Newborn Assessment and Monitoring: Comprehensive Learning Quizzes

Question 1

The primary purpose of the Apgar score is to:

Accepted Answer

Evaluate the newborn's overall well-being

Answer

Assess the newborn's neurological status

Answer

Measure the newborn's growth parameters

Answer

Screen for metabolic disorders

Question 2

Which laboratory test is routinely used to screen newborns for hypothyroidism?

Accepted Answer

Thyroid-stimulating hormone (TSH) test

Answer

Complete blood count

Answer

Urinalysis

Answer

Blood glucose test

Question 3

A common sign of respiratory distress in a newborn is:

Accepted Answer

Grunting

Answer

Apnea

Answer

Jaundice

Answer

Bradycardia

Question 4

The Moro reflex in newborns indicates the ability to:

Accepted Answer

Startle

Answer

Maintain body temperature

Answer

Assess neurological development

Answer

Signal pain or discomfort

Question 5

Which of the following interventions is appropriate for a newborn with hyperbilirubinemia?

Accepted Answer

Phototherapy

Answer

Intravenous fluids

Answer

Antibiotics

Answer

Oxygen therapy

Question 6

After birth, the recommended frequency for monitoring a newborn's blood glucose levels is:

Accepted Answer

Every 2 hours

Answer

Every 4 hours

Answer

Every 8 hours

Answer

Every 12 hours

Question 7

The primary nursing responsibility in caring for a newborn with a tracheostomy is to:

Accepted Answer

Ensure proper suctioning

Answer

Monitor for signs of infection

Answer

Provide emotional support to family

Answer

Teach parents about tracheostomy care

Question 8

Which of the following physical exam techniques is NOT used to assess a newborn's respiratory status?

Accepted Answer

Blood pressure measurement

Answer

Auscultation of breath sounds

Answer

Observation of respiratory rate and effort

Answer

Palpation of chest expansion

Question 9

The Capillary Refill Test primarily assesses a newborn's:

Accepted Answer

Skin perfusion

Answer

Neurological development

Answer

Hydration status

Answer

Cardiac function

Question 10

Which of the following laboratory tests screens for congenital hypothyroidism in newborns commonly known as PKU in the United States?

Accepted Answer

Newborn screening panel

Answer

Complete blood count (CBC)

Answer

Glucose-6-phosphate dehydrogenase (G6PD) test

Answer

Urinalysis

Question 11

The Moro reflex typically involves the newborn suddenly:

Accepted Answer

Extending and abducting their arms and legs

Answer

Flexing their hips and knees

Answer

Extending their neck and chin

Answer

Plantar flexing their feet

Question 12

Which of the following is NOT a common sign of respiratory distress in a newborn?

Accepted Answer

Normal respiratory rate

Answer

Flaring of nostrils

Answer

Grunting

Answer

Cyanosis

Question 13

The Apgar score is primarily used to:

Accepted Answer

Assess a newborn's condition at 1 and 5 minutes after birth

Answer

Monitor a newborn's vital signs over time

Answer

Evaluate a newborn's neurological development

Answer

Detect congenital anomalies

Question 14

The Brazelton Neonatal Behavioral Assessment Scale (NBAS) is commonly used to:

Accepted Answer

Evaluate a newborn's neurological development and behavioral responses

Answer

Assess a newborn's pain level

Answer

Detect congenital anomalies

Answer

Monitor a newborn's feeding progress

Question 15

What is the main purpose of the Apgar score?

Accepted Answer

To assess the well-being of a newborn at 1 and 5 minutes after birth

Answer

To identify the need for immediate resuscitation

Answer

To predict long-term health outcomes for the newborn

Answer

To establish a neurological baseline for the newborn

Question 16

Which laboratory test is commonly used to screen newborns for congenital hypothyroidism?

Accepted Answer

Newborn metabolic screening panel

Answer

Complete blood count

Answer

Blood gas analysis

Answer

Urinalysis

Question 17

What is the primary nursing intervention for maintaining a stable body temperature in a newborn?

Accepted Answer

Swaddling the newborn

Answer

Placing the newborn under a heat lamp

Answer

Administering oxygen to the newborn

Answer

Providing intravenous fluids to the newborn

Question 18

What is the main goal of nursing care for a newborn experiencing respiratory distress?

