Question 1

The nurse is preparing to conduct a newborn assessment. Which equipment is appropriate for the nurse to use? Select all that apply.

Accepted Answer

A)   Stethoscope
B)   Speculum
C)   Tape measure
D)   Thermometer
E)   Penlight A,C,D,E

Question 2

An initial newborn assessment reveals a heart rate of 76, a weak cry, slight flexion of extremities, a facial grimace, and a trunk pink in color but blue extremities. Which is an appropriate Apgar score?

Accepted Answer

A)   2
B)   3
C)   4
D)   5 D

Question 3

The nurse is conducting a newborn health history assessment. When assessing the use of drugs or alcohol during pregnancy, which questions are appropriate to ask the newborn's mother? Select all that apply.

Accepted Answer

A)   "Did you take any prescription medications during pregnancy?"
B)   "Did you take any over-the-counter medications during pregnancy?"
C)   "Did you consume coffee or energy drinks during pregnancy?"
D)   "Did you consume alcohol during pregnancy?"
E)   "Did you experience gestational diabetes during pregnancy?" A,B,D

Question 4

Which tools are not anticipated when conducting a newborn assessment?

Accepted Answer

A)   Tape measure
B)   Goniometer
C)   Stethoscope
D)   Otoscope

Question 5

Which action by the nurse is most appropriate when performing the Barlow-Ortolani maneuver to assess for congenital hip dislocation on a 2-week-old newborn?

Accepted Answer

A)   Placing the first two fingers over the greater trochanter and the thumb over the inner thighs
B)   Placing two thumbs on the shaft of the femur
C)   Rotating each joint in a clockwise motion
D)   Placing the first two fingers on the symphysis pubis and the thumbs over the lesser trochanter

Question 6

Which technique will the nurse use when eliciting the Moro reflex during a newborn assessment?

Accepted Answer

A)   Rotate the newborn's head to one side so that the chin is over the shoulder.
B)   Place object or finger in the palm of the newborn's hand.
C)   Stroke lateral surface of the sole of the newborn's foot.
D)   Jar bassinette or let the newborn's head drop back.

Question 7

The nurse is conducting a newborn assessment. The lack of which reflex is often associated with spinal cord problems?

Accepted Answer

A)   Sucking
B)   Rooting
C)   Trunk incurvation
D)   Blink

Question 8

Which is a key gross motor change that occurs during the first year of life?

Accepted Answer

A)   Beginning to walk
B)   Grasping objects
C)   Holding a bottle
D)   Developing the pincer grasp

Question 9

The nurse is assessing a newborn who presents with a heart rate of 80, a weak cry, flaccid muscle tone, and blue coloring. Which is the appropriate Apgar score for this newborn?

Accepted Answer

A)   1
B)   2
C)   3
D)   4

Question 10

The nurse is conducting a newborn assessment. Which findings are considered abnormal? Select all that apply.

Accepted Answer

A)   Pink and moist mucus membranes
B)   Intact frenulum
C)   Midline uvula
D)   White patches on the cheeks and tongue
E)   Weak cry

Question 11

Which is the reason for keeping the infant covered or under a heat lamp during a newborn assessment?

Accepted Answer

A)   A cold room will make the baby cry.
B)   The heart rate will drop if the baby is at room temperature.
C)   Newborns cannot control their own body temperature.
D)   Respirations will cease if the baby is cold.

Question 12

Apnea is defined as respirations that cease for at least ________________seconds.

Accepted Answer

The answer of Apnea is defined as respirations that cease...

Question 13

A newborn's health history reveals an Apgar score of 4 to 7. Which condition is inferred with this score?

Accepted Answer

A)   Good
B)   Excellent
C)   Guarded
D)   Critical

Question 14

The nurse is conducting an assessment for an infant during a well-baby check-up. When does the nurse expect the anterior fontanel to close?

Accepted Answer

A)   Age 1 to 2 months
B)   Age 4 months
C)   Age 6 months
D)   Age 12 to 18 months

Question 15

The nurse is conducting a 2 week well-baby visit for a newborn. Which immunizations are recommended for this newborn?

Accepted Answer

A)   Hepatitis B (if not given at birth) 
B)   Hepatitis B and diphtheria, pertussis, tetanus (DPT) 
C)   Hepatitis B and inactivated polio vaccine (IPV) 
D)   IPV

Question 16

Which term is used to describe the condition in which the foreskin of an uncircumcised penis remains tight and cannot be retracted?

Accepted Answer

A)   Phimosis
B)   Varicocele
C)   Epididymitis
D)   Smegma

Question 17

A 2-week-old newborn is accompanied by the mother for the first visit to the clinic. The breastfeeding mother asks, "What should my baby's bowel movements look like?" Which response by the nurse is the most appropriate?

Accepted Answer

A)   "The baby should have one stool a day that is dark brown and formed."
B)   "Several soft mustard-colored stools a day is normal."
C)   "Hard stools are common in breastfed babies."
D)   "The stool should be watery and contain mucus."

Question 18

Which procedure should be performed first during the physical exam of the newborn?

Accepted Answer

A)   Measurement of the head circumference
B)   Auscultation of the heart and lungs
C)   Evaluation of the reflexes
D)   Otoscopic exam

Question 19

The nurse is assessing a newborn who exhibits a poor rooting reflex. Which does the nurse anticipate the newborn will have difficulty with based on this assessment finding?

Accepted Answer

A)   Defecating
B)   Feeding
C)   Bonding
D)   All of the above

Question 20

The nurse is conducting an assessment for an infant during a well-baby check-up. Which interview questions are appropriate when assessing the integumentary system? Select all that apply.

Accepted Answer

A)   "How is your infant doing now?"
B)   "Is your infant gaining weight?'
C)   "Have you noted any scaling of your infant's skin?"
D)   "Are your infant's nails brittle?"
E)   "Can your baby move the head from side to side?

Exam 15: Assessing the Newborn and Infant