NUR 230 Exam 4 – OB/Peds (Galen College)
2026/2027 Original Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Maternal–Newborn Nursing
1. A nurse is assessing a newborn immediately after birth. Which finding
requires the most immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 48/min
C. Heart rate of 140/min
D. Grunting with nasal flaring
Answer: D. Grunting with nasal flaring
2. Which assessment finding is expected in a healthy term newborn during the
first hours after birth?
A. Central cyanosis
B. Respiratory rate of 40–60/min
C. Persistent apnea
,D. Severe retractions
Answer: B. Respiratory rate of 40–60/min
3. A newborn has a temperature of 36.1°C (97°F). What is the nurse's priority
intervention?
A. Give oral glucose
B. Place the newborn under a radiant warmer
C. Bathe the newborn
D. Administer oxygen immediately
Answer: B. Place the newborn under a radiant warmer
4. Which newborn finding is most concerning for hypoglycemia?
A. Sneezing
B. Jitteriness
C. Hiccups
D. Acrocyanosis
Answer: B. Jitteriness
5. Which medication is routinely administered to newborns to prevent vitamin K
deficiency bleeding?
A. Vitamin A
B. Vitamin C
C. Phytonadione
D. Folic acid
Answer: C. Phytonadione
,6. The nurse teaches parents about erythromycin ophthalmic ointment. What is
its primary purpose?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Improve visual acuity
D. Treat congenital cataracts
Answer: B. Prevent ophthalmia neonatorum
7. Which assessment is most important when caring for a newborn receiving
phototherapy?
A. Pupil response
B. Hydration status
C. Deep tendon reflexes
D. Hearing ability
Answer: B. Hydration status
8. A newborn receiving phototherapy should have which intervention?
A. Keep the newborn fully clothed
B. Cover the eyes appropriately
C. Apply lotion frequently
D. Stop feeding during treatment
Answer: B. Cover the eyes appropriately
9. Which finding is characteristic of physiologic jaundice?
A. Appears during the first several hours of life
, B. Appears after the first 24 hours
C. Is associated with severe neurologic symptoms
D. Always indicates hemolytic disease
Answer: B. Appears after the first 24 hours
10. Which newborn is at increased risk for hypoglycemia?
A. Appropriate-for-gestational-age newborn
B. Infant of a diabetic mother
C. Newborn born at 40 weeks with normal weight
D. Newborn with mild acrocyanosis
Answer: B. Infant of a diabetic mother
11. A nurse assesses a newborn's Moro reflex. Which response is expected?
A. Toes fan outward when the sole is stroked
B. Arms extend and then move inward after a startle
C. Infant turns toward stimulation of the cheek
D. Infant grasps an examiner's finger
Answer: B. Arms extend and then move inward after a startle
12. Which action best prevents heat loss through evaporation in a newborn?
A. Use a hat
B. Dry the newborn thoroughly
C. Place the crib away from windows
D. Use a warmed mattress
Answer: B. Dry the newborn thoroughly
2026/2027 Original Comprehensive Practice Examination
Questions 1–200 | Four Multiple-Choice Options | Correct Answers
Italicized
Maternal–Newborn Nursing
1. A nurse is assessing a newborn immediately after birth. Which finding
requires the most immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 48/min
C. Heart rate of 140/min
D. Grunting with nasal flaring
Answer: D. Grunting with nasal flaring
2. Which assessment finding is expected in a healthy term newborn during the
first hours after birth?
A. Central cyanosis
B. Respiratory rate of 40–60/min
C. Persistent apnea
,D. Severe retractions
Answer: B. Respiratory rate of 40–60/min
3. A newborn has a temperature of 36.1°C (97°F). What is the nurse's priority
intervention?
A. Give oral glucose
B. Place the newborn under a radiant warmer
C. Bathe the newborn
D. Administer oxygen immediately
Answer: B. Place the newborn under a radiant warmer
4. Which newborn finding is most concerning for hypoglycemia?
A. Sneezing
B. Jitteriness
C. Hiccups
D. Acrocyanosis
Answer: B. Jitteriness
5. Which medication is routinely administered to newborns to prevent vitamin K
deficiency bleeding?
A. Vitamin A
B. Vitamin C
C. Phytonadione
D. Folic acid
Answer: C. Phytonadione
,6. The nurse teaches parents about erythromycin ophthalmic ointment. What is
its primary purpose?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Improve visual acuity
D. Treat congenital cataracts
Answer: B. Prevent ophthalmia neonatorum
7. Which assessment is most important when caring for a newborn receiving
phototherapy?
A. Pupil response
B. Hydration status
C. Deep tendon reflexes
D. Hearing ability
Answer: B. Hydration status
8. A newborn receiving phototherapy should have which intervention?
A. Keep the newborn fully clothed
B. Cover the eyes appropriately
C. Apply lotion frequently
D. Stop feeding during treatment
Answer: B. Cover the eyes appropriately
9. Which finding is characteristic of physiologic jaundice?
A. Appears during the first several hours of life
, B. Appears after the first 24 hours
C. Is associated with severe neurologic symptoms
D. Always indicates hemolytic disease
Answer: B. Appears after the first 24 hours
10. Which newborn is at increased risk for hypoglycemia?
A. Appropriate-for-gestational-age newborn
B. Infant of a diabetic mother
C. Newborn born at 40 weeks with normal weight
D. Newborn with mild acrocyanosis
Answer: B. Infant of a diabetic mother
11. A nurse assesses a newborn's Moro reflex. Which response is expected?
A. Toes fan outward when the sole is stroked
B. Arms extend and then move inward after a startle
C. Infant turns toward stimulation of the cheek
D. Infant grasps an examiner's finger
Answer: B. Arms extend and then move inward after a startle
12. Which action best prevents heat loss through evaporation in a newborn?
A. Use a hat
B. Dry the newborn thoroughly
C. Place the crib away from windows
D. Use a warmed mattress
Answer: B. Dry the newborn thoroughly
