MN580 MIDTERM EXAM REVIEW QUESTIONS
AND ANSWERS 2026 COMPREHENSIVE
REVIEW GUIDE
◉ A 5 day old infant comes in for a newborn checkup. On
assessment of the newborn, you note that the skin is jaundice in
color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this
is moms first child. She states baby is having trouble latching on. A
bilirubin level is sent and comes back at 18. You identify this
newborn to be dehydrated and is most likely to have breast milk
jaundice. Which nursing intervention(s) will be required for this
baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above. Answer: 4. All of the above
Feedback
1.Phototherapy will be required to help decrease the level of
bilirubin.
2.It is important to provide the mother with support and education
and offer a lactation specialist.
,3.This infant is dehydrated so it will be necessary to monitor strict I
& Os.
4.Breast Milk Jaundice occurs in 12% of breastfed babies. At early
onset there are poor feeding patterns and bilirubin levels may spike
to 19. It is important to provide the mother with support and
education and offer a lactation specialist. This infant is dehydrated
so it will be necessary to monitor strict I & Os. Phototherapy will be
required to help decrease the level of bilirubin.
◉ Apgar scores measure heart rate, respiratory rate, reflex
irritability, color and:
1. Rigidity
2. Muscle tone
3. Birth weight
4. Capillary refill. Answer: 2. Muscle tone
Feedback
1.Not assessed for the APGAR score
2.Apgar scores measure 5 areas: respiratory rate, heart rate, muscle
tone, color and reflex irritability. The higher score indicates
adequate adaptation. Scores are done at 1 minute and 5 minutes
after birth.
3.Not assessed for the APGAR score
,4.Not assessed the APGAR score
◉ A mother on the postpartum unit asked to have her infant back
from the nursery so that she can breastfeed. The nurse brings the
newborn to the room and hands the baby to the mother. She asks the
mother to let her know how long the baby feeds. What vital step did
the nurse forget to take before giving the baby to the mother?
1. The nurse should have made sure that the baby was latching
correctly
2. The nurse should have identified the babys ID band with the
mothers
3. The nurse should have the mother speak with a lactation
consultant
4. The nurse should have asked the mother how long she planned to
feed. Answer: 2. The nurse should have identified the babys ID band
with the mothers
Feedback
1.It is vital that ID bands are checked with baby and mother before
leaving the infant.
2.It is vital that ID bands are checked with baby and mother before
leaving the infant.
3.Safety of the baby is the first priority
4.Safety of the baby is the first priority
, ◉ Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels. Answer: 2. Depletion of glucose
levels
Feedback
1.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
2.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
3.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
4.Surfactant levels decrease
◉ A mother has just delivered her new baby a few hours ago. She
asks the nurse if she can bathe the baby because he has blood on
him. The best response from the nurse would be.
AND ANSWERS 2026 COMPREHENSIVE
REVIEW GUIDE
◉ A 5 day old infant comes in for a newborn checkup. On
assessment of the newborn, you note that the skin is jaundice in
color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this
is moms first child. She states baby is having trouble latching on. A
bilirubin level is sent and comes back at 18. You identify this
newborn to be dehydrated and is most likely to have breast milk
jaundice. Which nursing intervention(s) will be required for this
baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above. Answer: 4. All of the above
Feedback
1.Phototherapy will be required to help decrease the level of
bilirubin.
2.It is important to provide the mother with support and education
and offer a lactation specialist.
,3.This infant is dehydrated so it will be necessary to monitor strict I
& Os.
4.Breast Milk Jaundice occurs in 12% of breastfed babies. At early
onset there are poor feeding patterns and bilirubin levels may spike
to 19. It is important to provide the mother with support and
education and offer a lactation specialist. This infant is dehydrated
so it will be necessary to monitor strict I & Os. Phototherapy will be
required to help decrease the level of bilirubin.
◉ Apgar scores measure heart rate, respiratory rate, reflex
irritability, color and:
1. Rigidity
2. Muscle tone
3. Birth weight
4. Capillary refill. Answer: 2. Muscle tone
Feedback
1.Not assessed for the APGAR score
2.Apgar scores measure 5 areas: respiratory rate, heart rate, muscle
tone, color and reflex irritability. The higher score indicates
adequate adaptation. Scores are done at 1 minute and 5 minutes
after birth.
3.Not assessed for the APGAR score
,4.Not assessed the APGAR score
◉ A mother on the postpartum unit asked to have her infant back
from the nursery so that she can breastfeed. The nurse brings the
newborn to the room and hands the baby to the mother. She asks the
mother to let her know how long the baby feeds. What vital step did
the nurse forget to take before giving the baby to the mother?
1. The nurse should have made sure that the baby was latching
correctly
2. The nurse should have identified the babys ID band with the
mothers
3. The nurse should have the mother speak with a lactation
consultant
4. The nurse should have asked the mother how long she planned to
feed. Answer: 2. The nurse should have identified the babys ID band
with the mothers
Feedback
1.It is vital that ID bands are checked with baby and mother before
leaving the infant.
2.It is vital that ID bands are checked with baby and mother before
leaving the infant.
3.Safety of the baby is the first priority
4.Safety of the baby is the first priority
, ◉ Excessive heat loss results in which of these?
1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels. Answer: 2. Depletion of glucose
levels
Feedback
1.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
2.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
3.Cold stress is excessive heat loss resulting in an increase in heart
rate, respiratory rate, oxygen consumption, metabolic acidosis,
depletion of glucose levels, and surfactant levels
4.Surfactant levels decrease
◉ A mother has just delivered her new baby a few hours ago. She
asks the nurse if she can bathe the baby because he has blood on
him. The best response from the nurse would be.
