Which of the following is the primary critical observation for Apgar scoring?

This Newborn Nursing care NCLEX Quiz 2 is here to test your understanding of newborn nursing and how good you are in this. All questions are shown, but the results will only be given after you’ve finished the quiz. If you are studying this subject, then we expect you to score at least 70 percent on this quiz. So, are you ready for the challenge that we have given to you? Let us see as you take it!

Welcome to your NCLEX practice quiz and review about newborn nursing care and assessment. Test your competence with these 50 questions from our nursing test bank!

Newborn Nursing Care & Assessment Nursing Test Bank

Quizzes included in this guide are:

1. Newborn Nursing Care & Assessment Quiz #1 | 25 Questions
2. Newborn Nursing Care & Assessment Quiz #2 | 25 Questions

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1. Newborn Nursing Care & Assessment (Quiz 1: 25 Questions)

• 1. Newborn Nursing Care & Assessment (Quiz 1: 25 Questions)
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Newborn Nursing Care & Assessment (Quiz 1: 25 Questions)

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1. Current
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1. Question 1 of 25

   1. Question

   A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by:

   • A. Warming the crib pad
   • B. Turning on the overhead radiant warmer
   • C. Closing the doors to the room
   • D. Drying the infant in a warm blanket

   Correct

   Incorrect

2. Question 2 of 25

   2. Question

   A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

   • A. Document the findings
   • B. Contact the physician
   • C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
   • D. Reinforce the dressing

   Correct

   Incorrect

3. Question 3 of 25

   3. Question

   A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

   • A. Hypotension and Bradycardia
   • B. Tachypnea and retractions
   • C. Acrocyanosis and grunting
   • D. The presence of a barrel chest with grunting

   Correct

   Incorrect

4. Question 4 of 25

   4. Question

   A nurse in a newborn nursery is performing an assessment of a newborn infant. The nurse is preparing to measure the head circumference of the infant. The nurse would most appropriately:

   • A. Wrap the tape measure around the infant’s head and measure just above the eyebrows.
   • B. Place the tape measure under the infant's head at the base of the skull and wrap around to the front just above the eyes
   • C. Place the tape measure under the infant's head, wrap around the occiput, and measure just above the eyes
   • D. Place the tape measure at the back of the infant’s head, wrap around across the ears, and measure across the infant’s mouth.

   Correct

   Incorrect

5. Question 5 of 25

   5. Question

   A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. The nurse provides which most appropriate instructions to the mother?

   • A. Switch to bottle-feeding the baby for 2 weeks
   • B. Stop the breastfeedings and switch to bottle-feeding permanently
   • C. Feed the newborn infant less frequently
   • D. Continue to breast-feed every 2-4 hours

   Correct

   Incorrect

6. Question 6 of 25

   6. Question

   A nurse on the newborn nursery floor is caring for a neonate. On assessment the infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome is diagnosed, and the physician prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by:

   • A. Subcutaneous injection
   • B. Intravenous injection
   • C. Instillation of the preparation into the lungs through an endotracheal tube
   • D. Intramuscular injection

   Correct

   Incorrect

7. Question 7 of 25

   7. Question

   A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn?

   • A. Sleepiness
   • B. Cuddles when being held
   • C. Lethargy
   • D. Incessant crying

   Correct

   Incorrect

8. Question 8 of 25

   8. Question

   A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:

   • A. “Your infant needs vitamin K to develop immunity.”
   • B. “Vitamin K will protect your infant from having jaundice.”
   • C. “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”
   • D. “Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel.”

   Correct

   Incorrect

9. Question 9 of 25

   9. Question

   A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. In planning for the admission of this infant, the nurse’s highest priority should be to:

   • A. Connect the resuscitation bag to the oxygen outlet
   • B. Turn on the apnea and cardiorespiratory monitors
   • C. Set up the intravenous line with 5% dextrose in water
   • D. Set the radiant warmer control temperature at 36.5* C (97.6*F)

   Correct

   Incorrect

10. Question 10 of 25

    10. Question

    Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site?

    • A. Deltoid
    • B. Triceps
    • C. Vastus lateralis
    • D. Biceps

    Correct

    Incorrect

11. Question 11 of 25

    11. Question

    A nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment into the eyes of a neonate. The instructor determines that the student needs to research this procedure further if the student states:

    • A. “I will cleanse the neonate’s eyes before instilling ointment.”
    • B. “I will flush the eyes after instilling the ointment.”
    • C. “I will instill the eye ointment into each of the neonate’s conjunctival sacs within one hour after birth.”
    • D. “Administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and parent-infant attachment and bonding can occur.”