Accepted Answer

Maintaining adequate oxygenation

Answer

Providing sufficient nutrition

Answer

Preventing infection

Answer

Monitoring vital signs

Question 19

Which of the following laboratory tests is used to screen newborns for congenital hypothyroidism?

Accepted Answer

Thyroid-stimulating hormone level

Answer

Complete blood count

Answer

Electrolytes panel

Answer

Urinalysis

Question 20

The **primary** purpose of performing a bilirubin assessment in newborns is to:

Accepted Answer

Detect jaundice

Answer

Monitor liver function

Answer

Assess for anemia

Answer

Check blood glucose levels

Question 21

The most common cause of sepsis in newborns is:

Accepted Answer

Group B streptococcus

Answer

Escherichia coli

Answer

Staphylococcus aureus

Answer

Klebsiella pneumoniae

Question 22

The recommended temperature range for a newborn's environment to prevent hypothermia is:

Accepted Answer

78-82°F (26-28°C)

Answer

84-88°F (29-31°C)

Answer

90-94°F (32-34°C)

Answer

96-98°F (35-37°C)

Question 23

An appropriate nursing intervention to prevent hypothermia in a newborn is to:

Accepted Answer

Using a radiant warmer

Answer

Dressing the newborn in loose clothing

Answer

Placing the newborn in a warm bath

Answer

Administering antipyretics

Question 24

The recommended feeding interval for a **healthy** newborn is:

Accepted Answer

Every 2-3 hours

Answer

Every 4-6 hours

Answer

Every 6-8 hours

Answer

Every 8-12 hours

Question 25

What aspect of a newborn's health is primarily assessed during the Moro reflex test?

Accepted Answer

Neurological function

Answer

Hearing

Answer

Vision

Question 26

What is NOT a purpose of newborn screening?

Accepted Answer

Providing a definitive diagnosis of genetic disorders

Answer

Early detection of treatable conditions

Answer

Identification of babies at risk for developmental delays

Question 27

A newborn with a respiratory rate of 80 breaths per minute is considered:

Accepted Answer

Tachyapneic

Answer

Bradypneic

Answer

Dyspneic

Answer

Eupneic

Question 28

Which laboratory test is typically used to screen for cystic fibrosis?

Accepted Answer

Immunoreactive trypsinogen (IRT)

Answer

Sepsis screen

Answer

Urinalysis

Answer

Complete blood count (CBC)

Question 29

The primary purpose of the Apgar score is to:

Accepted Answer

Assess the newborn's immediate transition and adaptation to extrauterine life

Answer

Identify specific medical conditions

Answer

Determine the need for resuscitation

Question 30

Which of the following is a sign of respiratory distress in a newborn?

Accepted Answer

Grunting

Answer

Regular heart rate

Answer

Pink skin color

Answer

Quiet breathing

Question 31

The primary goal of phototherapy for a newborn with jaundice is to:

Accepted Answer

Convert bilirubin to a water-soluble form for easier elimination

Answer

Stimulate the production of red blood cells

Answer

Reduce liver inflammation

Question 32

Which of the following is a contraindication for breastfeeding?

Accepted Answer

Active untreated tuberculosis in the mother

Answer

Maternal smoking

Answer

Maternal hypertension

Answer

Maternal fever

Question 33

The purpose of monitoring newborn urine output is to:

Accepted Answer

Assess hydration status and prevent dehydration

Answer

Detect urinary tract infections

Answer

Identify congenital kidney anomalies

Answer

Determine the need for diaper changes

Question 34

When assessing a newborn's respiratory status, which of the following findings may indicate respiratory distress?

Accepted Answer

Grunting and retractions

Answer

Pink coloration and clear breath sounds

Answer

Normal heart rate and respiratory rate

Answer

Adequate oxygen saturation

Question 35

Which laboratory test is used to screen newborns for congenital hypothyroidism?

Accepted Answer

TSH (thyroid-stimulating hormone)

Answer

CBC (complete blood count)

Answer

Urinalysis

Answer

X-ray

Question 36

When performing a physical exam on a newborn to assess for hip dysplasia, which of the following tests is commonly used?

