MN580 ACTUAL EXAM PAPER 2026
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
● A 5 day old infant comes in for a newborn checkup. On assessment of
the newborn, you note that the skin is jaundice in color. The anterior
fontanel is slightly sunken. Per mom, the infant has only had 2 diapers
today. The infant is strictly breastfed and this is moms first child. She
states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is
most likely to have breast milk jaundice. Which nursing intervention(s)
will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above. Answer: 4. All of the above
Feedback
1.Phototherapy will be required to help decrease the level of bilirubin.
2.It is important to provide the mother with support and education and
offer a lactation specialist.
,3.This infant is dehydrated so it will be necessary to monitor strict I &
Os.
4.Breast Milk Jaundice occurs in 12% of breastfed babies. At early onset
there are poor feeding patterns and bilirubin levels may spike to 19. It is
important to provide the mother with support and education and offer a
lactation specialist. This infant is dehydrated so it will be necessary to
monitor strict I & Os. Phototherapy will be required to help decrease the
level of bilirubin.
● Apgar scores measure heart rate, respiratory rate, reflex irritability,
color and:
1. Rigidity
2. Muscle tone
3. Birth weight
4. Capillary refill. Answer: 2. Muscle tone
Feedback
1.Not assessed for the APGAR score
2.Apgar scores measure 5 areas: respiratory rate, heart rate, muscle tone,
color and reflex irritability. The higher score indicates adequate
adaptation. Scores are done at 1 minute and 5 minutes after birth.
3.Not assessed for the APGAR score
4.Not assessed the APGAR score
,● A mother on the postpartum unit asked to have her infant back from
the nursery so that she can breastfeed. The nurse brings the newborn to
the room and hands the baby to the mother. She asks the mother to let
her know how long the baby feeds. What vital step did the nurse forget
to take before giving the baby to the mother?
1. The nurse should have made sure that the baby was latching correctly
2. The nurse should have identified the babys ID band with the mothers
3. The nurse should have the mother speak with a lactation consultant
4. The nurse should have asked the mother how long she planned to
feed. Answer: 2. The nurse should have identified the babys ID band
with the mothers
Feedback
1.It is vital that ID bands are checked with baby and mother before
leaving the infant.
2.It is vital that ID bands are checked with baby and mother before
leaving the infant.
3.Safety of the baby is the first priority
4.Safety of the baby is the first priority
● Excessive heat loss results in which of these?
, 1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels. Answer: 2. Depletion of glucose levels
Feedback
1.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
2.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
3.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
4.Surfactant levels decrease
● A mother has just delivered her new baby a few hours ago. She asks
the nurse if she can bathe the baby because he has blood on him. The
best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
● A 5 day old infant comes in for a newborn checkup. On assessment of
the newborn, you note that the skin is jaundice in color. The anterior
fontanel is slightly sunken. Per mom, the infant has only had 2 diapers
today. The infant is strictly breastfed and this is moms first child. She
states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is
most likely to have breast milk jaundice. Which nursing intervention(s)
will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above. Answer: 4. All of the above
Feedback
1.Phototherapy will be required to help decrease the level of bilirubin.
2.It is important to provide the mother with support and education and
offer a lactation specialist.
,3.This infant is dehydrated so it will be necessary to monitor strict I &
Os.
4.Breast Milk Jaundice occurs in 12% of breastfed babies. At early onset
there are poor feeding patterns and bilirubin levels may spike to 19. It is
important to provide the mother with support and education and offer a
lactation specialist. This infant is dehydrated so it will be necessary to
monitor strict I & Os. Phototherapy will be required to help decrease the
level of bilirubin.
● Apgar scores measure heart rate, respiratory rate, reflex irritability,
color and:
1. Rigidity
2. Muscle tone
3. Birth weight
4. Capillary refill. Answer: 2. Muscle tone
Feedback
1.Not assessed for the APGAR score
2.Apgar scores measure 5 areas: respiratory rate, heart rate, muscle tone,
color and reflex irritability. The higher score indicates adequate
adaptation. Scores are done at 1 minute and 5 minutes after birth.
3.Not assessed for the APGAR score
4.Not assessed the APGAR score
,● A mother on the postpartum unit asked to have her infant back from
the nursery so that she can breastfeed. The nurse brings the newborn to
the room and hands the baby to the mother. She asks the mother to let
her know how long the baby feeds. What vital step did the nurse forget
to take before giving the baby to the mother?
1. The nurse should have made sure that the baby was latching correctly
2. The nurse should have identified the babys ID band with the mothers
3. The nurse should have the mother speak with a lactation consultant
4. The nurse should have asked the mother how long she planned to
feed. Answer: 2. The nurse should have identified the babys ID band
with the mothers
Feedback
1.It is vital that ID bands are checked with baby and mother before
leaving the infant.
2.It is vital that ID bands are checked with baby and mother before
leaving the infant.
3.Safety of the baby is the first priority
4.Safety of the baby is the first priority
● Excessive heat loss results in which of these?
, 1. RDS
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels. Answer: 2. Depletion of glucose levels
Feedback
1.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
2.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
3.Cold stress is excessive heat loss resulting in an increase in heart rate,
respiratory rate, oxygen consumption, metabolic acidosis, depletion of
glucose levels, and surfactant levels
4.Surfactant levels decrease
● A mother has just delivered her new baby a few hours ago. She asks
the nurse if she can bathe the baby because he has blood on him. The
best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
