NURS5032: Newborn Nursig Care Test
Bank Questions And Answers 2023
Exam Complete Solution
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10
hours ago via cesarean section is found to have moist lung sounds. What is the best
interpretation of these data?
a. The nurse should notify the pediatrician stat for this emergency situation.
b. The neonate must have aspirated surfactant.
c. If this baby was born vaginally, it could indicate a pneumothorax.
d. The lungs of a baby delivered by cesarean section may sound moist for 24 hours
after birth.
Rationale: The condition will resolve itself within a few hours. For this common condition
of newborns, surfactant acts to keep the expanded alveoli partially open between
respirations. In vaginal births, absorption of remaining lung fluid is accelerated by the
process of labor and delivery. Remaining lung fluid will move into interstitial spaces and
be absorbed by the circulatory and lymphatic systems.
When teaching parents about their newborns transition to extrauterine life, the nurse
explains which organs are nonfunctional during fetal life. They are the _____
a. kidneys and adrenals
b. lungs and liver
c. eyes and ears
d. GI system
Rationale: Most of the fetal blood flow bypasses the nonfunctional lungs and liver.
A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that
the woman place the infant to her breast within 15 minutes after birth. The nurse knows
that breastfeeding is effective during the first 30 minutes after birth because this is the
_____
,a. transition period
b. first period of reactivity
c. organizational stage
d. second period of reactivity
Rationale: The first period of reactivity is the first phase of transition and lasts up to 30
minutes after birth. The infant is highly alert during this phase.
Nurses can prevent evaporative heat loss in the newborn by _____
a. drying the baby after birth and wrapping the baby in a dry blanket
b. keeping the baby out of drafts and away from air conditioners
c. placing the baby away from outside walls and windows
d. warming the stethoscope and nurses hands before touching the baby
Rationale: Because the infant is a wet with amniotic fluid and blood, heat loss by
evaporation occurs quickly.
A first-time dad is concerned that his 3-day-old daughters skin looks yellow. In the
nurses explanation of physiologic jaundice, what fact should be included?
a. Physiologic jaundice occurs during the first 24 hours of life.
b. Physiologic jaundice is caused by blood incompatibilities between the mother and
infant blood types.
c. The bilirubin levels of physiologic jaundice peak between the second and fourth days
of life.
d. the condition is also known as breast milk jaundice
Rationale: Physiologic jaundice becomes visible when the serum bilirubin reaches a
level of 5 mg/dL or greater, which occurs when the baby is approximately 3 days old.
This finding is within normal limits for the newborn.
To provide competent newborn care, the nurse understands that respirations are
initiated at birth as a result of _____
a. an increase in the PO2 and a decrease in PCO2
,b. the continued functioning of the foramen ovale
c. chemical, thermal, sensory and mechanical factors
d. drying off the infant
Rationale: A variety of these factors are responsible for initiation of respirations.
In fetal circulation, the pressure is greatest in the ____
a. right atrium
b. left atrium
c. hepatic system
d. pulmonary veins
Rationale: Pressure in fetal circulation is greatest in the right atrium, which allows a
right-to-left shunting that aids in bypassing the lungs during intrauterine life.
Cardiovascular changes that cause the foramen ovale to close at birth are a direct result
of _____
a. increased pressure in the right atrium
b. increased pressure in the left atrium
c. decreased blood flow to the left ventricle
d. changes in the hepatic blood flow
Rationale: With the increase in the blood flow to the left atrium from the lungs, the
pressure is increased, and the foramen ovale is functionally closed.
The nurse should alert the physician when _______
a. the infant is dusky and turns cyanotic when crying.
b. Acrocyanosis is present at age 1 hour.
c. The infants blood glucose is 45 mg/dL.
d. The infant goes into a deep sleep at age 1 hour.
, Rationale: An infant who is dusky and becomes cyanotic when crying is showing poor
adaptation to extrauterine life. All other answers are expected findings in a newborn.
While assessing the newborn, the nurse should be aware that the average expected
apical pulse range of a full-term, quiet, alert newborn is beats/min.
a. 80-100
b. 100-120
c. 120-160
d. 150-180
Rationale: The average infant heart rate while awake is 120 to 160 beats/min.
What is a result of hypothermia in a newborn?
a. shivering to generate heat
b. decreased oxygen demands
c. increased glucose demands
d. decreased metabolic rate
Rationale: In hypothermia, the basal metabolic rate (BMR) is increased in an attempt to
compensate, thus requiring more glucose.
The infant with the lowest risk of developing high levels of bilirubin is the one who
a. was bruised during a difficult delivery
b. developed a cephalhematoma
c. uses brown fat to maintain temperature
d. breastfeeds during the first hour of life
Rationale: The infant who is fed early will be less likely to retain meconium and
reabsorb bilirubin from the intestines back into the circulation.
