INTRODUCTION TO MATERNITY AND PEDIATRIC
NURSING CHAPTER 8 Fundamentals EXAM
Questions AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2026|INSTANT DOWNLOAD PDF
1. Which of the following are normal vital signs for a term
newborn immediately after birth?
A. Heart rate 90 bpm
B. Respiratory rate 40–60/min
C. Temperature 36.5–37.5°C
D. Blood pressure 80/50 mmHg
Rationale: Term newborns have higher respiratory and heart
rates than adults; blood pressure is lower.
Correct answer: B, C
2. What is the purpose of the Apgar score?
A. To assess gestational age
B. To evaluate newborn adaptation to extrauterine life
C. To determine the need for resuscitation
D. To measure blood glucose
Rationale: Apgar assesses heart rate, respiratory effort, muscle
tone, reflex irritability, and color at 1 and 5 minutes after birth.
Correct answer: B, C
,3. A newborn has a heart rate of 120 bpm, weak cry, slight
flexion of arms and legs, grimace with stimulation, and pink
body with blue extremities. What is the 1-minute Apgar
score?
A. 3
B. 5
C. 7
D. 9
Rationale: Heart rate = 2, respiratory effort = 1, muscle tone =
1, reflex irritability = 1, color = 1 → total 6.
Correct answer: B
4. Which newborn reflexes are considered normal?
A. Moro reflex
B. Babinski reflex
C. Grasp reflex
D. Rooting reflex
Rationale: These reflexes are indicators of neurologic maturity
in term infants.
Correct answer: A, B, C, D
5. Signs of hypoglycemia in a newborn include:
A. Jitteriness
B. Lethargy
,C. High-pitched cry
D. Hyperactivity
Rationale: Hypoglycemia in neonates can present with CNS
irritability (jitteriness, high-pitched cry) or depression
(lethargy).
Correct answer: A, B, C
6. When is the first bath for a stable term newborn usually
recommended?
A. Immediately after birth
B. After 2–4 hours
C. After 24 hours
D. Before the first feeding
Rationale: Delaying the first bath helps maintain
thermoregulation and skin barrier function.
Correct answer: C
7. Normal weight loss for a term newborn in the first week of
life is:
A. 5–10% of birth weight
B. 15–20% of birth weight
C. 1–2% of birth weight
D. No weight loss
, Rationale: Newborns typically lose up to 10% of birth weight
due to fluid shifts.
Correct answer: A
8. Which interventions help prevent neonatal hypothermia?
A. Skin-to-skin contact
B. Use of radiant warmer
C. Swaddling with dry blankets
D. Immediate bathing
Rationale: Skin-to-skin, warm blankets, and radiant warmers
prevent heat loss. Bathing increases risk.
Correct answer: A, B, C
9. What is the most common site for intramuscular injections
in a newborn?
A. Deltoid
B. Vastus lateralis
C. Gluteus maximus
D. Ventrogluteal
Rationale: Vastus lateralis is well-developed and free from
major nerves and blood vessels in infants.
Correct answer: B
NURSING CHAPTER 8 Fundamentals EXAM
Questions AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2026|INSTANT DOWNLOAD PDF
1. Which of the following are normal vital signs for a term
newborn immediately after birth?
A. Heart rate 90 bpm
B. Respiratory rate 40–60/min
C. Temperature 36.5–37.5°C
D. Blood pressure 80/50 mmHg
Rationale: Term newborns have higher respiratory and heart
rates than adults; blood pressure is lower.
Correct answer: B, C
2. What is the purpose of the Apgar score?
A. To assess gestational age
B. To evaluate newborn adaptation to extrauterine life
C. To determine the need for resuscitation
D. To measure blood glucose
Rationale: Apgar assesses heart rate, respiratory effort, muscle
tone, reflex irritability, and color at 1 and 5 minutes after birth.
Correct answer: B, C
,3. A newborn has a heart rate of 120 bpm, weak cry, slight
flexion of arms and legs, grimace with stimulation, and pink
body with blue extremities. What is the 1-minute Apgar
score?
A. 3
B. 5
C. 7
D. 9
Rationale: Heart rate = 2, respiratory effort = 1, muscle tone =
1, reflex irritability = 1, color = 1 → total 6.
Correct answer: B
4. Which newborn reflexes are considered normal?
A. Moro reflex
B. Babinski reflex
C. Grasp reflex
D. Rooting reflex
Rationale: These reflexes are indicators of neurologic maturity
in term infants.
Correct answer: A, B, C, D
5. Signs of hypoglycemia in a newborn include:
A. Jitteriness
B. Lethargy
,C. High-pitched cry
D. Hyperactivity
Rationale: Hypoglycemia in neonates can present with CNS
irritability (jitteriness, high-pitched cry) or depression
(lethargy).
Correct answer: A, B, C
6. When is the first bath for a stable term newborn usually
recommended?
A. Immediately after birth
B. After 2–4 hours
C. After 24 hours
D. Before the first feeding
Rationale: Delaying the first bath helps maintain
thermoregulation and skin barrier function.
Correct answer: C
7. Normal weight loss for a term newborn in the first week of
life is:
A. 5–10% of birth weight
B. 15–20% of birth weight
C. 1–2% of birth weight
D. No weight loss
, Rationale: Newborns typically lose up to 10% of birth weight
due to fluid shifts.
Correct answer: A
8. Which interventions help prevent neonatal hypothermia?
A. Skin-to-skin contact
B. Use of radiant warmer
C. Swaddling with dry blankets
D. Immediate bathing
Rationale: Skin-to-skin, warm blankets, and radiant warmers
prevent heat loss. Bathing increases risk.
Correct answer: A, B, C
9. What is the most common site for intramuscular injections
in a newborn?
A. Deltoid
B. Vastus lateralis
C. Gluteus maximus
D. Ventrogluteal
Rationale: Vastus lateralis is well-developed and free from
major nerves and blood vessels in infants.
Correct answer: B
