abirb.

com/test
1. Why are newborns born to diabetic mothers prone to hypoglycemia?
A) Excess subcutaneous fat reduces blood flow to the tissues
B) Increased metabolic stress due to the stress on mother's body
C) Elevated insulin production metabolized glucose faster
abirb.com/test
D) Liver is immature and cannot convert glycogen to glucose

abirb.com/test
2. While teaching a newborn nutrition class to a group of pregnant women, the nurse
encourages breastfeeding because it is a major source of which immunoglobulin?
A) IgG
B) IgA abirb.com/test

C) IgM
D) IgE
abirb.com/test

3. What are common risk factors for developing newborn jaundice? Select all that apply.
A) fetal-maternal blood group incompatibility
B) prematurity abirb.com/test

C) breastfeeding
D) certain drugs
E) maternal gestational diabetes abirb.com/test
F) too frequent feedings

4. A new mother is alarmed because her newborn has lost 10 abirb.com/test

ounces in weight since being
born 2 days ago. She believes that she has been breastfeeding properly. Which
information would the nurse include as a likely cause of this phenomenon? Select all
that apply. abirb.com/test
A) Absence of salt- and fluid-retaining maternal hormones
B) The infant's voiding and passing stool
C) Low calorie content of colostrum
abirb.com/test
D) A congenital digestive disorder
E) An increase in fetal metabolism
F) Failure of mother to bond with newborn
abirb.com/test

5. The nurse is helping her client to recognize signs of hunger in her newborn. The nurse
knows that her client needs additional teaching when she states that which sign is one of
abirb.com/test
the early signs of hunger?
A) restlessness
B) crying
C) tense body abirb.com/test
D) tongue thrusting

abirb.com/test

abirb.com/test
Page 1
 abirb.com/test
6. The nurse is teaching a couple about the pros and cons of circumcision for their infant
son. The nurse knows teaching has been effective when the couple can identify which
contraindications to circumcision? Select all that apply.
A) Difficult intravenous access abirb.com/test
B) Preterm infant
C) Bleeding disorder
D) Congenital genitourinary disorder abirb.com/test
E) Active infection

7. A mother who is 4 days postpartum and is breastfeeding abirb.com/test

expresses to the nurse that her
breast seems to be tender and engorged. Which suggestions should the nurse give to the
mother to relieve breast engorgement? Select all that apply.
A) Take warm-to-hot showers to encourage milk release. abirb.com/test
B) Feed the newborn in the sitting position only.
C) Express some milk manually before breastfeeding.
D) Massage the breasts from the nipple toward the axillary area.
E) Apply warm compresses to the breasts prior to nursing.abirb.com/test

8. A nurse is assessing a neonate born approximately 2 hours ago. The nurse anticipates
abirb.com/test
that the newborn's transition to extrauterine life would be typically accomplished by
which time frame?
A) first 6 to 10 hours of life
B) first 2 to 6 hours of life abirb.com/test

C) first 10 to 14 hours of life

D) first 12 to 24 hours of life
abirb.com/test

9. A nurse is assessing a newborn who is about 4 1/2 hours old. The nurse would expect
this newborn to exhibit which behavior? Select all that apply.
abirb.com/test
A) sleeping
B) interest in environmental stimuli
C) passage of meconium
D) difficulty arousing the newborn abirb.com/test
E) spontaneous Moro reflexes

abirb.com/test
10. A nurse is assessing a newborn's gestational age, When determining neuromuscular
maturity, which parameters would the nurse assess? Select all that apply.
A) lanugo
B) genitals abirb.com/test
C) posture
D) arm recoil
E) scarf sign
abirb.com/test

abirb.com/test
Page 2
 abirb.com/test

11. The nurse is inspecting the mouth of a newborn and finds small, white cysts on the
gums and hard palate. The nurse documents this finding as:
A) thrush. abirb.com/test
B) Epstein's pearls.
C) milia.
D) vernix caseosa. abirb.com/test

12. A nurse is reviewing the laboratory test results of a neonate. Which finding would be a
cause of concern for the nurse? Select all that apply. abirb.com/test

A) hemoglobin 17.2 g/dL

B) hematocrit 34%
C) platelets 270,000/uL abirb.com/test
D) red blood cells 3.2 (1,000,000/uL)
E) white blood cells 22,000/mm3

abirb.com/test

13. The parents are concerned their newborn appears to be cold all the time. The nurse
should point out the infant is best helped by which primary method in the first few
days? abirb.com/test
A) External with blankets by the nursing staff
B) Skin to skin contact with mother
C) Brown fat store usage
D) Shivering and increased metabolic rate abirb.com/test

