NSG 3500 – MATERNAL ACTUAL EXAM 4
120 + COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST STUDY
REVIEW 2025/2026 BEST FOR REVISION
,1. When is the APGAR score assigned? ✔✔ correct answer At 1 and 5 minutes after birth
2. What are the five categories of the APGAR score? ✔✔ correct answer 1. HR
2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
3. When the APGAR score is <9 at 5 minutes, it is more important to stabilize the infant than keep them with mom.
T/F? ✔✔ correct answer True
4. What does each APGAR score mean? ✔✔ correct answer >7 = normal 4-6 =
low
<3 = critical
5. What are the 4 factors that influence initiation of the first breath? ✔✔ correct answer Chemical factors ✔✔ correct
answer hypercarbia, acidosis, and hypoxia
Sensory factors ✔✔ correct answer overwhelming stimuli aids in transition Thermal factors
✔✔ correct answer drastic change in temp aids in transition
Mechanical factors ✔✔ correct answer thoracic squeeze through birth causes fluid release and replacement with air
6. Why does hypoxia, hypercarbia, and acidosis trigger respirations? ✔✔ correct answer - hypoxiacauses blood oxygen (PO2)
levels to rise and pH to drop
- carbon dioxide levels (PCO2) begin to rise and prompt the resp center within the medulla to initiate breathing
7. Periodic breathing in a newborn is not usually associated with any change in skin color or HR. How long are these
pauses? ✔✔ correct answer 5-15 seconds (approx 3 seconds is norm? P. 298)
8. What are indicators of respiratory difficulties in the newborn? ✔✔ correct answer - apnea(nobreathing for more than 20
seconds)
- expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at rest
- high RR
, 9. What are the five changes for successful cardiopulmonary adaptation? ✔✔ correct answer - in- creased aortic
pressure
- decreased venous pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
10. What is the HR when baby is first born? ✔✔ correct answer 160-180 and then 30 min later it goes to 120-160
11. The baby cannot become hypoglycemic from heat loss. T/F? ✔✔ correct answer False.
12. How do newborns respond to cold? ✔✔ correct answer They burn brown adipose tissue since they cannot shiver to maintain warmth
13. What can the nurse do to regulate temperature in the newborn? ✔✔ correct answer - skin-to-skin contact with mom and
warm blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
14. Blood volume is determined in large part by the timing of the umbilical cord clamping. T/F? ✔✔ correct answer
True
15. is seen in most newborns as oxygenated blood is shunt- ed to central area of the
body and vital organs first. ✔✔ correct answer Acrocyanosis
16. What are factors that affect blood glucose on newborns? ✔✔ correct answer - small for gestational age (SGA)
- large for gestational age (LGA)
- infants of diabetic mothers
- post-term or intrauterine growth restriction
17. What is vitamin K used for? ✔✔ correct answer Coagulation; neonates are at risk of blood clotting deficiency in the first few days of life
18. What are nursing considerations with the Hep B vax? ✔✔ correct answer •Requires consent from mother
• First vaccination can be given after birth
• Second vaccination given at one month
• Third dose given after 5 months
120 + COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST STUDY
REVIEW 2025/2026 BEST FOR REVISION
,1. When is the APGAR score assigned? ✔✔ correct answer At 1 and 5 minutes after birth
2. What are the five categories of the APGAR score? ✔✔ correct answer 1. HR
2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
3. When the APGAR score is <9 at 5 minutes, it is more important to stabilize the infant than keep them with mom.
T/F? ✔✔ correct answer True
4. What does each APGAR score mean? ✔✔ correct answer >7 = normal 4-6 =
low
<3 = critical
5. What are the 4 factors that influence initiation of the first breath? ✔✔ correct answer Chemical factors ✔✔ correct
answer hypercarbia, acidosis, and hypoxia
Sensory factors ✔✔ correct answer overwhelming stimuli aids in transition Thermal factors
✔✔ correct answer drastic change in temp aids in transition
Mechanical factors ✔✔ correct answer thoracic squeeze through birth causes fluid release and replacement with air
6. Why does hypoxia, hypercarbia, and acidosis trigger respirations? ✔✔ correct answer - hypoxiacauses blood oxygen (PO2)
levels to rise and pH to drop
- carbon dioxide levels (PCO2) begin to rise and prompt the resp center within the medulla to initiate breathing
7. Periodic breathing in a newborn is not usually associated with any change in skin color or HR. How long are these
pauses? ✔✔ correct answer 5-15 seconds (approx 3 seconds is norm? P. 298)
8. What are indicators of respiratory difficulties in the newborn? ✔✔ correct answer - apnea(nobreathing for more than 20
seconds)
- expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at rest
- high RR
, 9. What are the five changes for successful cardiopulmonary adaptation? ✔✔ correct answer - in- creased aortic
pressure
- decreased venous pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
10. What is the HR when baby is first born? ✔✔ correct answer 160-180 and then 30 min later it goes to 120-160
11. The baby cannot become hypoglycemic from heat loss. T/F? ✔✔ correct answer False.
12. How do newborns respond to cold? ✔✔ correct answer They burn brown adipose tissue since they cannot shiver to maintain warmth
13. What can the nurse do to regulate temperature in the newborn? ✔✔ correct answer - skin-to-skin contact with mom and
warm blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
14. Blood volume is determined in large part by the timing of the umbilical cord clamping. T/F? ✔✔ correct answer
True
15. is seen in most newborns as oxygenated blood is shunt- ed to central area of the
body and vital organs first. ✔✔ correct answer Acrocyanosis
16. What are factors that affect blood glucose on newborns? ✔✔ correct answer - small for gestational age (SGA)
- large for gestational age (LGA)
- infants of diabetic mothers
- post-term or intrauterine growth restriction
17. What is vitamin K used for? ✔✔ correct answer Coagulation; neonates are at risk of blood clotting deficiency in the first few days of life
18. What are nursing considerations with the Hep B vax? ✔✔ correct answer •Requires consent from mother
• First vaccination can be given after birth
• Second vaccination given at one month
• Third dose given after 5 months
