NURS5032 NEWBORN NURSING CARE EXAM 2025 WITH CORRECT ANSWERS

NURS5032 NEWBORN NURSING CARE
EXAM 2025 WITH CORRECT ANSWERS




A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours
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ago via cesarean section is found to have moist lung sounds. What is the best interpretation of
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these data? k




a. The nurse should notify the pediatrician stat for this emergency situation.
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b. The neonate must have aspirated surfactant.
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c. If this baby was born vaginally, it could indicate a pneumothorax.
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d. The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth. -
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correct answer Ans: D k k k k




Rationale: The condition will resolve itself within a few hours. For this common condition of
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newborns, surfactant acts to keep the expanded alveoli partially open between respirations.
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In vaginal births, absorption of remaining lung fluid is accelerated by the process of labor and
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delivery. Remaining lung fluid will move into interstitial spaces and be absorbed by the
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circulatory and lymphatic systems. k k k




When teaching parents about their newborns transition to extrauterine life, the nurse explains
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which organs are nonfunctional during fetal life. They are the _____
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a. kidneys and adrenals
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b. lungs and liver
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c. eyes and ears
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,d. GI system - correct answer Ans: B
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Rationale: Most of the fetal blood flow bypasses the nonfunctional lungs and liver.
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A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the
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woman place the infant to her breast within 15 minutes after birth. The nurse knows that
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breastfeeding is effective during the first 30 minutes after birth because this is the _____ k k k k k k k k k k k k k k




a. transition period
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b. first period of reactivity
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c. organizational stage
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d. second period of reactivity - correct answer Ans: B
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Rationale: The first period of reactivity is the first phase of transition and lasts up to 30 minutes
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after birth. The infant is highly alert during this phase.
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Nurses can prevent evaporative heat loss in the newborn by _____
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a. drying the baby after birth and wrapping the baby in a dry blanket
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b. keeping the baby out of drafts and away from air conditioners
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c. placing the baby away from outside walls and windows
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d. warming the stethoscope and nurses hands before touching the baby - correct answer Ans:
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A

Rationale: Because the infant is a wet with amniotic fluid and blood, heat loss by evaporation
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occurs quickly. k




A first-time dad is concerned that his 3-day-old daughters skin looks yellow. In the nurses
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explanation of physiologic jaundice, what fact should be included? k k k k k k k k




a. Physiologic jaundice occurs during the first 24 hours of life.
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b. Physiologic jaundice is caused by blood incompatibilities between the mother and infant
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blood types. k




c. The bilirubin levels of physiologic jaundice peak between the second and fourth days of life.
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d. the condition is also known as breast milk jaundice - correct answer Ans: C
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,Rationale: Physiologic jaundice becomes visible when the serum bilirubin reaches a level of 5
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mg/dL or greater, which occurs when the baby is approximately 3 days old. This finding is
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within normal limits for the newborn. k k k k k




To provide competent newborn care, the nurse understands that respirations are initiated at
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birth as a result of _____
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a. an increase in the PO2 and a decrease in PCO2
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b. the continued functioning of the foramen ovale
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c. chemical, thermal, sensory and mechanical factors
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d. drying off the infant - correct answer Ans: C
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Rationale: A variety of these factors are responsible for initiation of respirations.
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In fetal circulation, the pressure is greatest in the ____
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a. right atrium
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b. left atrium
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c. hepatic system
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d. pulmonary veins - correct answer Ans: A
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Rationale: Pressure in fetal circulation is greatest in the right atrium, which allows a right-to-
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left shunting that aids in bypassing the lungs during intrauterine life.
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Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of k k k k k k k k k k k k k k k k




_____

a. increased pressure in the right atrium
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b. increased pressure in the left atrium
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c. decreased blood flow to the left ventricle
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d. changes in the hepatic blood flow - correct answer Ans: B
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Rationale: With the increase in the blood flow to the left atrium from the lungs, the pressure is
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increased, and the foramen ovale is functionally closed. k k k k k k k




The nurse should alert the physician when _______
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, a. the infant is dusky and turns cyanotic when crying.
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b. Acrocyanosis is present at age 1 hour.
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c. The infants blood glucose is 45 mg/dL.
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d. The infant goes into a deep sleep at age 1 hour. - correct answer Ans: A
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Rationale: An infant who is dusky and becomes cyanotic when crying is showing poor
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adaptation to extrauterine life. All other answers are expected findings in a newborn.
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While assessing the newborn, the nurse should be aware that the average expected apical
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pulse range of a full-term, quiet, alert newborn is _____ beats/min.
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a. 80-100
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b. 100-120
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c. 120-160
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d. 150-180 - correct answer Ans: C
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Rationale: The average infant heart rate while awake is 120 to 160 beats/min.
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What is a result of hypothermia in a newborn?
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a. shivering to generate heat
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b. decreased oxygen demands
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c. increased glucose demands
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d. decreased metabolic rate - correct answer Ans: C
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Rationale: In hypothermia, the basal metabolic rate (BMR) is increased in an attempt to
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compensate, thus requiring more glucose. k k k k




The infant with the lowest risk of developing high levels of bilirubin is the one who
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a. was bruised during a difficult delivery
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b. developed a cephalhematoma
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c. uses brown fat to maintain temperature
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d. breastfeeds during the first hour of life - correct answer Ans: D
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