NUR 432 Exam 2 study guide questions and
answers 2025\2026
What does APGAR stand for correct answer Activity, Pulse, Grimace, Appearance,
Respirations
What is APGAR used for correct answer to determine how the baby is adapting to
extrauterine life
When is APGAR performed correct answer 1 minute, 5 minutes, 10 minutes if
needed
normal HR for newborn correct answer 110-160 bpm
normal RR for newborn correct answer 30-60 bpm
Acrocyanosis correct answer blueish color in extremities, normal finding in
newborn and can last up to 24 hrs
what is the gestational age/Ballard exam used for correct answer to approximate
gestational age. Gives us a clue if there is something to be aware of in the
newborn.
characteristics of a full term baby correct answer wrinkles and well flexed
extremities
characteristics of an overterm baby correct answer peeling skin, over wrinkly
,characteristics of a preterm baby correct answer skin is not wrinkled, smooth.
skin is translucent and red. not much flexion (flaccid)
what should be assessed on the newborns head correct answer Posterior
(triangle) and Anterior (diamond) fontanel, Cone head (caput), bruising such as a
cephalohematoma, possible scalp electrodes, eyes even with ears, eyes at
appropriate spacing apart from each other
what can cause a sunken anterior fontanel correct answer dehydration
what can cause a bulging anterior fontanel correct answer intracranial pressure
S&S of respiratory distress correct answer nasal flaring, grunting, retractions, and
blue coloring
Moro reflex correct answer startle reflex
babinski's reflex correct answer done on the outside of the foot, toes should flare
rooting reflex correct answer touching the baby's cheek and the baby turns their
mouth toward their finger (feeding cue)
sucking reflex correct answer when a finger is placed in the baby's mouth and the
baby sucks on it
, palmar and grasping reflex correct answer when an object is placed in the baby's
hand and strokes the palm, the fingers close and grasp the object
main major problem found in the newborn correct answer Jaundice-->check
bilirubin after 24 hours, if abnormal do a heel prick (if heel prick is abnormal,
determine if baby needs phototherapy)
what needs to be worn during phototherapy correct answer baby eye
shield/sunglasses
if the baby is Rh + and the mom is Rh- what medication will the mom receive and
when correct answer RhoGAM shot at 28 weeks and again right after delivery
what is the main disorder that determines if a pregnancy is considered high risk
correct answer hypertensive disorders
chronic hypertension correct answer mother comes into a pregnancy with
hypertension already
gestational hypertension or PIH correct answer when the mother has high BP
(140/90 or greater) occurring at 20 weeks but no protein in the urine
what determines preeclampsia correct answer high blood pressure (140/90 or
greater) and protein in the urine
S&S of preeclampsia correct answer headache, low platelet count, hypertension,
protein in the urine, elevated liver enzymes
answers 2025\2026
What does APGAR stand for correct answer Activity, Pulse, Grimace, Appearance,
Respirations
What is APGAR used for correct answer to determine how the baby is adapting to
extrauterine life
When is APGAR performed correct answer 1 minute, 5 minutes, 10 minutes if
needed
normal HR for newborn correct answer 110-160 bpm
normal RR for newborn correct answer 30-60 bpm
Acrocyanosis correct answer blueish color in extremities, normal finding in
newborn and can last up to 24 hrs
what is the gestational age/Ballard exam used for correct answer to approximate
gestational age. Gives us a clue if there is something to be aware of in the
newborn.
characteristics of a full term baby correct answer wrinkles and well flexed
extremities
characteristics of an overterm baby correct answer peeling skin, over wrinkly
,characteristics of a preterm baby correct answer skin is not wrinkled, smooth.
skin is translucent and red. not much flexion (flaccid)
what should be assessed on the newborns head correct answer Posterior
(triangle) and Anterior (diamond) fontanel, Cone head (caput), bruising such as a
cephalohematoma, possible scalp electrodes, eyes even with ears, eyes at
appropriate spacing apart from each other
what can cause a sunken anterior fontanel correct answer dehydration
what can cause a bulging anterior fontanel correct answer intracranial pressure
S&S of respiratory distress correct answer nasal flaring, grunting, retractions, and
blue coloring
Moro reflex correct answer startle reflex
babinski's reflex correct answer done on the outside of the foot, toes should flare
rooting reflex correct answer touching the baby's cheek and the baby turns their
mouth toward their finger (feeding cue)
sucking reflex correct answer when a finger is placed in the baby's mouth and the
baby sucks on it
, palmar and grasping reflex correct answer when an object is placed in the baby's
hand and strokes the palm, the fingers close and grasp the object
main major problem found in the newborn correct answer Jaundice-->check
bilirubin after 24 hours, if abnormal do a heel prick (if heel prick is abnormal,
determine if baby needs phototherapy)
what needs to be worn during phototherapy correct answer baby eye
shield/sunglasses
if the baby is Rh + and the mom is Rh- what medication will the mom receive and
when correct answer RhoGAM shot at 28 weeks and again right after delivery
what is the main disorder that determines if a pregnancy is considered high risk
correct answer hypertensive disorders
chronic hypertension correct answer mother comes into a pregnancy with
hypertension already
gestational hypertension or PIH correct answer when the mother has high BP
(140/90 or greater) occurring at 20 weeks but no protein in the urine
what determines preeclampsia correct answer high blood pressure (140/90 or
greater) and protein in the urine
S&S of preeclampsia correct answer headache, low platelet count, hypertension,
protein in the urine, elevated liver enzymes
