PN3 TEST 4 UPDATED ACTUAL Exam
Questions and CORRECT Answers
A nurse is caring for a newborn in the nursery. The newborn weighs 3,200 g and is in the 60th
percentile for
weight. Apgar scores are 9 and 10 at 1 and 5 min of age. Vital signs are temperature 37.2º C
(99.1° F) axillary,
heart rate 160/min, respirations 48/min, length 50.8 cm (20 in), head circumference 35 cm (14
in), and chest
circumference 33 cm (13 in). Which of the following is an appropriate classification for the
newborn based on
weight and gestational age?
A.
Low birth weight (LBW)
B.
Appropriate for gestational age (AGA)
C.
Small for gestational age (SGA)
D.
Large for gestational age (LGA) - CORRECT ANSWER - B.
Appropriate for gestational age (AGA)
A nurse is collecting data from a newborn and obser
ves small white bumps noted on the bridge of the
nose. The nurse should document this finding as which of the following?
A.
Erythema toxicum
B.
Epstein's pearls
C.
, Mongolian spots
D.
Milia spots - CORRECT ANSWER - D.
Milia spots
A nurse is assisting a registered nurse with the care of a newborn following a low for
ceps vaginal
delivery. Five minutes after birth, the newborn's heart rate is 110/min. Which of the following
Apgar heart
rate scores should the newborn receive?
A.
0
B.
1
C.
2
D.
3 - CORRECT ANSWER - C.
2
A nurse is checking the reflexes of a newborn. Which of the following should the nurse perform
to elicit
the startle reflex?
A.
Hold the newborn in a semisitting position, then allow the newborn's head and trunk to
fall backward.
B.
Make a loud noise such as clapping hands together over the newborn's crib.
C.
Questions and CORRECT Answers
A nurse is caring for a newborn in the nursery. The newborn weighs 3,200 g and is in the 60th
percentile for
weight. Apgar scores are 9 and 10 at 1 and 5 min of age. Vital signs are temperature 37.2º C
(99.1° F) axillary,
heart rate 160/min, respirations 48/min, length 50.8 cm (20 in), head circumference 35 cm (14
in), and chest
circumference 33 cm (13 in). Which of the following is an appropriate classification for the
newborn based on
weight and gestational age?
A.
Low birth weight (LBW)
B.
Appropriate for gestational age (AGA)
C.
Small for gestational age (SGA)
D.
Large for gestational age (LGA) - CORRECT ANSWER - B.
Appropriate for gestational age (AGA)
A nurse is collecting data from a newborn and obser
ves small white bumps noted on the bridge of the
nose. The nurse should document this finding as which of the following?
A.
Erythema toxicum
B.
Epstein's pearls
C.
, Mongolian spots
D.
Milia spots - CORRECT ANSWER - D.
Milia spots
A nurse is assisting a registered nurse with the care of a newborn following a low for
ceps vaginal
delivery. Five minutes after birth, the newborn's heart rate is 110/min. Which of the following
Apgar heart
rate scores should the newborn receive?
A.
0
B.
1
C.
2
D.
3 - CORRECT ANSWER - C.
2
A nurse is checking the reflexes of a newborn. Which of the following should the nurse perform
to elicit
the startle reflex?
A.
Hold the newborn in a semisitting position, then allow the newborn's head and trunk to
fall backward.
B.
Make a loud noise such as clapping hands together over the newborn's crib.
C.
