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Worksheetsmaternity final practice
Total questions: 60
Worksheet time: 30mins
A nurse assesses a newborn and notes acrocyanosis. Which action is most appropriate?
Call the provider immediately
Apply supplemental oxygen
Document as a normal finding
Administer IV fluids
Which of the following respiratory findings in a newborn requires immediate attention?
Irregular breathing with short apnea
Nasal flaring and intercostal retractions
40 breaths per minute
Strong cry during assessment
A newborn's skin is mottled. What should the nurse do first?
Prepare for sepsis protocol
Notify the provider
Warm the infant and reassess
Administer glucose
Which physical assessment finding is considered abnormal in a term newborn?
Caput succedaneum
Peeling of the fingers
Cephalohematoma
Erythema toxicum
A newborn exhibits a high-pitched cry. The nurse should assess for:
Sleep readiness
Colic or pain
Normal hunger
Thermoregulation
Which vital sign is within the normal range for a newborn?
Temperature: 97.1°F
Heart Rate: 180 bpm
Respiratory Rate: 40 breaths/min
Blood Pressure: 100/70 mmHg
A nurse notes a swollen fontanelle that does not pulsate. This may indicate:
Dehydration
Normal closure
Increased intracranial pressure
Fontanelle ossification
Which skin finding is considered abnormal in a newborn?
Vernix caseosa
Milia
Jaundice extending to the legs
Nevus simplex
Which of the following newborn characteristics is a potential sign of Down syndrome?
Lanugo
Extra digit
Incurved fifth finger
Caput succedaneum
Which description best distinguishes cephalohematoma from caput succedaneum?
Cephalohematoma crosses suture lines
Caput succedaneum is firm and doesn't shift
Caput succedaneum crosses suture lines
Cephalohematoma is a soft, fluctuant mass
An umbilical cord stump that is foul-smelling and oozing should be interpreted as:
Normal drying process
Expected inflammation
Possible omphalitis
Umbilical hernia
Low-set ears in a newborn are often associated with:
Respiratory infections
Normal anatomical variation
Genetic syndromes
Feeding difficulties
A nurse assessing a newborn's hips performs Ortolani's maneuver. A 'clunk' is felt. This indicates:
Normal movement
Clubfoot
Developmental dysplasia of the hip (DDH)
Epiphyseal displacement
Which reflex is absent in a newborn with Erb’s palsy?
Rooting
Moro
Sucking
Babinski
A female newborn has slight vaginal bleeding. The appropriate response by the nurse is to:
Administer vitamin K
Document the finding as normal
Notify the provider
Check clotting factors
A finding of a sacral dimple in a newborn should be further evaluated if:
It is shallow and visible
It is located above the gluteal crease
There is a tuft of hair
It closes by 1 month
Which of the following is a normal weight for a term newborn?
2200 grams
2500 grams
4200 grams
4800 grams
An extra digit found on the newborn’s hand should prompt the nurse to:
Call for immediate removal
Explain that it's often benign
Restrict movement of the limb
Apply a splint
Which of the following are signs of respiratory distress in a newborn?
Grunting, nasal flaring, retractions
Irregular breathing and brief apnea
Respiratory rate of 32/min
Strong, rhythmic cry
When assessing the newborn for normal GI findings, which of the following is expected?
Flat abdomen
Protuberant, soft abdomen
Sunken umbilical area
Palpable liver edge
A parent reports nipple pain during breastfeeding. Which intervention should the nurse prioritize?
Recommend a nipple shield
Assess the infant’s latch and positioning
Instruct the parent to pump exclusively
Suggest reducing feeding frequency
A postpartum patient is concerned about low milk supply. Which nursing response is most appropriate?
Suggest offering formula supplementation
Encourage more frequent breastfeeding or pumping
Recommend stopping breastfeeding overnight
Suggest reducing fluid intake
Which of the following is a common reason for early cessation of breastfeeding in the U.S.?
