NRS 3026 EXAM 1 (Latest )
Questions & Answers 100% Correct
- OAKLAND UNIVERSITY
Which assessment finding of a newborn requires prompt action by the nurse?
a. Respiratory rate of 50 breaths/min
b. Cyanosis of the extremities
c. Pause in breathing lasting 20 seconds
d. Pause in breathing for 15 seconds followed by rapid respirations - Correct answer c
The nurse is receiving a shift report in the newborn nursery. Which client should the
nurse assess first?
a. 38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL
b. Term male newborn with a noted axillary temperature of 37.2° C (99° F)
c. 40-weeks' gestation female newborn with reported poor feed at last attempt
d. 39-weeks' gestation male newborn who has been crying prior to initial bath -
Correct answer c
,Inspection of a newborn's head following birth reveals a hard ridged area and
significant molding. The anterior and posterior fontanels show no sign of depression.
Delivery history indicates that the mother was pushing for over 3 hours and had
epidural anesthesia, and vacuum extraction was used. Based on this information the
nurse would first:
a. continue to monitor newborn and anticipate that molding will subside.
b. inspect and document location of fontanels to complete the head assessment.
c. contact the neonatologist.
d. note findings as being within normal limits as a result of the strenuous birth
process. - Correct answer c
The nurse is performing an initial assessment of a newborn and notes retractions,
nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment
on which system?
a. Respiratory
,b. Cardiovascular
c. Gastrointestinal
d. Musculoskeletal - Correct answer a
The postpartum nurse is providing care to a woman 2 hours after birth and to her
newborn. On review of the newborn's chart, the nurse sees a notation of caput
succedaneum. What will the nurse expect to find in the mother's chart?
a. Race—non-white
b. A longer than usual labor
c. Administration of an epidural
d. Delivery by cesarean section - Correct answer b
An infant at term was born at 0105, or 1:05 AM. The nurse is developing a plan of care
for the newborn. During which time range will the nurse plan on performing the
assessment to determine a Ballard score?
a. 0115-0130
, b. 0200-0600
c. 1400-1800
d. 2000-2300 - Correct answer b
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the
best way to evaluate for this finding?
a. Depress the tip of the nose.
b. Stroke the outer aspect of the foot.
c. Place a finger in the palm of the hand.
d. Rotate the hips in an upward and outward direction. - Correct answer a
To differentiate between caput succedaneum and cephalohematoma in a newborn, the
nurse would consider the following clinical information. (Select all that apply.)
a. These are both normal presentations because of the birth process and will resolve
within 24 to 48 hours.
Questions & Answers 100% Correct
- OAKLAND UNIVERSITY
Which assessment finding of a newborn requires prompt action by the nurse?
a. Respiratory rate of 50 breaths/min
b. Cyanosis of the extremities
c. Pause in breathing lasting 20 seconds
d. Pause in breathing for 15 seconds followed by rapid respirations - Correct answer c
The nurse is receiving a shift report in the newborn nursery. Which client should the
nurse assess first?
a. 38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL
b. Term male newborn with a noted axillary temperature of 37.2° C (99° F)
c. 40-weeks' gestation female newborn with reported poor feed at last attempt
d. 39-weeks' gestation male newborn who has been crying prior to initial bath -
Correct answer c
,Inspection of a newborn's head following birth reveals a hard ridged area and
significant molding. The anterior and posterior fontanels show no sign of depression.
Delivery history indicates that the mother was pushing for over 3 hours and had
epidural anesthesia, and vacuum extraction was used. Based on this information the
nurse would first:
a. continue to monitor newborn and anticipate that molding will subside.
b. inspect and document location of fontanels to complete the head assessment.
c. contact the neonatologist.
d. note findings as being within normal limits as a result of the strenuous birth
process. - Correct answer c
The nurse is performing an initial assessment of a newborn and notes retractions,
nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment
on which system?
a. Respiratory
,b. Cardiovascular
c. Gastrointestinal
d. Musculoskeletal - Correct answer a
The postpartum nurse is providing care to a woman 2 hours after birth and to her
newborn. On review of the newborn's chart, the nurse sees a notation of caput
succedaneum. What will the nurse expect to find in the mother's chart?
a. Race—non-white
b. A longer than usual labor
c. Administration of an epidural
d. Delivery by cesarean section - Correct answer b
An infant at term was born at 0105, or 1:05 AM. The nurse is developing a plan of care
for the newborn. During which time range will the nurse plan on performing the
assessment to determine a Ballard score?
a. 0115-0130
, b. 0200-0600
c. 1400-1800
d. 2000-2300 - Correct answer b
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the
best way to evaluate for this finding?
a. Depress the tip of the nose.
b. Stroke the outer aspect of the foot.
c. Place a finger in the palm of the hand.
d. Rotate the hips in an upward and outward direction. - Correct answer a
To differentiate between caput succedaneum and cephalohematoma in a newborn, the
nurse would consider the following clinical information. (Select all that apply.)
a. These are both normal presentations because of the birth process and will resolve
within 24 to 48 hours.