    Correct

    Incorrect

12. Question 12 of 25

    12. Question

    A baby is born precipitously in the ER. The nurse’s initial action should be to:

    • A. Establish an airway for the baby
    • B. Ascertain the condition of the fundus
    • C. Quickly tie and cut the umbilical cord
    • D. Move mother and baby to the birthing unit

    Correct

    Incorrect

13. Question 13 of 25

    13. Question

    The primary critical observation for Apgar scoring is the:

    • A. Heart rate
    • B. Respiratory rate
    • C. Presence of meconium
    • D. Evaluation of the Moro reflex

    Correct

    Incorrect

14. Question 14 of 25

    14. Question

    When performing a newborn assessment, the nurse should measure the vital signs in the following sequence:

    • A. Pulse, respirations, temperature
    • B. Temperature, pulse, respirations
    • C. Respirations, temperature, pulse
    • D. Respirations, pulse, temperature

    Correct

    Incorrect

15. Question 15 of 25

    15. Question

    Within three (3) minutes after birth the normal heart rate of the infant may range between:

    • A. 100 and 180
    • B. 130 and 170
    • C. 120 and 160
    • D. 100 and 130

    Correct

    Incorrect

16. Question 16 of 25

    16. Question

    The expected respiratory rate of a neonate within three (3) minutes of birth may be as high as:

    • 50
    • 60
    • 80
    • 100

    Correct

    Incorrect

17. Question 17 of 25

    17. Question

    The nurse is aware that a healthy newborn’s respirations are:

    • A. Regular, abdominal, 40-50 per minute, deep
    • B. Irregular, abdominal, 30-60 per minute, shallow
    • C. Irregular, initiated by chest wall, 30-60 per minute, deep
    • D. Regular, initiated by the chest wall, 40-60 per minute, shallow

    Correct

    Incorrect

18. Question 18 of 25

    18. Question

    To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include:

    • A. Monitoring for the passage of meconium each shift
    • B. Instituting phototherapy for 30 minutes every 6 hours
    • C. Substituting breastfeeding for formula during the 2nd day after birth
    • D. Supplementing breastfeeding with glucose water during the first 24 hours

    Correct

    Incorrect

19. Question 19 of 25

    19. Question

    A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:

    • A. Milia
    • B. Lanugo
    • C. Whiteheads
    • D. Mongolian spots

    Correct

    Incorrect

20. Question 20 of 25

    20. Question

    When newborns have been on formula for 36-48 hours, they should have a:

    • A. Screening for PKU
    • B. Vitamin K injection
    • C. Test for necrotizing enterocolitis
    • D. Heel stick for blood glucose level

    Correct

    Incorrect

21. Question 21 of 25

    21. Question

    The nurse decides on a teaching plan for a new mother and her infant. The plan should include:

    • A. Discussing the matter with her in a non-threatening manner
    • B. Showing by example and explanation how to care for the infant
    • C. Setting up a schedule for teaching the mother how to care for her baby
    • D. Supplying the emotional support to the mother and encouraging her independence

    Correct

    Incorrect

22. Question 22 of 25

    22. Question

    Which action best explains the main role of surfactant in the neonate?

    • A. Assists with ciliary body maturation in the upper airways
    • B. Helps maintain a rhythmic breathing pattern
    • C. Promotes clearing mucus from the respiratory tract
    • D. Helps the lungs remain expanded after the initiation of breathing

    Correct

    Incorrect

23. Question 23 of 25

    23. Question

    While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?

    • A. Activate the code blue or emergency system
    • B. Do nothing because acrocyanosis is normal in the neonate
    • C. Immediately take the newborn’s temperature according to hospital policy
    • D. Notify the physician of the need for a cardiac consult

    Correct

    Incorrect

24. Question 24 of 25

    24. Question

    The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?

    • A. Anemia
    • B. Hypoglycemia
    • C. Nitrogen loss
    • D. Thrombosis

    Correct

    Incorrect

25. Question 25 of 25

    25. Question

    A client with group AB blood whose husband has group O has just given birth. The major sign of ABO blood incompatibility in the neonate is which complication or test result?

    • A. Negative Coombs test
    • B. Bleeding from the nose and ear
    • C. Jaundice after the first 24 hours of life
    • D. Jaundice within the first 24 hours of life

    Correct

    Incorrect

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Newborn Nursing Care & Assessment Reviewer

To help you refresh your mind about newborn nursing care, we recommend you read the following study guides:

• Care of the Newborn
• Pediatric Nursing Study Guides
• Maternal and Child Health Nursing Study Guides

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An investment in knowledge pays the best interest. Keep up the pace and continue learning with these practice quizzes:

What is the Apgar score?

What does a 2 on a Apgar test mean?

When assessing the newborn's heart rate which of the following would be considered normal if the baby were?

How would the nurse document the small whitish pinpoint spots over the newborn's nose?