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Exam (elaborations)

OB Exam 4 The Normal Newborn: Needs and Care Study Guide, NCLEX Questions & Exam Review (2026)

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This document contains comprehensive study materials for **OB Exam 4: The Normal Newborn – Needs and Care (2026)**. It is designed to help nursing students prepare for exams by reviewing essential newborn care concepts, neonatal assessments, and NCLEX-style practice questions. Included in this resource: • Normal newborn care and assessment review • Newborn physiological adaptation concepts • NCLEX-style practice questions and answers • Neonatal nursing and maternal-child health topics • Clinical reasoning and patient care applications • Exam preparation and revision support This study guide is ideal for nursing students studying obstetric, maternity, or maternal-child nursing who want to strengthen their understanding of newborn care principles and perform confidently on examinations. Keywords: OB Exam 4, Normal Newborn, Newborn Care, Neonatal Nursing, Obstetric Nursing, Maternity Nursing, NCLEX Questions, Nursing Study Guide, Practice Questions, Exam Review, Maternal Child Nursing, Women's Health Nursing, Test Bank, Revision Materials, 2026.

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OB:vnEXAMvn4vnThevnNormalvnNewborn:vnNeedsvnandvnCare


Thevnnursevnassessesvnthevnnewbornvnandvnnotesvnthevnfollowingvnbehaviors:vn
nasalvnflaring,vnfacialvngrimacing,vnandvnexcessivevnmucus.vnWhatvnisvnthevnnu
rsevnmostvnconcernedvnabout?vn-vncorrectvnanswer✔ ✔
Respiratoryvndistress


Youvnarevnadmittingvnavn10-
poundvnnewbornvntovnthevnnursery.vnYouvnknowvnthatvnitvnwillvnbevnimportantvnt
ovnmonitorvnwhatvnduringvnthevntransitionvnperiod?vn-vncorrectvnanswer✔ ✔
bloodvnsugar


Thevnnursevnisvnplanningvnhomevnvisitsvntovnthevnhomesvnofvnnewvnparentsvnandv
ntheirvnnewborns.vnWhich vnclientvnshouldvnthevnnursevnseevnfirst? vn-


vncorrectvnanswer✔ ✔ 6-day-
oldvnfemalevnwithvngreenishvndischargevnfromvnthevnumbilicalvncordvnsite


Howvncanvnthevnnursevnbevninstrumentalvninvnpreventingvnhypoglycemiavninvnt
hevnnewborn?vnChoosevnthevnbestvnanswer.vn-vncorrectvnanswer✔ ✔
encouragingvnearlyvnandvnfrequentvnfeedings


Beforevnthevnnewbornvnandvnmothervnarevndischargedvnfromvnthevnbirthingvnun
it,vnthevnnursevnteachesvnthevnparentsvnaboutvnnewbornvnscreeningvntestsvnthatvni
ncludesvnwhichvnofvnthevnfollowing?vn-vncorrectvnanswer✔ ✔
Hearingvnscreening

,Thevninfant'svntemperaturevnisvn97.2Fvnaxillaryvnanvnhourvnaftervnbirth.vnWhich
vninterventionvnisvnthevnappropriatevnforvnthevnnurse? vn-vncorrectvnanswer✔


✔ Placevnthevninfantvnundervnavnradiantvnwarmervnorvninvnavnheatedvnisolette.


Tovnmaintainvnavnhealthyvntemperaturevninvnthevnnewborn,vnwhichvnofvnthevnfoll
owingvnactionsvnshouldvnbevntaken?vn-vncorrectvnanswer✔ ✔
Encouragevnthevnmothervntovnsnugglevnwithvnthevnnewbornvnundervnblankets
.
Keepvnthevnnewborn'svnclothingvnandvnbeddingvndry.
Reducevnthevnnewborn'svnexposurevntovndrafts.


Whenvncaringvnforvnavnnewbornvnwhovnisvnjitteryvnandvnirritablevn30vnminutesvna
ftervnbirth,vnwhatvnshouldvnthevnnursevndo?vn-vncorrectvnanswer✔ ✔
Takevnblood,vnusingvnavnheelvnstick,vntovncheckvnforvnhypoglycemia.


