EDAPT NURSING CARE: NEWBORN
ASSESSMENT QUESTIONS WITH
COMPLETE SOLUTIONS
Which statement reflects the newborn's visual abilities at birth? - Correct
Answer-From birth, newborns can best see objects held 8-10 inches away.
What is the cause of molding in the newborn skull? - Correct Answer-
Overlapping of the unfused bones compressed during vaginal delivery
The nurse is assessing a newborn's vital signs. Which findings require follow-
up? Select all that apply. - Correct Answer-Axillary temperature 97.5°F
(36.4°C)
Apical heart rate 100 beats per minute
Respiratory rate 20 breaths per minute
The newborn's umbilical cord at delivery normally contains which
components? Select all that apply. - Correct Answer-Gelatinous protective
tissue
One vein and two arteries
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a
newborn. Based on this finding, what assessment cues should alert the
nurse? Select all that apply. - Correct Answer-Decreased blood oxygen
saturation
Hypoglycemia
Lethargy
The nurse observes a new mother placing her newborn on the bed between
her legs, then unwrapping the newborn to change the diaper and clothes.
She stops to answer her phone and is observed leaving the newborn
unwrapped. What implications may this have? Select all that apply. - Correct
Answer-Hypothermia in the newborn
Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn.
What conclusion does the nurse make based on this finding? - Correct
Answer-He has uric acid crystals in his urine.
ASSESSMENT QUESTIONS WITH
COMPLETE SOLUTIONS
Which statement reflects the newborn's visual abilities at birth? - Correct
Answer-From birth, newborns can best see objects held 8-10 inches away.
What is the cause of molding in the newborn skull? - Correct Answer-
Overlapping of the unfused bones compressed during vaginal delivery
The nurse is assessing a newborn's vital signs. Which findings require follow-
up? Select all that apply. - Correct Answer-Axillary temperature 97.5°F
(36.4°C)
Apical heart rate 100 beats per minute
Respiratory rate 20 breaths per minute
The newborn's umbilical cord at delivery normally contains which
components? Select all that apply. - Correct Answer-Gelatinous protective
tissue
One vein and two arteries
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a
newborn. Based on this finding, what assessment cues should alert the
nurse? Select all that apply. - Correct Answer-Decreased blood oxygen
saturation
Hypoglycemia
Lethargy
The nurse observes a new mother placing her newborn on the bed between
her legs, then unwrapping the newborn to change the diaper and clothes.
She stops to answer her phone and is observed leaving the newborn
unwrapped. What implications may this have? Select all that apply. - Correct
Answer-Hypothermia in the newborn
Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn.
What conclusion does the nurse make based on this finding? - Correct
Answer-He has uric acid crystals in his urine.
