newborn
, Answer: B
Rationale: Apgar <7 at 1 minute requires
resuscitation; <3 severe distress.
3. The normal heart rate range for a term newborn is:
A) 60-80 bpm
B) 80-100 bpm
C) 110-160 bpm
D) 160-200 bpm
Answer: C
Rationale: Normal newborn heart rate is 110-160
bpm.
4. A newborn has respiratory distress with grunting,
nasal flaring, and subcostal retractions. The nurse
should first:
A) Administer oxygen and notify the provider
B) Feed the newborn
C) Place the newborn in a prone position
D) Discharge home
Answer: A
Rationale: Signs of respiratory distress require
immediate evaluation and oxygen.
,5. A preterm infant at 30 weeks gestation is at highest
risk for:
A) Respiratory distress syndrome (RDS) due to
surfactant deficiency
B) Hyperbilirubinemia
C) Sepsis
D) Hypoglycemia
Answer: A
Rationale: Surfactant production is insufficient
before 34-36 weeks, causing RDS.
6. The nurse administers surfactant to a preterm infant
with RDS. The expected outcome is:
A) Improved oxygenation and reduced ventilator
requirements
B) Decreased heart rate
C) Increased pulmonary vascular resistance
D) Apnea
Answer: A
Rationale: Surfactant reduces surface tension,
improves lung compliance.
7. A newborn with jaundice has a total bilirubin of 15
mg/dL at 48 hours of life. The most appropriate
, initial treatment is:
A) Phototherapy
B) Exchange transfusion
C) IV fluids only
D) No treatment
Answer: A
Rationale: Phototherapy is first-line for significant
hyperbilirubinemia.
8. Kernicterus is a complication of:
A) Severe unconjugated hyperbilirubinemia
B) Hypoglycemia
C) Respiratory distress syndrome
D) Neonatal sepsis
Answer: A
Rationale: Kernicterus is bilirubin-induced neurologic
dysfunction from high unconjugated bilirubin.
9. A newborn’s bilirubin level is rising rapidly (＞0.5
mg/dL/hour). The nurse should prepare for:
A) Exchange transfusion
B) Discharge home
C) Oral feeding only
D) Antipyretic administration
