NRSG 1320 Final review –
Newborn Exam 2025 Questions and
Answers 100% Pass
Large Gestational Age (LGA) - ✔✔Weight above 90th percentile - greater than 4000 gm
Macrosomia
Risk factors: maternal diabetes and prolonged pregnancy
At risk for c-section, operative vag delivery, shoulder dystocia, hypoglycemia, and TTN
Jaundice - ✔✔Yellowing of the skin from excessive bile pigments that are unable to be
excreted
Risk for kernicterus (brain damage)
physiological jaundice - ✔✔Occurs after 24 hours
Pathological jaundice - ✔✔Occurs within the first 24 hours of life
Treatment for jaundice - ✔✔Monitor feeds; may need supplementation of breast feeding
Monitor stool outputs
Possible phototherapy (bili lights) - protect eyes and genitals
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
, Respiratory Distress Syndrome (RDS) - ✔✔respiratory complication in the newborn,
especially in premature infants
S/S: RR > 60, grunting, nasal flaring, cyanosis, retractions, decreased breath sounds
often with rales and HR > 160
Treatment for RDS - ✔✔O2 low flow rate, surfactant replacement therapy - Survanta,
Corosurf, Infasurf - admin via endotracheal tube within 2 hours of birth
Transient Tachypnea of the Newborn (TTN) - ✔✔Delayed clearance of lung fluid due to
not getting a good "squeeze" during vaginal delivery or no squeeze w/ CS
Similar s/s to RDS
TX: monitor O2 level, PRN supplemental O2, hold oral feeding if RR > 60 due to risk for
aspiration
Group Beta Strep (GBS) - ✔✔Leading cause of neonatal sepsis
Mother is screened at 36 wks gestation
If GBS + or unknown, PCN or ampicillin is given IV q 4 hrs until delivery
Surfactant - ✔✔Lipoprotein; allows for alveolar re-expansion
During PTL, a dose of Betamethasone is given to increase lung surfactant
Cold stress - ✔✔Axillary temp below 97.7 (normal is 97.7-99)
Normal position of flexion facilitates body heat (preterm infants lack this ability)
Nursing goal: Hat, skin to skin, swaddle in warm blankets or use radiant warmer,
blanket on scales, avoid drafts
Complications: hypoglycemia, metabolic acidosis, decreased surfactant production,
RDS, and hypoxemia
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
Newborn Exam 2025 Questions and
Answers 100% Pass
Large Gestational Age (LGA) - ✔✔Weight above 90th percentile - greater than 4000 gm
Macrosomia
Risk factors: maternal diabetes and prolonged pregnancy
At risk for c-section, operative vag delivery, shoulder dystocia, hypoglycemia, and TTN
Jaundice - ✔✔Yellowing of the skin from excessive bile pigments that are unable to be
excreted
Risk for kernicterus (brain damage)
physiological jaundice - ✔✔Occurs after 24 hours
Pathological jaundice - ✔✔Occurs within the first 24 hours of life
Treatment for jaundice - ✔✔Monitor feeds; may need supplementation of breast feeding
Monitor stool outputs
Possible phototherapy (bili lights) - protect eyes and genitals
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
, Respiratory Distress Syndrome (RDS) - ✔✔respiratory complication in the newborn,
especially in premature infants
S/S: RR > 60, grunting, nasal flaring, cyanosis, retractions, decreased breath sounds
often with rales and HR > 160
Treatment for RDS - ✔✔O2 low flow rate, surfactant replacement therapy - Survanta,
Corosurf, Infasurf - admin via endotracheal tube within 2 hours of birth
Transient Tachypnea of the Newborn (TTN) - ✔✔Delayed clearance of lung fluid due to
not getting a good "squeeze" during vaginal delivery or no squeeze w/ CS
Similar s/s to RDS
TX: monitor O2 level, PRN supplemental O2, hold oral feeding if RR > 60 due to risk for
aspiration
Group Beta Strep (GBS) - ✔✔Leading cause of neonatal sepsis
Mother is screened at 36 wks gestation
If GBS + or unknown, PCN or ampicillin is given IV q 4 hrs until delivery
Surfactant - ✔✔Lipoprotein; allows for alveolar re-expansion
During PTL, a dose of Betamethasone is given to increase lung surfactant
Cold stress - ✔✔Axillary temp below 97.7 (normal is 97.7-99)
Normal position of flexion facilitates body heat (preterm infants lack this ability)
Nursing goal: Hat, skin to skin, swaddle in warm blankets or use radiant warmer,
blanket on scales, avoid drafts
Complications: hypoglycemia, metabolic acidosis, decreased surfactant production,
RDS, and hypoxemia
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