Accepted Answer

Ortolani and Barlow tests

Answer

Thigh abduction

Answer

Heel prick

Answer

Babinski reflex

Question 37

Which of the following is a risk factor for neonatal sepsis?

Accepted Answer

Prolonged rupture of membranes and maternal fever

Answer

Absence of maternal infection

Answer

Adequate birth weight and gestational age

Answer

Normal Apgar score

Question 38

When monitoring a newborn's vital signs, what range is considered an abnormal heart rate?

Accepted Answer

Below 100 bpm or above 180 bpm

Answer

Over 190 bpm

Answer

Between 110-150 bpm

Answer

Around 80 bpm

Question 39

Which of the following is a potential complication of severe hyperbilirubinemia in newborns?

Accepted Answer

Kernicterus

Answer

Preeclampsia

Answer

Hypoglycemia

Answer

Intrauterine growth restriction

Question 40

When caring for a newborn with respiratory distress syndrome (RDS), which of the following interventions is a priority?

Accepted Answer

Administer surfactant and provide respiratory support

Answer

Use nasal suctioning as needed

Answer

Maintain a neutral thermal environment

Answer

Position the infant prone

Question 41

Which of the following is a sign of hypothermia in a newborn?

Accepted Answer

Cool, pale skin and lethargy

Answer

Apnea

Answer

Grunting and tachypnea

Answer

Rapid heart rate

Question 42

When performing a neurologic exam on a newborn, what is the significance of the Moro reflex?

Accepted Answer

It indicates intact brainstem and spinal cord function

Answer

It tests for muscle strength

Answer

It evaluates cranial nerve function

Answer

It checks for hearing

Question 43

Which assessment is considered the most crucial within the first 24 hours of a newborn's life to determine their overall health status?

Accepted Answer

Physical examination

Answer

Neurological assessment

Answer

Laboratory tests

Answer

Newborn screening

Question 44

What is the normal temperature range for a newborn, measured in both Fahrenheit and Celsius?

Accepted Answer

97.6-100.4°F (36.4-38°C)

Answer

101-103°F (38.3-39.4°C)

Answer

99-101°F (37.2-38.3°C)

Answer

95-99°F (35-37.2°C)

Question 45

Which of these characteristics is typical of newborn stools in the first few days of life?

Accepted Answer

Dark green, sticky, and tarry (meconium)

Answer

Red and bloody

Answer

Yellow and seedy

Answer

Green and watery

Question 46

Which newborn screening test is specifically designed to detect phenylketonuria (PKU)?

Accepted Answer

Guthrie test

Answer

CBC (Complete Blood Count)

Answer

TORCH test

Answer

Rh factor test

Question 47

Why is it important to monitor a newborn's bilirubin levels?

Accepted Answer

To prevent the development of kernicterus, a serious brain damage caused by high bilirubin levels.

Answer

To predict the risk of jaundice

Answer

To identify liver disease

Question 48

What is a potential complication that can arise from untreated neonatal jaundice?

Accepted Answer

Kernicterus

Answer

Rh incompatibility

Answer

Hemolytic anemia

Answer

Hepatitis

Question 49

Which of the following is NOT a common physical finding in healthy newborns?

Accepted Answer

Unilateral Babinski reflex

Answer

Acrocyanosis

Answer

Milia

Question 50

What is the primary objective of the Ballard scoring system?

Accepted Answer

To estimate the gestational age of a newborn infant.

Answer

To evaluate the infant's risk of respiratory issues.

Answer

To identify potential congenital anomalies.

Answer

To determine the need for phototherapy intervention.

Question 51

Which of the following is a characteristic clinical sign of respiratory distress in a newborn?

Accepted Answer

Nasal flaring

Answer

Symmetrical chest movements.

Answer

Absence of grunting sounds.

Answer

Consistently regular and strong respirations.

Question 52

In a newborn, what is the most prevalent cause of hyperbilirubinemia?

Accepted Answer

Physiological jaundice

Answer

Biliary atresia.

Answer

Neonatal hepatitis.

Answer

Hemolytic disease due to Rh or ABO incompatibility.

Question 53

For a newborn infant with a suspected hip dysplasia, which positioning is most appropriate?

Accepted Answer

Frog-leg position

Answer

Trendelenburg position

Answer

Sims' position

Answer

Supine position