Thevnnewbornvnhasvnbeenvnplacedvninvnskin-to-
skinvncontactvnwithvnhisvnmother.vnAvnblanketvncoversvnallvnofvnhisvnbodyvnexce
ptvnhisvnhead.vnHisvnhairvnisvnstillvnwetvnwithvnamnioticvnfluid,vnetc.vnWhatvnisvnth
evnmostvnlikelyvntypevnofvnheatvnlossvnthisvnbabyvnmayvnexperience?vn-
vncorrectvnanswer✔ ✔ evaporative


Thevnnursevnisvnanalyzingvnvariousvnteachingvnstrategiesvnforvnteachingvnnewvn
mothersvnaboutvnnewbornvncare.vnTovnenhancevnlearning,vnwhichvnteachingvn

,methodvnshouldvnthevnnursevnimplement?vn-vncorrectvnanswer✔ ✔
Schedulevntimevnforvnone-to-onevnteachingvninvnthevnmother'svnroom.


Thevnnursevnteachesvnthevnparentsvnofvnanvninfantvnwhovnrecentlyvnwasvncircum
cisedvntovnobservevnforvnbleeding.vnWhatvnshouldvnthevnparentsvnbevntaughtvntovn
dovnifvnbleedingvndoesvnoccur?vn-vncorrectvnanswer✔ ✔
Applyvngentlevnpressurevntovnthevnsitevnwithvngauze.


Avnnewvnmothervnisvnalarmedvnbecausevnhervnnewbornvnhasvnlostvn10vnouncesvni
nvnweightvnsincevnbeingvnbornvn2vndaysvnago.vnShevnbelievesvnthatvnshevnhasvnbe
envnbreastfeedingvnproperly.vnWhichvnofvnthevnfollowingvnshouldvnthevnnursevn
mentionvnasvnlikelyvncausesvnofvnthisvnphenomenon?vn(Selectvnallvnthatvnapply.
)vn-vncorrectvnanswer✔ ✔ •vnAbsencevnofvnsalt-vnandvnfluid-
retainingvnmaternalvnhormones
•vnThevninfant'svnvoidingvnandvnpassingvnstool
•vnLowvncalorievncontentvnofvncolostrum


ThevnnursevnisvnpreparingvntovngivevnanvninjectionvnofvnvitaminvnKvntovnavnnewb
orn.vnWhichvnconsiderationsvnwouldvnbevnappropriate?vn-vncorrectvnanswer✔
✔ Usevnavn25-gauge,vn5/8-inchvnneedlevnforvnthevninjection.

Protectvnthevnmedicationvnbottlevnfromvnlight.
GivevnvitaminvnKvnpriorvntovnavncircumcisionvnprocedure.
Administervnavndosevnofvn0.5vnto1vnmgvnwithinvn1vnhourvnofvnbirth.

, Thevnnursevnobservesvntinyvnwhitevnpinpointvnpapulesvnonvnavnnewborn'svnnose
.vnThevnnursevndocumentsvnthisvnfindingvnas:vn-vncorrectvnanswer✔ ✔ milia


Avnmothervnandvnhervnnewbornvnarevnbeingvndischargedvn2vndaysvnaftervndelive
ry.vnThevngeneralvndischargevninstructionsvnprovidedvnbyvnthevnnursevnincludev
nwhichvnofvnthevnfollowing? vn-vncorrectvnanswer✔ ✔
Alwaysvnplacevnthevninfantvninvnavnsupinevnpositionvninvnthevncrib.
Usevnavnbulbvnsyringevntovnsuctionvnmucusvnfromvnthevninfant'svnnostrilsvnasvnne
cessary.


ThevnAmericanvnAcademyvnofvnPediatricsvnandvnthevnAmericanvnDieteticvnAs
sociationvnrecommendvnbreastfeedingvnexclusivelyvnforvnhowvnlong?vn-
vncorrectvnanswer✔ ✔ thevnfirstvn6vnmonths


Avnpostpartumvnclientvncallsvnthevnnurseryvntovnreportvnthatvnhervnnewborn'svnu
mbilicalvncordvnstumpvnisvndraining,vnandvnhasvnavnfoulvnodor.vnWhatvnisvnthevnn
urse'svnbestvnresponse?vn-vncorrectvnanswer✔ ✔
"Takevnyourvnnewbornvntovnthevnpediatrician."


ThevnAGPARvnscorevnisvnbasedvnonvnwhichvn5vnparameters?vn-
vncorrectvnanswer✔ ✔
Heartvnrate,vnmusclevntone,vnreflexvnirritability,vnrespiratoryvneffort,vnandvnc
olor

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