14. Upon examination of the skin, which assessment findingsabirb.com/test

would the nurse recognize as
normal findings for a full-term newborn at 3 hours of age? Select all that apply.
A) Lanugo on the back
B) Vernix caseosa over the abdomen and lower extremities
abirb.com/test
C) Milia
D) Acrocyanosis
E) Jaundice
abirb.com/test

15. What treatments would the nurse perform in caring for a newly circumcised newborn?
Select all that apply.
abirb.com/test
A) Apply talc powder to the diaper area with each diaper change.
B) Wash the penis with warm water at each diaper change.
C) Fasten the diaper loosely to prevent unnecessary friction as irritation.
D) Report if there is a bleeding spot the size of a dime abirb.com/test
on the diaper.
E) Notify the doctor if the newborn does not void after 4 hours.

abirb.com/test

abirb.com/test
Page 3
 abirb.com/test
16. A hepatitis B positive mother delivers a newborn. What precautions would the nurse
take in caring for this infant? Select all that apply.
A) Give the mother a one-time dose of hepatitis B immunoglobulin within 12 hours
after delivery. abirb.com/test
B) Bathe the newborn thoroughly soon after birth to remove maternal blood.
C) Give the newborn the HBV vaccination within 12 hours after birth.
D) Tell the mother that she cannot breast-feed her newborn due to the infection.
abirb.com/test
E) The newborn will need to stay in the hospital for several extra days for additional
IV medications to treat the infection.

abirb.com/test

17. A nurse receives the shift report on four infants. Baby A is 16 hours old, HR 117, RR
32, axillary temperature 98oF (36.6oC), BP 72/43 mm Hg, bilirubin 3.5 mg/dL rooming
in with mother; baby B is 8 hours old, HR 152, RR 48, axillary temperature 97.7oF
abirb.com/test
o
(36.5 C), BP 60/40 mm Hg, bilirubin 3 mg/dL, returning to nursery for night; baby C is
19 hours old, HR 140, RR 45, axillary temperature 98.6oF (37oC), BP 68/45 mm Hg,
bilirubin 4 mg/dL, rooming in with mother; baby D is 4 hours old, HR 160, RR 60,
axillary temperature 98.6oF (37oC), BP 80/45 mm Hg, bilirubin
abirb.com/test
2 mg/dL, returning to
nursery for night. Which baby would the nurse assess first?
A) baby A
B) baby B abirb.com/test
C) baby C
D) baby D
abirb.com/test

18. The nurse is assessing the Apgar score for a 1-minute-old newborn and notes the
following: HR 105 bpm, a pink body with blue feet, a strong cry, sneezing and minimal
flexion. Which Apgar score will the nurse document as appropriate
abirb.com/test for this infant?

19. A nurse is explaining the Apgar scoring to new mother and her partner. What should the
nurse point out about this scoring method? Select all thatabirb.com/test
apply.
A) It is done at 1 and 5 minutes after birth.
B) The baby is considered vigorous if the 5-minute score is above 7.
C) Each factor receives a score of 0 or 2. abirb.com/test
D) The Apgar score is used to guide newborn resuscitation.
E) The Apgar score is an immediate assessment of newborn cardiopulmonary
adaptation.
abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test
Page 4
 abirb.com/test
20. A nurse is conducting an in-service education program for a group of nurses working in
the newborn nursery. The nurse has explained the events that occur as fetal circulation
transitions to newborn circulation. The nurse determines the session is successful after
the participants put the chain of events in which order? All options must be used.
abirb.com/test
A. Birth occurs.
B. The foramen ovale closes.
C. The ductus arteriosus closes. abirb.com/test
D. An increase in systemic blood pressure occurs with continued increase in blood flow
to the lungs.
E. Pulmonary blood flow increases, and pulmonary venous return to the left side of the
heart increases. abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test
Page 5
 abirb.com/test
Answer Key
1. C
abirb.com/test
2. B
3. A, B, C, D, E
4. A, B, C
5. B abirb.com/test
6. B, C, D, E
7. A, C, E
8. A
abirb.com/test
9. B, C
10. D, E
11. B
12. B, D abirb.com/test
13. C
14. A, C, D
15. B, C
abirb.com/test
16. B, C
17. C
18. 8
19. A, B, E abirb.com/test
20. A, E, B, D, C

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test

abirb.com/test
Page 6