NSG 3500 Exam 4 Study Guide Fall
2025/26 Update – Complete Solutions
Exam Overview
NSG 3500 is a Maternal Health nursing course. Exam 4 focuses on
advanced maternal-newborn concepts including neonatal assessment,
newborn complications, postpartum care, and leadership/management
principles. This study guide covers all major topics tested on Exam 4.
SECTION 1: NEWBORN ASSESSMENT & NORMAL
FINDINGS
Normal Newborn Vital Signs
Parameter Normal Range
Heart Rate 110 – 160 bpm
Respiratory 30-60/min, irregular,
Rate shallow,
diaphragmatic
Temperature 97.5 – 99.5°F (97.7 –
99.3°F in some texts)
, Systolic BP 60-80 mmHg
Diastolic BP 40-50 mmHg
Unstable Findings:
● Tachycardia: >160 bpm
● Tachypnea: >60 RR
● Nasal flaring, grunting, rib retractions
● HR <120 or >160
Newborn Reflexes
Reflex Method Expected Response
Sucking/Rooti Stroke infant's cheek Turns toward finger,
ng opens mouth, and
sucks
Palmar Grasp Place object in palm Curls fingers around
object
Moro Lift head and release Extension of both
support arms followed by
flexion of legs
Plantar Grasp Place object at sole of Curls toes around
foot object
Babinski Stroke plantar surface Toes incurve then fan
heel to toes out
Normal Newborn Skin Findings
2025/26 Update – Complete Solutions
Exam Overview
NSG 3500 is a Maternal Health nursing course. Exam 4 focuses on
advanced maternal-newborn concepts including neonatal assessment,
newborn complications, postpartum care, and leadership/management
principles. This study guide covers all major topics tested on Exam 4.
SECTION 1: NEWBORN ASSESSMENT & NORMAL
FINDINGS
Normal Newborn Vital Signs
Parameter Normal Range
Heart Rate 110 – 160 bpm
Respiratory 30-60/min, irregular,
Rate shallow,
diaphragmatic
Temperature 97.5 – 99.5°F (97.7 –
99.3°F in some texts)
, Systolic BP 60-80 mmHg
Diastolic BP 40-50 mmHg
Unstable Findings:
● Tachycardia: >160 bpm
● Tachypnea: >60 RR
● Nasal flaring, grunting, rib retractions
● HR <120 or >160
Newborn Reflexes
Reflex Method Expected Response
Sucking/Rooti Stroke infant's cheek Turns toward finger,
ng opens mouth, and
sucks
Palmar Grasp Place object in palm Curls fingers around
object
Moro Lift head and release Extension of both
support arms followed by
flexion of legs
Plantar Grasp Place object at sole of Curls toes around
foot object
Babinski Stroke plantar surface Toes incurve then fan
heel to toes out
Normal Newborn Skin Findings
