FOCUSED PRACTICE TEST * 2026/2027
NR602
Newborn Assessment & Care
100-Question Practice Test
Immediate newborn transition, physical assessment, feeding, screening, jaundice, thermoregulation, safety,
common disorders, and urgent newborn red flags.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and detailed explanation appear immediately after every
item. Questions are original and cover newborn transition, assessment, feeding, screening, jaundice, safety, common disorders, and
urgent red flags.
Comprehensive Mixed Review
Which room arrangement best follows infant safe-sleep recommendations?
1
A Room sharing with the infant on a separate approved sleep surface
B Infant sleeping on a couch in the caregiver's room
C Bed sharing on an adult mattress
D Infant sleeping in an inclined swing overnight
Answer: A. Room sharing with the infant on a separate approved sleep surface
Explanation: Room sharing without bed sharing is recommended because it keeps the infant close while avoiding hazards of an adult
sleep surface. The infant should have a separate crib, bassinet, or other approved surface.
How do newborns primarily generate heat when they are cold?
2
A Sustained skeletal muscle shivering
B Nonshivering thermogenesis using brown adipose tissue
C Sweating followed by vasodilation
D Rapid voluntary exercise
Answer: B. Nonshivering thermogenesis using brown adipose tissue
Explanation: Newborns have limited shivering ability and depend heavily on brown fat metabolism for nonshivering thermogenesis.
Cold stress increases oxygen and glucose consumption, so preventing heat loss is important.
Which oral finding is most consistent with thrush rather than milk residue?
3
A Milk coating that wipes off the tongue
B A moist pink tongue after feeding
C White plaques that adhere to the mucosa and do not wipe away easily
D A normal upper-lip frenulum
Answer: C. White plaques that adhere to the mucosa and do not wipe away easily
Explanation: Oral candidiasis produces adherent white plaques on the tongue, cheeks, gums, or palate that are difficult to wipe away.
Feeding discomfort or associated diaper candidiasis may also occur.
NR602 * Newborn Assessment & Care * 100 Questions Page 2
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Which response demonstrates an intact Moro reflex?
4
A Turning the head toward a stroked cheek
B Rhythmic stepping while held upright only
C Flexing the toes around a finger placed at the sole
D Symmetric extension and abduction of the arms followed by flexion after a sudden stimulus
Answer: D. Symmetric extension and abduction of the arms followed by flexion after a sudden stimulus
Explanation: The Moro or startle reflex produces symmetric arm abduction and extension followed by flexion. Marked asymmetry can
suggest clavicular injury, brachial plexus injury, or other neurologic or musculoskeletal problems.
A newborn has ambiguous genitalia, poor feeding, vomiting, and signs of dehydration. Which disorder
5 must be considered urgently?
A Salt-wasting congenital adrenal hyperplasia
B Physiologic jaundice only
C Milia
D Caput succedaneum
Answer: A. Salt-wasting congenital adrenal hyperplasia
Explanation: Some forms of congenital adrenal hyperplasia can cause life-threatening salt wasting with hyponatremia, hyperkalemia,
dehydration, and shock. Ambiguous genitalia plus systemic illness requires urgent endocrine and electrolyte evaluation.
Which finding most strongly suggests neonatal abstinence or withdrawal and deserves focused
6 assessment?
A A soft flat fontanelle
B Marked irritability, tremors, poor feeding, and disorganized sleep in an exposed infant
C Milia and vernix
D Quiet alertness after feeding
Answer: B. Marked irritability, tremors, poor feeding, and disorganized sleep in an exposed infant
Explanation: Newborn withdrawal can involve neurologic, gastrointestinal, and autonomic symptoms such as irritability, tremors, poor
feeding, loose stools, and sleep difficulty. Care should be supportive, family-centered, and guided by the infant's functional status and
local protocol.
NR602 * Newborn Assessment & Care * 100 Questions Page 3
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Which cluster of findings should raise concern for neonatal sepsis?
7
A Vernix and molding
B Acrocyanosis only in the first hour
C Temperature instability, poor feeding, lethargy, and respiratory difficulty
D Milia, hiccups, and rooting
Answer: C. Temperature instability, poor feeding, lethargy, and respiratory difficulty
Explanation: Neonatal sepsis often presents with nonspecific signs such as temperature instability, poor feeding, lethargy, apnea,
tachypnea, or perfusion changes. Because newborns can deteriorate quickly, concerning signs warrant urgent evaluation.
What is the purpose of supervised awake tummy time?
8
A To replace supine sleep
B To prevent all reflux
C To treat neonatal jaundice
D To support motor development and reduce positional head flattening
Answer: D. To support motor development and reduce positional head flattening
Explanation: Tummy time is appropriate only while the infant is awake and supervised. It promotes upper-body strength and helps
reduce positional plagiocephaly while sleep continues to be supine.
A soft scalp swelling crosses suture lines soon after a vaginal birth. Which finding is most likely?
9
A Caput succedaneum
B Hydrocephalus
C Cephalohematoma
D Subdural hematoma
Answer: A. Caput succedaneum
Explanation: Caput succedaneum is superficial edema related to pressure during labor and can cross sutures. It generally resolves
without treatment over the first few days.
