Newborn Care Assessment Quiz

A detailed illustration of a nurse assessing a newborn in a hospital setting, with medical equipment and charts visible, conveying a sense of care and professionalism.

Newborn Care Assessment Quiz

Test your knowledge and skills in newborn care with our comprehensive quiz designed for healthcare professionals and students alike. This quiz covers critical topics such as hyperbilirubinemia, respiratory distress, and complications related to prematurity.

Key Highlights:

  • 22 carefully curated questions
  • Multiple choice and checkbox formats
  • Focus on clinical scenarios and nursing interventions
22 Questions6 MinutesCreated by CaringNurse247
The nurse goes to do a newborn assessment on a baby that was born at 37 weeks. What signs does the nurse associate with hyperbilirubinemia? Select all that apply
Low birth weigh
Poor feeding habits
Delayed meconium 
Cephalhematoma
Absent reflexes 
The nurse is caring for a newborn who was born to a diabetic mother. What nursing management should the nurse implement to prevent complications? Select all that apply
Implement early feeding
Have calcium gluconate available
Monitor Glucose levels
Monitor Calcium levels
Monitor for signs of jaundice
A nurse in the NICU is taking care of a female neonate that weighs 2300gm, what assessment finding should require further evaluation? Respiratory rate of 40bpm
Respiratory rate of 40bpm
Acrocyanosis
Blood glucose of 32
Scant bloody discharge
The nurse is reviewing the lab values of a full-term infant born from a diabetic mother.  Which lab value requires immediate intervention?
Magnesium 1.3 mg/dl
Blood glucose 50 mg/dl
Hematocrit 61%
Bilirubin 3 mg/d
What treatment(s) should the nurse anticipate for a newborn with meconium aspiration? Select all that apply
Extracorporeal membrane oxygenation (ECMO)
Clean the newborn with antiseptic wash
Place the newborn under a radiant warmer or isolette
Administer antibiotics
Increase newborn stimulation 
A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions should the nurse include?
Switch to bottle feeding the baby for 2 weeks
Stop the breast feedings and switch to bottle-feeding permanently
Feed the newborn infant less frequently
Continue to breast-feed every 2-4 hours
A nurse is caring for a female patient that is trying to conceive. She is complaining of thin watery cervical mucus, spinnbarkeit, increase in basal body temperature, and mittelschmerz pain. What would be the best way to explain why these symptoms are occurring?
This means that you are about to start your menstrual cycle. Your peak time to conceive will be within the next 13 days.
These can be symptoms from your body withdrawing from hormonal birth control pills
These are symptoms of ovulation. The best time to conceive is within the 24 hours of these symptoms occurring.
These are symptoms of endometritis, you need to start taking clindamycin immediately.
A woman is taking oral contraceptives. What signs and symptoms should she report to her Health Care Provider? Select All that Apply
Severe abdominal pain
Increase in basal body temperature
White vaginal discharge 
Chest pain
Severe headache or migraine
Leg pain
New onset of eye problems
A student nurse is caring for a neonate undergoing intensive phototherapy. Which action indicates that the student understands how to provide care for an infant undergoing intensive phototherapy?
Assess temperature every 6 hours 
Strictly monitor I&O 
Remove eye coverings to keep the baby calm 
Remove the infant from the isolette for diaper changes
You are managing care of a newborn recently diagnosed with persistent pulmonary hypertension. What nursing intervention(s) should the nurse include? Select all that apply
Provide immediate resuscitation
Provide mechanical ventilation 
Do nothing. This a normal occurrence 
Start IV fluids 
Notify the healthcare provider
Communicate with the parents honestly and clearly 
A 24 week gestation, G4 P3 woman with a history of substance abuse and is a chronic smoker, delivered 2 hours ago.  The newborn presents with T=96.8, RR 50, O2 Sat 91, P 130.  What are the significant clinical risk
