Comprehensive Exam | Questions And
Answers Plus Rationales Latest 2026/27
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1. A newborn weighing 4.2 kg is classified as:
Answer: Macrosomic
Rationale: Macrosomia is typically defined as birth weight
>4,000 g.
2. Which maternal condition is a risk factor for
macrosomia?
Answer: Diabetes mellitus
Rationale: Excess glucose promotes fetal overgrowth.
3. A newborn delivered at 35 weeks is considered:
,Answer: Late preterm
Rationale: Preterm is <37 weeks gestation.
4. A key complication of prematurity is:
Answer: Respiratory distress syndrome
Rationale: Immature lungs lack surfactant.
5. Surfactant is produced by:
Answer: Type II alveolar cells
Rationale: Essential for lung expansion.
6. A newborn with grunting and nasal flaring is:
Answer: In respiratory distress
Rationale: Signs of increased work of breathing.
7. The priority nursing action for respiratory distress is:
, Answer: Maintain airway and oxygenation
Rationale: Airway is always first priority.
8. A preterm newborn is at risk for:
Answer: Hypothermia
Rationale: Lack of fat and immature thermoregulation.
9. Kangaroo care helps by:
Answer: Improving thermoregulation and bonding
Rationale: Skin-to-skin stabilizes newborn temperature.
10. A normal newborn glucose level is:
Answer: 40–60 mg/dL (or higher depending on facility)
Rationale: Low levels indicate hypoglycemia.
11. A sign of neonatal hypoglycemia is: