NUR 3300 Exam 3 – Nursing Practice II (2026)
Exam Question with Correct Answers & Detailed
Rationales
William Paterson University
Exam 3 Overview
NUR 3300 – Nursing Practice II at William Paterson
University provides students with clinical practicum
experience delivering therapeutic nursing care to clients at
all stages of human development during periods of
changing health and illness.
Exam 3 focuses on the following core topics:
• Newborn Assessment and Adaptation (APGAR scoring,
Ballard score, vital signs, transitional period)
• Newborn Nutrition (breastfeeding, formula feeding,
feeding cues, weight gain)
• Newborn Reflexes and Neurologic
Assessment (primitive reflexes, developmental milestones)
,• Postpartum Assessment and Care (fundus, lochia,
perineum, vital signs)
• Postpartum Complications (hemorrhage, infection, DVT,
mastitis, endometritis)
• Breastfeeding Complications (engorgement, mastitis,
plugged ducts, nipple trauma)
• Postpartum Mood Disorders (baby blues, postpartum
depression, postpartum psychosis)
• Newborn Screening and Testing (PKU, hearing
screening, congenital hypothyroidism)
• High-Risk Newborn Conditions (hyperbilirubinemia,
hypoglycemia, respiratory distress syndrome, neonatal
abstinence syndrome, sepsis)
SECTION 1: Newborn Assessment – APGAR Scoring
(Questions 1-25)
1. The nurse is assessing a newborn's Apgar score at 1
minute. The newborn has a heart rate of 100 bpm,
irregular respiratory effort, flexed muscle tone, a
grimace in response to stimulation, and acrocyanosis.
What is the Apgar score?
,A) 5
B) 6
C) 7
D) 8
Answer: B
Rationale: APGAR scoring: Heart rate ≥100 = 2 points;
Respiratory effort irregular = 1 point; Muscle tone flexed =
1 point; Reflex irritability (grimace) = 1 point; Color
acrocyanotic = 1 point. Total = 6. The newborn requires
continued monitoring and may need some resuscitation
support.
2. The nurse assesses a newborn at 1 minute and 5
minutes of life. At 1 minute, the score is 4. At 5
minutes, the score is 7. Which action should the nurse
take?
A) Continue routine newborn care
B) Notify the healthcare provider immediately
C) Continue resuscitation efforts and reassess at 10
minutes
D) Discontinue resuscitation efforts
Answer: C
, Rationale: An Apgar score of 4 at 1 minute indicates the
newborn is in the moderate depression range and requires
resuscitation. Improvement to 7 at 5 minutes shows the
newborn is responding. The nurse should continue
supportivemeasures andreassess at 10 minutes. Scores
below 7 at 5 minutes may require continued intervention.
3. Which ofthe following components is NOT included in
the Apgar scoring system?
A) Heart rate
B) Respiratory effort
C) Bloodpressure
D) Reflex irritability
Answer: C
Rationale: The Apgar score assesses five components: Heart
rate, Respiratory effort, Muscle tone, Reflex irritability, and
Color(mnemonic: Appearance, Pulse, Grimace, Activity,
Respiration). Blood pressure is not assessed in the Apgar
score.
Exam Question with Correct Answers & Detailed
Rationales
William Paterson University
Exam 3 Overview
NUR 3300 – Nursing Practice II at William Paterson
University provides students with clinical practicum
experience delivering therapeutic nursing care to clients at
all stages of human development during periods of
changing health and illness.
Exam 3 focuses on the following core topics:
• Newborn Assessment and Adaptation (APGAR scoring,
Ballard score, vital signs, transitional period)
• Newborn Nutrition (breastfeeding, formula feeding,
feeding cues, weight gain)
• Newborn Reflexes and Neurologic
Assessment (primitive reflexes, developmental milestones)
,• Postpartum Assessment and Care (fundus, lochia,
perineum, vital signs)
• Postpartum Complications (hemorrhage, infection, DVT,
mastitis, endometritis)
• Breastfeeding Complications (engorgement, mastitis,
plugged ducts, nipple trauma)
• Postpartum Mood Disorders (baby blues, postpartum
depression, postpartum psychosis)
• Newborn Screening and Testing (PKU, hearing
screening, congenital hypothyroidism)
• High-Risk Newborn Conditions (hyperbilirubinemia,
hypoglycemia, respiratory distress syndrome, neonatal
abstinence syndrome, sepsis)
SECTION 1: Newborn Assessment – APGAR Scoring
(Questions 1-25)
1. The nurse is assessing a newborn's Apgar score at 1
minute. The newborn has a heart rate of 100 bpm,
irregular respiratory effort, flexed muscle tone, a
grimace in response to stimulation, and acrocyanosis.
What is the Apgar score?
,A) 5
B) 6
C) 7
D) 8
Answer: B
Rationale: APGAR scoring: Heart rate ≥100 = 2 points;
Respiratory effort irregular = 1 point; Muscle tone flexed =
1 point; Reflex irritability (grimace) = 1 point; Color
acrocyanotic = 1 point. Total = 6. The newborn requires
continued monitoring and may need some resuscitation
support.
2. The nurse assesses a newborn at 1 minute and 5
minutes of life. At 1 minute, the score is 4. At 5
minutes, the score is 7. Which action should the nurse
take?
A) Continue routine newborn care
B) Notify the healthcare provider immediately
C) Continue resuscitation efforts and reassess at 10
minutes
D) Discontinue resuscitation efforts
Answer: C
, Rationale: An Apgar score of 4 at 1 minute indicates the
newborn is in the moderate depression range and requires
resuscitation. Improvement to 7 at 5 minutes shows the
newborn is responding. The nurse should continue
supportivemeasures andreassess at 10 minutes. Scores
below 7 at 5 minutes may require continued intervention.
3. Which ofthe following components is NOT included in
the Apgar scoring system?
A) Heart rate
B) Respiratory effort
C) Bloodpressure
D) Reflex irritability
Answer: C
Rationale: The Apgar score assesses five components: Heart
rate, Respiratory effort, Muscle tone, Reflex irritability, and
Color(mnemonic: Appearance, Pulse, Grimace, Activity,
Respiration). Blood pressure is not assessed in the Apgar
score.
