NSG 3500 Exam 4 Review Questions and 100% Correct Answers
2026/27(Nursing Practice –Children’s Health) – Galen College of
Nursing
Which of the following is an abnormal infant sign?
Apgar ¼
A client who has a history of HSV is concerned about her newborn catching the disease. The nurse
explains
The client will start on Acyclovir at 36 weeks to suppress viral shedding. HSV 2 is genital herpes and
so it not transmitted by kissing. The baby does NOT get antibodies to HSV through placenta. All
women are given prophy at 36 weeks and if the client has a lesion in the 2 weeks before the expected
birth date, a c-section will usually be performed.
The nurse places her forefingers on the infant’s hip. The nurse feels a “click” when abducting the legs.
This is called
Ortlani’s maneuver. Used to check for congenital hip dysplasia.
The nurse is caring for a baby with GBS sepsis. The priority intervention is
Administer the antibiotic on time.
You are taking care of a 28-week neonate who is stable. In order to promote the best environment for
baby’s well-being
The nurse clusters care to promote rest. Always minimize the stimulation by not only managing pain and
light, but to group interventions together to not overstimulate baby.
The NICU nurse is concerned about her client developing necrotizing enterocolitis. What intervention
should she perform?
Measure abdominal circumference. One of the first signs of NEC is the accumulation of gas in the
abdomen.
The nurse takes the infants temperature and finds it to be 36.6. Priority care is:
Place cap on baby’s head and dress in warm clothing
The nurse assesses the baby and notices an apneic spell of 10 seconds. Her priority intervention
Record as normal. Apneic spells up to 15 seconds are normal for the neonate
A client asks why her baby has microcephaly. The nurse explains
You should take folic acid every day. Microcephaly is a neural tube defect that has many different causes
and is included in many genetic syndromes. Folic acid is recommended to all pregnant women, but
especially those who have history of NTD.
NSG 3500 Exam 4 Review
, A 39-week male infant is born and has a pulse of 60, no respiratory effort, is blue, has poor tone and
limited reflex irritability. The nurse should
Hook up the Ambu bag to oxygen. Airway, the nurse must establish respirations
NSG 3500 Exam 4 Review
2026/27(Nursing Practice –Children’s Health) – Galen College of
Nursing
Which of the following is an abnormal infant sign?
Apgar ¼
A client who has a history of HSV is concerned about her newborn catching the disease. The nurse
explains
The client will start on Acyclovir at 36 weeks to suppress viral shedding. HSV 2 is genital herpes and
so it not transmitted by kissing. The baby does NOT get antibodies to HSV through placenta. All
women are given prophy at 36 weeks and if the client has a lesion in the 2 weeks before the expected
birth date, a c-section will usually be performed.
The nurse places her forefingers on the infant’s hip. The nurse feels a “click” when abducting the legs.
This is called
Ortlani’s maneuver. Used to check for congenital hip dysplasia.
The nurse is caring for a baby with GBS sepsis. The priority intervention is
Administer the antibiotic on time.
You are taking care of a 28-week neonate who is stable. In order to promote the best environment for
baby’s well-being
The nurse clusters care to promote rest. Always minimize the stimulation by not only managing pain and
light, but to group interventions together to not overstimulate baby.
The NICU nurse is concerned about her client developing necrotizing enterocolitis. What intervention
should she perform?
Measure abdominal circumference. One of the first signs of NEC is the accumulation of gas in the
abdomen.
The nurse takes the infants temperature and finds it to be 36.6. Priority care is:
Place cap on baby’s head and dress in warm clothing
The nurse assesses the baby and notices an apneic spell of 10 seconds. Her priority intervention
Record as normal. Apneic spells up to 15 seconds are normal for the neonate
A client asks why her baby has microcephaly. The nurse explains
You should take folic acid every day. Microcephaly is a neural tube defect that has many different causes
and is included in many genetic syndromes. Folic acid is recommended to all pregnant women, but
especially those who have history of NTD.
NSG 3500 Exam 4 Review
, A 39-week male infant is born and has a pulse of 60, no respiratory effort, is blue, has poor tone and
limited reflex irritability. The nurse should
Hook up the Ambu bag to oxygen. Airway, the nurse must establish respirations
NSG 3500 Exam 4 Review
