ACTUAL NR327 EXAM 2 TEST – 2025
ACTUAL TEST WITH CORRECT ANSWERS
GRADED A+
A nurse is caring for a newborn immediately following a
circumcision using a Gomco procedure. Which of the
following actions should the nurse implement?
a. Apply Gelfoam powder to the site
b. Place the newborn in the prone position
c. Apply petroleum gauze to the site
d. Avoid changing the diaper until the first voiding
Answer: C
Petroleum gauze is applied to the site for 24 hours to prevent the
skin edges from sticking to the diaper.
The diaper is changed more frequently to inspect the site.
Gelfoam powder is only applied to control bleeding when there is
a risk for hemorrhage. The baby should not be put in the prone
position
A nurse is reviewing car seat safety with the parents of a
newborn. Which of the following instructions should the
nurse include in the teaching regarding car seat position?
a. Front seat, rear-facing
b. Front seat, forward-facing
c. Back seat, rear-facing
,d. Back seat, forward-facing
Answer: C
This position should be maintained until the child is at least 2
years of age
A nurse is caring for a client who is at 42 weeks gestation
and in labor. The client asks the nurse what to expect
because the baby is postmature. Which of the following
statements should the nurse make?
a. "Your baby will have excess body fat"
b. "Your baby will have flat areola without breast buds"
c. "Your baby's heels will easily move to his ears"
d. "Your baby's skin will have a leathery appearance"
Answer: D
This finding is due to placental insufficiency.
Heals that are moveable fully to the ears and flat areolas without
breast buds are seen in a newborn who is preterm.
Excess body fat is seen in a newborn who is macrosomic.
A nurse is caring for an infant who has a high bilirubin level
and is receiving phototherapy. Which of the following is the
priority finding in the newborn?
a. Conjunctivitis
b. Bronze skin discoloration
c. Sunken fontanels
d. Maculopapular skin rash
,Answer: C
The infant is at risk for dehydration from loose stools due to
increased bilirubin excretion from the phototherapy
A nurse is called to the birthing room to assist with the
assessment of a newborn who was born at 32 weeks
gestation. The newborn's birth weight is 1,100 g. Which of
the following are expected findings in this newborn? (SATA)
a. Lanugo
b. Long nails
c. Weak grasp reflex
d. Translucent skin
e. Plump face
Answer: A, C, D
A plump face would be observed in an infant who is macrosomic.
Long nails are a finding in a newborn who is postmature
A nurse is caring for a newborn who is preterm and has
respiratory distress syndrome. Which of the following should
the nurse monitor to evaluate the newborn's condition
following administration of synthetic surfactant?
a. Oxygen saturation
b. Body temperature
c. Serum bilirubin
d. Heart rate
, Answer: A
Surfactant stabilizes the alveoli and helps increase oxygen
saturation.
A nurse is teaching a newly licensed nurse about neonatal
abstinence syndrome. Which of the following statements by
the newly licensed nurse indicate understanding of the
teaching?
a. "The newborn will have decreased muscle tone"
b. "The newborn will have a continuous high-pitched cry"
c. "The newborn will sleep for 2 to 3 hours after a feeding"
d. "The newborn will have mild tremors when disturbed"
Answer: B
This is often an indication of CNS disturbances in a newborn with
neonatal abstinence syndrome.
INCREASED muscle tone, sleep pattern disturbances that cause
difficulty with sleeping for 2-3 hours after feeding, and
MODERATE/SEVERE tremors when undisturbed.
A nurse is providing teaching to a client who is postpartum
and does not plan to breastfeed her newborn. Which of the
following instructions should the nurse include in the
teaching?
a. Stand under a hot shower with your breasts exposed
b. Place ice packs on your breasts
c. Wear a loose-fitting, comfortable bra
d. Limit fluid intake to 1L per day
ACTUAL TEST WITH CORRECT ANSWERS
GRADED A+
A nurse is caring for a newborn immediately following a
circumcision using a Gomco procedure. Which of the
following actions should the nurse implement?
a. Apply Gelfoam powder to the site
b. Place the newborn in the prone position
c. Apply petroleum gauze to the site
d. Avoid changing the diaper until the first voiding
Answer: C
Petroleum gauze is applied to the site for 24 hours to prevent the
skin edges from sticking to the diaper.
The diaper is changed more frequently to inspect the site.
Gelfoam powder is only applied to control bleeding when there is
a risk for hemorrhage. The baby should not be put in the prone
position
A nurse is reviewing car seat safety with the parents of a
newborn. Which of the following instructions should the
nurse include in the teaching regarding car seat position?
a. Front seat, rear-facing
b. Front seat, forward-facing
c. Back seat, rear-facing
,d. Back seat, forward-facing
Answer: C
This position should be maintained until the child is at least 2
years of age
A nurse is caring for a client who is at 42 weeks gestation
and in labor. The client asks the nurse what to expect
because the baby is postmature. Which of the following
statements should the nurse make?
a. "Your baby will have excess body fat"
b. "Your baby will have flat areola without breast buds"
c. "Your baby's heels will easily move to his ears"
d. "Your baby's skin will have a leathery appearance"
Answer: D
This finding is due to placental insufficiency.
Heals that are moveable fully to the ears and flat areolas without
breast buds are seen in a newborn who is preterm.
Excess body fat is seen in a newborn who is macrosomic.
A nurse is caring for an infant who has a high bilirubin level
and is receiving phototherapy. Which of the following is the
priority finding in the newborn?
a. Conjunctivitis
b. Bronze skin discoloration
c. Sunken fontanels
d. Maculopapular skin rash
,Answer: C
The infant is at risk for dehydration from loose stools due to
increased bilirubin excretion from the phototherapy
A nurse is called to the birthing room to assist with the
assessment of a newborn who was born at 32 weeks
gestation. The newborn's birth weight is 1,100 g. Which of
the following are expected findings in this newborn? (SATA)
a. Lanugo
b. Long nails
c. Weak grasp reflex
d. Translucent skin
e. Plump face
Answer: A, C, D
A plump face would be observed in an infant who is macrosomic.
Long nails are a finding in a newborn who is postmature
A nurse is caring for a newborn who is preterm and has
respiratory distress syndrome. Which of the following should
the nurse monitor to evaluate the newborn's condition
following administration of synthetic surfactant?
a. Oxygen saturation
b. Body temperature
c. Serum bilirubin
d. Heart rate
, Answer: A
Surfactant stabilizes the alveoli and helps increase oxygen
saturation.
A nurse is teaching a newly licensed nurse about neonatal
abstinence syndrome. Which of the following statements by
the newly licensed nurse indicate understanding of the
teaching?
a. "The newborn will have decreased muscle tone"
b. "The newborn will have a continuous high-pitched cry"
c. "The newborn will sleep for 2 to 3 hours after a feeding"
d. "The newborn will have mild tremors when disturbed"
Answer: B
This is often an indication of CNS disturbances in a newborn with
neonatal abstinence syndrome.
INCREASED muscle tone, sleep pattern disturbances that cause
difficulty with sleeping for 2-3 hours after feeding, and
MODERATE/SEVERE tremors when undisturbed.
A nurse is providing teaching to a client who is postpartum
and does not plan to breastfeed her newborn. Which of the
following instructions should the nurse include in the
teaching?
a. Stand under a hot shower with your breasts exposed
b. Place ice packs on your breasts
c. Wear a loose-fitting, comfortable bra
d. Limit fluid intake to 1L per day