Inadequate healthcare access
Return to work without lactation support
Lack of interest in infant bonding
High cost of breastfeeding supplies
A parent asks about using a breast pump. When should pumping typically begin if breastfeeding is going well?
Within 24 hours after birth
One month before returning to work
After 6 months of breastfeeding
Immediately after each feeding
What is the nurse’s priority when assisting with breastfeeding in the first 24 hours?
Schedule feedings every 4 hours
Encourage skin-to-skin and early initiation
Provide pacifiers to soothe the infant
Limit feedings to 5 minutes per side
What is the maximum amount of time freshly expressed breast milk can be stored at room temperature (77°F/25°C)?
2 hours
4 hours
6 hours
8 hours
Which container is preferred for storing human milk?
Any plastic bag
Disposable water bottles
Bags specifically designed for breast milk
Reused formula containers
What is the correct method to thaw frozen breast milk?
Microwave the milk for 30 seconds
Leave it on the counter overnight
Warm it under running warm water or in the refrigerator
Shake the milk vigorously to mix it
Which hand hygiene practice is essential before expressing or pumping milk?
Using alcohol gel
Washing with warm water only
Rinsing hands for 10 seconds
Washing hands with soap and water
How long can human milk be safely stored in a standard freezer?
2 weeks
3 months
6–12 months
Indefinitely
Which formula preparation mistake places an infant at highest risk for hyponatremia?
Adding cereal to the formula
Mixing too much water with powder
Using warm water
Not burping the baby after feeding
Which of the following is a safe practice when warming formula?
Use the microwave
Boil the bottle directly
Test temperature on inner wrist after warming in warm water
Mix formula with hot tap water
A parent plans to feed their infant formula using the powder form. What should the nurse emphasize?
Scoop size does not matter
Always mix one scoop with 3 oz of water
Follow manufacturer's instructions for water-to-powder ratio
Store prepared formula at room temperature overnight
Which bottle-feeding technique best supports an infant’s self-regulation and digestion?
Propping the bottle during feeds
Feeding in a reclined position
Paced bottle-feeding with upright infant positioning
Feeding while the infant is sleeping
What should the nurse teach parents about feeding frequency during the first weeks of life?
Feed every 6 hours
Only feed when the baby cries
Feed on demand every 2–3 hours
Schedule feeds strictly to promote routine
A newborn is jittery, has a weak cry, and is difficult to arouse. What is the priority nursing intervention?
Perform a blood glucose test
Swaddle the newborn tightly
Offer pacifier for comfort
Encourage skin-to-skin contact
A premature newborn at 30 weeks gestation is experiencing nasal flaring, retractions, and grunting. What intervention is expected?
Administer surfactant via endotracheal tube
Place the infant on continuous IV fluids
Encourage oral feedings
Delay oxygen therapy to avoid dependency
A nurse is caring for a 2-day-old newborn receiving phototherapy for jaundice. Which statement by the parents indicates a need for further teaching?
I should keep my baby’s eyes covered with eye shields.
I should increase my baby’s feeding frequency.
I should apply lotion to prevent my baby’s skin from drying out.
I should check my baby’s temperature often.
A newborn exposed to opioids in utero is experiencing tremors, excessive crying, and poor feeding. Which intervention is most appropriate?
Offer a pacifier and swaddle tightly
Encourage frequent handling by family
Delay feedings to avoid overstimulation
Place the newborn under bright lights
A newborn is hypothermic and has a blood glucose of 30 mg/dL. What intervention should the nurse perform first?
Administer oral glucose
Place the newborn under a radiant warmer
Wrap the newborn in multiple blankets
Offer formula feeding
A newborn is noted to be jittery, lethargic, and has poor feeding. Blood glucose is 32 mg/dL. What is the nurse's priority action?
Administer phototherapy
Initiate IV antibiotics
Feed the infant or administer dextrose per protocol
Apply a radiant warmer
Which newborn is at highest risk for developing hypoglycemia?
