Sample Questions and Answers
- Which of the following is the normal heart rate range for a newborn?
- A) 60-80 beats per minute
- B) 80-100 beats per minute
- C) 100-160 beats per minute
- D) 160-200 beats per minute
- Answer: C) 100-160 beats per minute
- What is the normal respiratory rate for a newborn?
- A) 20-30 breaths per minute
- B) 30-60 breaths per minute
- C) 60-80 breaths per minute
- D) 80-100 breaths per minute
- Answer: B) 30-60 breaths per minute
- What is the primary function of the newborn’s fontanels?
- A) Protect the brain from infection
- B) Allow for brain growth
- C) Regulate body temperature
- D) Store nutrients
- Answer: B) Allow for brain growth
- Which of the following is a common sign of jaundice in a newborn?
- A) Yellowing of the skin and sclera
- B) Excessive crying
- C) Decreased appetite
- D) Swelling in the hands and feet
- Answer: A) Yellowing of the skin and sclera
- What is the Apgar score used for in newborns?
- A) Assessing the risk of infection
- B) Measuring head circumference
- C) Evaluating the newborn’s physical condition at birth
- D) Estimating the baby’s weight
- Answer: C) Evaluating the newborn’s physical condition at birth
- What is the expected average weight of a full-term newborn?
- A) 2-3 pounds
- B) 4-6 pounds
- C) 5-8 pounds
- D) 9-12 pounds
- Answer: C) 5-8 pounds
- Which of the following should be monitored immediately after birth in a newborn?
- A) Blood pressure
- B) Respiratory rate and effort
- C) Skin color
- D) Urinary output
- Answer: B) Respiratory rate and effort
- What is the preferred method of feeding for a newborn during the first few months of life?
- A) Solid foods
- B) Formula feeding
- C) Breastfeeding
- D) Both formula and breastfeeding
- Answer: C) Breastfeeding
- A newborn is diagnosed with a heart murmur shortly after birth. What is the next step?
- A) Administer medications immediately
- B) Perform a follow-up evaluation to assess if the murmur resolves
- C) Initiate surgery
- D) Perform a complete physical exam
- Answer: B) Perform a follow-up evaluation to assess if the murmur resolves
- Which reflex is characterized by the newborn turning its head toward a stimulus on the cheek?
- A) Moro reflex
- B) Rooting reflex
- C) Grasp reflex
- D) Babinski reflex
- Answer: B) Rooting reflex
- What is the purpose of the Vitamin K injection given to newborns shortly after birth?
- A) Prevent hypoglycemia
- B) Prevent bleeding due to vitamin K deficiency
- C) Prevent infection
- D) Stimulate growth
- Answer: B) Prevent bleeding due to vitamin K deficiency
- What is the normal temperature range for a newborn?
- A) 97.5-98.5°F
- B) 98.6-99.5°F
- C) 99.6-100.5°F
- D) 100.6-101.5°F
- Answer: B) 98.6-99.5°F
- Which of the following signs is indicative of hypoglycemia in a newborn?
- A) Lethargy and poor feeding
- B) High fever
- C) Excessive crying
- D) Bright red skin
- Answer: A) Lethargy and poor feeding
- What is the typical head circumference of a newborn?
- A) 30-33 cm
- B) 33-36 cm
- C) 36-40 cm
- D) 40-45 cm
- Answer: B) 33-36 cm
- At what age should a newborn’s first well-child visit typically occur?
- A) Within the first 24 hours
- B) At 1 week of life
- C) At 1 month of life
- D) At 6 months of life
- Answer: C) At 1 month of life
- Which of the following is a common complication of a newborn with a large head circumference?
- A) Seizures
- B) Intracranial hemorrhage
- C) Hypoglycemia
- D) Hyperbilirubinemia
- Answer: B) Intracranial hemorrhage
- Which of the following assessments should be performed on a newborn with a low birth weight?
- A) Cardiovascular exam
- B) Neurological exam
- C) Full metabolic screen
- D) All of the above
- Answer: D) All of the above
- A newborn exhibits grunting and flaring of the nostrils. What might this indicate?
- A) Normal respiratory function
- B) Respiratory distress
- C) Feeding intolerance
- D) Low blood sugar
- Answer: B) Respiratory distress
- What is the expected length of a full-term newborn?
- A) 16-18 inches
- B) 18-20 inches
- C) 20-22 inches
- D) 22-24 inches
- Answer: C) 20-22 inches
- How often should a newborn be fed in the first few weeks of life?
- A) Every 2-3 hours
- B) Every 3-4 hours
- C) Every 4-5 hours
- D) Every 6 hours
- Answer: A) Every 2-3 hours
- Which of the following is a common cause of neonatal hypothermia?
- A) Warm room temperatures
- B) Cold stress
- C) High environmental temperatures
- D) Premature birth
- Answer: B) Cold stress
- Which condition is associated with a high risk of newborn sepsis?
- A) Preterm birth
- B) Birth weight greater than 10 pounds
- C) Breech delivery
- D) Normal delivery with no complications
- Answer: A) Preterm birth
- A newborn is found to have a heart rate of 70 beats per minute. What should the nurse do next?
- A) Administer oxygen and recheck the heart rate
- B) Begin resuscitation procedures
- C) Continue to monitor the newborn without intervention
- D) Check the blood sugar level
- Answer: B) Begin resuscitation procedures
- When should a newborn’s first bath be given after birth?
- A) Immediately after birth
- B) Within the first hour
- C) After the baby’s temperature is stable
- D) At 24 hours of life
- Answer: C) After the baby’s temperature is stable
- Which of the following is NOT an appropriate action for a nurse caring for a newborn?
- A) Checking the newborn’s bilirubin levels
- B) Monitoring for signs of dehydration
- C) Administering medications without a doctor’s order
- D) Providing breastfeeding support
- Answer: C) Administering medications without a doctor’s order
- What should be monitored closely in a newborn with a cleft lip or palate?
- A) Respiratory distress
- B) Feeding ability
- C) Blood pressure
- D) Visual acuity
- Answer: B) Feeding ability
- Which of the following is an early sign of neonatal withdrawal from opioids?
- A) Lethargy and poor feeding
- B) High-pitched cry and tremors
- C) Weight gain
- D) Cyanosis
- Answer: B) High-pitched cry and tremors
- What is the primary function of the newborn’s liver?
- A) Regulate blood pressure
- B) Filter waste products from the blood
- C) Assist with digestion
- D) Produce red blood cells
- Answer: B) Filter waste products from the blood
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