NR602 * Newborn Assessment & Care * 100 Questions Page 4
NR602
Newborn Assessment & Care
100-Question Practice Test
Immediate newborn transition, physical assessment, feeding, screening, jaundice, thermoregulation, safety,
common disorders, and urgent newborn red flags.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and detailed explanation appear immediately after every
item. Questions are original and cover newborn transition, assessment, feeding, screening, jaundice, safety, common disorders, and
urgent red flags.
Comprehensive Mixed Review
Which room arrangement best follows infant safe-sleep recommendations?
1
A Room sharing with the infant on a separate approved sleep surface
B Infant sleeping on a couch in the caregiver's room
C Bed sharing on an adult mattress
D Infant sleeping in an inclined swing overnight
Answer: A. Room sharing with the infant on a separate approved sleep surface
Explanation: Room sharing without bed sharing is recommended because it keeps the infant close while avoiding hazards of an adult
sleep surface. The infant should have a separate crib, bassinet, or other approved surface.
How do newborns primarily generate heat when they are cold?
2
A Sustained skeletal muscle shivering
B Nonshivering thermogenesis using brown adipose tissue
C Sweating followed by vasodilation
D Rapid voluntary exercise
Answer: B. Nonshivering thermogenesis using brown adipose tissue
Explanation: Newborns have limited shivering ability and depend heavily on brown fat metabolism for nonshivering thermogenesis.
Cold stress increases oxygen and glucose consumption, so preventing heat loss is important.
Which oral finding is most consistent with thrush rather than milk residue?
3
A Milk coating that wipes off the tongue
B A moist pink tongue after feeding
C White plaques that adhere to the mucosa and do not wipe away easily
D A normal upper-lip frenulum
Answer: C. White plaques that adhere to the mucosa and do not wipe away easily
Explanation: Oral candidiasis produces adherent white plaques on the tongue, cheeks, gums, or palate that are difficult to wipe away.
Feeding discomfort or associated diaper candidiasis may also occur.
NR602 * Newborn Assessment & Care * 100 Questions Page 2
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Which response demonstrates an intact Moro reflex?
4
A Turning the head toward a stroked cheek
B Rhythmic stepping while held upright only
C Flexing the toes around a finger placed at the sole
D Symmetric extension and abduction of the arms followed by flexion after a sudden stimulus
Answer: D. Symmetric extension and abduction of the arms followed by flexion after a sudden stimulus
Explanation: The Moro or startle reflex produces symmetric arm abduction and extension followed by flexion. Marked asymmetry can
suggest clavicular injury, brachial plexus injury, or other neurologic or musculoskeletal problems.
A newborn has ambiguous genitalia, poor feeding, vomiting, and signs of dehydration. Which disorder
5 must be considered urgently?
A Salt-wasting congenital adrenal hyperplasia
B Physiologic jaundice only
C Milia
D Caput succedaneum
Answer: A. Salt-wasting congenital adrenal hyperplasia
Explanation: Some forms of congenital adrenal hyperplasia can cause life-threatening salt wasting with hyponatremia, hyperkalemia,
dehydration, and shock. Ambiguous genitalia plus systemic illness requires urgent endocrine and electrolyte evaluation.
Which finding most strongly suggests neonatal abstinence or withdrawal and deserves focused
6 assessment?
A A soft flat fontanelle
B Marked irritability, tremors, poor feeding, and disorganized sleep in an exposed infant
C Milia and vernix
D Quiet alertness after feeding
Answer: B. Marked irritability, tremors, poor feeding, and disorganized sleep in an exposed infant
Explanation: Newborn withdrawal can involve neurologic, gastrointestinal, and autonomic symptoms such as irritability, tremors, poor
feeding, loose stools, and sleep difficulty. Care should be supportive, family-centered, and guided by the infant's functional status and
local protocol.
NR602 * Newborn Assessment & Care * 100 Questions Page 3
, NR602 Newborn Assessment & Care
100 original questions with the answer and explanation immediately after every question.
Which cluster of findings should raise concern for neonatal sepsis?
7
A Vernix and molding
B Acrocyanosis only in the first hour
C Temperature instability, poor feeding, lethargy, and respiratory difficulty
D Milia, hiccups, and rooting
Answer: C. Temperature instability, poor feeding, lethargy, and respiratory difficulty
Explanation: Neonatal sepsis often presents with nonspecific signs such as temperature instability, poor feeding, lethargy, apnea,
tachypnea, or perfusion changes. Because newborns can deteriorate quickly, concerning signs warrant urgent evaluation.
What is the purpose of supervised awake tummy time?
8
A To replace supine sleep
B To prevent all reflux
C To treat neonatal jaundice
D To support motor development and reduce positional head flattening
Answer: D. To support motor development and reduce positional head flattening
Explanation: Tummy time is appropriate only while the infant is awake and supervised. It promotes upper-body strength and helps
reduce positional plagiocephaly while sleep continues to be supine.
A soft scalp swelling crosses suture lines soon after a vaginal birth. Which finding is most likely?
9
A Caput succedaneum
B Hydrocephalus
C Cephalohematoma
D Subdural hematoma
Answer: A. Caput succedaneum
Explanation: Caput succedaneum is superficial edema related to pressure during labor and can cross sutures. It generally resolves
without treatment over the first few days.
NR602 * Newborn Assessment & Care * 100 Questions Page 4