In administering vitamin K to the infant shortly after birth, the nurse understands that
vitamin K is
a. Important in the production of red blood cells
Bank Questions And Answers 2023
Exam Complete Solution
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10
hours ago via cesarean section is found to have moist lung sounds. What is the best
interpretation of these data?
a. The nurse should notify the pediatrician stat for this emergency situation.
b. The neonate must have aspirated surfactant.
c. If this baby was born vaginally, it could indicate a pneumothorax.
d. The lungs of a baby delivered by cesarean section may sound moist for 24 hours
after birth.
Rationale: The condition will resolve itself within a few hours. For this common condition
of newborns, surfactant acts to keep the expanded alveoli partially open between
respirations. In vaginal births, absorption of remaining lung fluid is accelerated by the
process of labor and delivery. Remaining lung fluid will move into interstitial spaces and
be absorbed by the circulatory and lymphatic systems.
When teaching parents about their newborns transition to extrauterine life, the nurse
explains which organs are nonfunctional during fetal life. They are the _____
a. kidneys and adrenals
b. lungs and liver
c. eyes and ears
d. GI system
Rationale: Most of the fetal blood flow bypasses the nonfunctional lungs and liver.
A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that
the woman place the infant to her breast within 15 minutes after birth. The nurse knows
that breastfeeding is effective during the first 30 minutes after birth because this is the
_____
,a. transition period
b. first period of reactivity
c. organizational stage
d. second period of reactivity
Rationale: The first period of reactivity is the first phase of transition and lasts up to 30
minutes after birth. The infant is highly alert during this phase.
Nurses can prevent evaporative heat loss in the newborn by _____
a. drying the baby after birth and wrapping the baby in a dry blanket
b. keeping the baby out of drafts and away from air conditioners
c. placing the baby away from outside walls and windows
d. warming the stethoscope and nurses hands before touching the baby
Rationale: Because the infant is a wet with amniotic fluid and blood, heat loss by
evaporation occurs quickly.
A first-time dad is concerned that his 3-day-old daughters skin looks yellow. In the
nurses explanation of physiologic jaundice, what fact should be included?
a. Physiologic jaundice occurs during the first 24 hours of life.
b. Physiologic jaundice is caused by blood incompatibilities between the mother and
infant blood types.
c. The bilirubin levels of physiologic jaundice peak between the second and fourth days
of life.
d. the condition is also known as breast milk jaundice
Rationale: Physiologic jaundice becomes visible when the serum bilirubin reaches a
level of 5 mg/dL or greater, which occurs when the baby is approximately 3 days old.
This finding is within normal limits for the newborn.
To provide competent newborn care, the nurse understands that respirations are
initiated at birth as a result of _____
a. an increase in the PO2 and a decrease in PCO2
,b. the continued functioning of the foramen ovale
c. chemical, thermal, sensory and mechanical factors
d. drying off the infant
Rationale: A variety of these factors are responsible for initiation of respirations.
In fetal circulation, the pressure is greatest in the ____
a. right atrium
b. left atrium
c. hepatic system
d. pulmonary veins
Rationale: Pressure in fetal circulation is greatest in the right atrium, which allows a
right-to-left shunting that aids in bypassing the lungs during intrauterine life.
Cardiovascular changes that cause the foramen ovale to close at birth are a direct result
of _____
a. increased pressure in the right atrium
b. increased pressure in the left atrium
c. decreased blood flow to the left ventricle
d. changes in the hepatic blood flow
Rationale: With the increase in the blood flow to the left atrium from the lungs, the
pressure is increased, and the foramen ovale is functionally closed.
The nurse should alert the physician when _______
a. the infant is dusky and turns cyanotic when crying.
b. Acrocyanosis is present at age 1 hour.
c. The infants blood glucose is 45 mg/dL.
d. The infant goes into a deep sleep at age 1 hour.
, Rationale: An infant who is dusky and becomes cyanotic when crying is showing poor
adaptation to extrauterine life. All other answers are expected findings in a newborn.
While assessing the newborn, the nurse should be aware that the average expected
apical pulse range of a full-term, quiet, alert newborn is beats/min.
a. 80-100
b. 100-120
c. 120-160
d. 150-180
Rationale: The average infant heart rate while awake is 120 to 160 beats/min.
What is a result of hypothermia in a newborn?
a. shivering to generate heat
b. decreased oxygen demands
c. increased glucose demands
d. decreased metabolic rate
Rationale: In hypothermia, the basal metabolic rate (BMR) is increased in an attempt to
compensate, thus requiring more glucose.
The infant with the lowest risk of developing high levels of bilirubin is the one who
a. was bruised during a difficult delivery
b. developed a cephalhematoma
c. uses brown fat to maintain temperature
d. breastfeeds during the first hour of life
Rationale: The infant who is fed early will be less likely to retain meconium and
reabsorb bilirubin from the intestines back into the circulation.
In administering vitamin K to the infant shortly after birth, the nurse understands that
vitamin K is
a. Important in the production of red blood cells