A term infant born via vaginal delivery
A post-term infant without complications
A large-for-gestational-age (LGA) infant of a diabetic parent
A baby born via emergency cesarean after labor
A nurse is caring for a preterm newborn experiencing nasal flaring, grunting, and central cyanosis. What is the priority intervention?
Administer a feeding
Suction the airway and provide oxygen
Begin phototherapy
Encourage skin-to-skin contact
Which assessment finding suggests neonatal sepsis?
Warm, flushed skin and increased tone
Hypoglycemia, temperature instability, and poor tone
Strong feeding reflex
Jitteriness and irritability only
A newborn has yellowing of the skin starting at the face and moving downward. What action is most appropriate?
Begin IV antibiotics
Apply nasal cannula oxygen
Assess serum bilirubin levels
Feed the newborn glucose water
Which finding is most concerning in a newborn with respiratory distress syndrome (RDS)?
Respiratory rate of 65
Grunting with central cyanosis
Use of brown fat stores
Mild nasal flaring
Which nursing action best prevents hypothermia in a newborn?
Delay first feeding
Delay skin-to-skin contact
Place the baby in a thermoneutral environment
Bathe the baby immediately after birth
A nurse is educating a parent of a newborn receiving phototherapy. Which statement indicates a need for further teaching?
I should protect my baby’s eyes during treatment.
I will increase feedings to help clear bilirubin.
I can turn off the phototherapy lights for 6 hours at night.
I will change my baby’s diaper frequently to monitor output.
A nurse suspects hypothermia in a newborn. Which finding supports this?
Axillary temp of 37.5°C
Warm, pink extremities
Pale, cool skin with poor tone
Jitteriness and increased feeding
A preterm newborn is receiving care in the NICU. Which intervention best supports thermoregulation?
Delay feeding for 24 hours
Maintain a radiant warmer and limit heat loss
Encourage frequent bathing
Swaddle loosely in cool blankets
A newborn is pale, has bradycardia, poor feeding, and temperature instability. The nurse suspects sepsis. What is the priority nursing action?
Administer phototherapy
Notify the provider and obtain cultures
Give oral glucose
Place baby under a warmer
What is the goal blood glucose level in a newborn to prevent complications?
≥ 20 mg/dL
≥ 30 mg/dL
≥ 40 mg/dL
≥ 50 mg/dL
Which of the following is a preventive strategy for hyperbilirubinemia?
Early and frequent feedings
Skin-to-skin contact only at night
Avoiding phototherapy until symptoms are severe
Administering dextrose before breastfeeding
What is a distinguishing sign of neonatal jaundice that helps in early detection?
Jaundice that begins in the toes and moves up
Yellowing of the sclera and face
Dark green stool
Hyperactive reflexes
Which infant should the nurse monitor most closely for respiratory distress syndrome (RDS)?
A term baby born via vaginal delivery
A late-preterm baby born via elective C-section
A post-term infant with meconium-stained fluid
A baby with a birthweight of 3.5 kg and Apgar of 9
A nurse is teaching a client about oral contraceptive pills. Which statement by the client indicates the need for further teaching?
I will take the pill at the same time every day.
If I miss one pill, I will take two pills the next day.
This method protects me from getting pregnant.
I will still need to use condoms to protect against STIs.
A 35-year-old client who smokes asks about starting oral contraceptives. What is the best response by the nurse?
You can take the pill as long as you reduce your smoking.
You should avoid combined oral contraceptives due to clotting risk.
The pill is safe as long as you have no history of hypertension.
You should try a barrier method instead.
A client using a diaphragm for contraception should be instructed to:
Insert it immediately before intercourse
Remove it immediately after intercourse
Use it with spermicidal gel
Replace it every 2 years
Emergency contraception is most effective when taken within how many hours of unprotected sex?
12 hours
24 hours
72 hours
120 hours
Which contraceptive method provides protection against STIs?
Oral contraceptives
IUD
Male condom
Contraceptive implant