Hypothermia
Poor oxygenation
Delivered 2 hours ago
Pulse
Gestational age
Multiple Gestations
History of smoking
Substance abuse
A newborn baby is diagnosed with necrotizing enterocolitis and the mother wants more information about the condition. Which response from the nurse provides proper teaching?
€Your baby has an inflamed bowel and will need treatment to prevent long term effects.” 
€Bloody stools are normal for newborns and will not need treatment.
€We highly discourage interacting with your baby at this time.”
Your baby will still be able to tolerate feedings well.”
Upon assessment of and SGA baby that is asymmetrical, What does the baby look like, at risk for, and should be intervened with?
The head is normal and bigger in proportion to body
The head is small and equal to body proportion
Risk for hypoglycemia
Risk for Hyperthermia
Risk for tachycardia
Postpone feedings
Place baby under radiant warmer
Body is smaller in proportion to head
Newborn has failed to sustain adequate respiration after birth, leading to hypoxic ischemic encephalopathy (HIE).  What would be the next appropriate action? 
Start IV Flush
Trach suction
Dry immediately and begin resuscitation
Gavage feeding
A newborn infant was presented with yellowing of the skin and sclera with labs revealing that the infant’s bilirubin level is 6.2 mg/dl. The health care provider has ordered phototherapy. What intervention(s) should the nurse provide for the newborn undergoing phototherapy? Select all that apply
Consent for Procedure
Check temperature every 3-4 hours
Ensuring the eyes are uncovered
Keeping neonate covered with blanket
Monitor I&O
Reposition every 2 hours
Maintain skin integrity
A nurse is assigned to five patients in L&D, which of the five mothers are at increased risk of giving birth to a baby that is small for gestational age? Select all that apply
A mother with uncontrolled diabetes
A mother with untreated chlamydia 
A mother with oligohydramnios
A mother with ETOH and cocaine abuse
A mother who delivering at 42 weeks gestation
The nurse is taking care of a 38 week gestation, 4200g baby NICU, born 1 hour ago. The nurse knows that this baby is at greatest risk for?
Hypobilirubinemia
Hypothermia
Hypoglycemia
Scaphoid chest
A neonate born via C-section presented with cyanosis, grunting, nasal flaring and retraction of the chest. After treatment via CPAP the baby was safely discharged on the third day. What diagnosis do you suspect this baby had?
Failure to thrive
Respiratory distress syndrome
Transient Tachypnea of the newborn
Asphyxia
A baby girl is born via forceps at delivery. The nurse knows that the baby is at risk for which complication(s) as a result of head trauma from the delivery? Select all that apply 
Hyperglycemia
Jaundice
Hypoglycemia
Decreased RBC
Cephalohematoma
Bilirubin level 7.1 mg/dl
A mother has just delivered her new born baby at 40 weeks gestation. When delivered, the nurse notices that the baby has greenish brown stains on its fingernails and skin. What are the possible risk(s) that the nurse can associate with this complication? Select all that apply
Hypoxia
Hypercarbia
Sepsis
Respiratory distress syndrome 
Metabolic acidosis 
A mother baby nurse is reporting to her shift and 4 mothers have recently delivered. Which baby should the nurse attend to first? 
A. 36 week old baby who is 2200 grams and using accessory muscles to breathe
B. 38 week old baby who is born at 6lbs and 2 oz. With a BG of 52 
C. 39 week old baby who is 3500 grams and body is pink but extremities are blue 
40 week old baby who is 4100 grams but has an Apgar score of 8 
A mom has recently delivered a baby at 33 weeks. The nurse assesses the mom and baby in postpartum and notices the baby is not feeding well. The baby is experiencing abdominal distention with bloody stools. The nurse suspects necrotizing enterocolitis. What predisposing factor(s) in the mother’s history would be indicative of this condition? Select all that apply
Preeclampsia
Preterm Labor 
Prior low transverse C-section
History of spontaneous abortion
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