WorksheetsNeonatal and Infant Care Quiz
Total questions: 100
Worksheet time: 50mins
Which is the easiest breastfeeding position for beginners?
Side-lying
Football hold
Upright hold
Dancer hand hold
Which screening tool evaluates breastfeeding effectiveness using a 0–2 scoring system?
APGAR
LATCH
Finnegan
Ballard
Which car seat guideline is appropriate for a premature infant?
Must pass a car seat challenge before discharge
Can go home in parent's lap
Forward-facing if ≥5 lbs
Booster seat with padding
Which newborn behavior indicates the need for suctioning with a bulb syringe?
Quiet breathing
Grunting
Nasal flaring
Difficulty clearing airway
A newborn has an APGAR score of 4 at 1 minute. This indicates:
Stable status
Moderate difficulty transitioning
Severe distress
Need for no intervention
A newborn’s APGAR score is 2 for color, 2 for heart rate, 2 for muscle tone, 2 for respiratory effort, and 2 for reflex irritability. What is the score?
10
8
5
6
How should the nurse clean a newborn’s eyes during a bath?
Outer to inner canthus
Inner to outer canthus
Circular motions
With alcohol wipes
Which infant would require the MOST urgent evaluation?
Crackles in lungs
Dry skin
No bowel sounds
Acrocyanosis
Where should Vitamin K be injected?
Deltoid
Ventrogluteal
Vastus lateralis
Dorsogluteal
Which intervention is necessary for a newborn receiving phototherapy?
Apply lotions to prevent dryness
Place eye shields over the newborn’s eyes
Stop all feedings
Dress infant in loose clothing
Which statement by a parent indicates correct understanding of phototherapy?
The light should be within 6 inches of the baby.
I should remove the diaper during treatment.
I need to turn the light off during feeds.
The baby does not need to eat more frequently.
Which nursing intervention is essential during phototherapy?
Apply baby oil before placing under lights
Reposition infant frequently
Keep infant fully covered
Keep lights more than 24 inches away
A mother of a jaundiced newborn asks why feeding is so important during phototherapy. The best response is:
Feeding helps the baby sleep better.
Feeding prevents electrolyte imbalances.
Feeding helps eliminate bilirubin through stool and urine.
Feeding prevents skin dryness under the lights.
Which infant needs immediate glucose monitoring after birth?
Born at 38 weeks, 3200g
Born to a mother with GDM
Born to a mother with anemia
Born by c-section
Which newborn finding requires intervention for suspected hypoglycemia?
Rooting
Tremors/jitteriness
Regular respirations
Pink color
The BEST initial nursing intervention for a newborn with low blood sugar is:
Administer a glucose solution orally
Start intravenous antibiotics
Place the newborn under a radiant warmer
Delay feeding until the next scheduled time
Which is the correct intervention?
Administer IV glucose immediately
Encourage skin-to-skin
Delay feeding until stable
Start formula feeding exclusively
Which factor puts a neonate at risk for hyperbilirubinemia? Select all that apply.
ABO incompatibility
Rh incompatibility
Maternal diabetes
Delayed or infrequent feeding
Breastfeeding
A newborn is suspected to have intraventricular hemorrhage. What should the nurse expect to see documented in the plan of care?
Rapid IV bolus fluids
Lumbar puncture
Prone positioning
Frequent rectal temps
Which CSF findings are associated with IVH? Select all that apply.
Increased protein concentration
Decreased glucose
Xanthochromia
No RBCs
High bilirubin levels
What position helps decrease cerebral blood flow fluctuations in infants at risk for IVH?
Prone
Supine with head midline
Side-lying with legs flexed
Trendelenburg
Which intervention is CONTRAINDICATED for IVH risk?
Slow fluid replacement
Blood transfusions
Rapid IV bolus fluids
Cranial ultrasound
A parent asks why Vitamin K is necessary. The nurse responds:
Newborns receive too much Vitamin K at birth.
It promotes lung maturity.
It prevents bleeding because newborns have low natural Vitamin K.
It helps regulate newborn temperature.
A newborn exposed to maternal opioid use displays jitteriness, diarrhea, and excessive crying. This indicates:
Hypoglycemia
Sepsis
Neonatal abstinence syndrome
Hyperbilirubinemia
What is the purpose of the Finnegan neonatal abstinence scoring system?
Assess feeding readiness
Evaluate withdrawal severity
Measure gestational age
Determine oxygen needs
Which newborn behavior indicates NAS? Select all that apply.
Excessive/frantic sucking
Skin mottling
Dysmature swallowing
Weak cry only
Apnea
Which maternal medication class can also cause NAS?
Steroids
SSRIs
Antibiotics
Prenatal vitamins
A newborn experiencing caffeine/nicotine withdrawal will likely be:
Difficult to console
Flaccid
Very sleepy
Unable to feed
Which newborn assessment finding indicates increased risk for infection?
Warm skin
Normal tone
Meconium-stained fluid at birth
Pink mucous membranes
A newborn has a temp of 97.7°F. What should the nurse do?
Document as normal
Notify the provider
Start antibiotics
Immediately move to NICU
A nurse suspects respiratory distress syndrome. Which early sign is expected?
Grunting
Regular respirations
Quiet breathing
Pink tone without effort
Which interventions help maintain airway patency in preterm infants? Select all that apply.
CPAP
Intubation if needed
Side-lying with neck flexed
Prone only
Suctioning as needed
A newborn of diabetic mother has poor latch and jitteriness. What should the nurse do first?
Start formula
Check blood glucose
Give naloxone
Administer Vitamin K early
Which infant is MOST at risk for developing NEC?
Term infant
Preterm infant
LGA infant
Infant with Hep B exposure
A postpartum mother asks why her baby needs erythromycin ointment. The best response:
To prevent blindness from gonorrhea exposure.
To help the eyes stay moist.
To help your baby see clearly.
It helps prevent jaundice.
Which intervention helps reduce bilirubin levels during phototherapy?
Applying warm blankets
Increasing feeding frequency
Lowering the lights
Stopping intake for 4 hours
The nurse should advise parents to keep the umbilical cord exposed by:
Covering it with the diaper
Turning the diaper down
Applying ointment daily
Using baby powder
A newborn’s diaper area appears red with the first signs of rash. What should the nurse recommend?
Baby powder
Zinc oxide ointment
Hydrogen peroxide
Scrubbing the area during each change
How often should a newborn’s diaper be changed?
Every 6 hours
Every 1–3 hours
Every 8 hours
Only when the baby cries
Parents ask how to clean their baby girl during diaper changes. The nurse instructs:
Back to front
Side to side
Front to back
In circular motions
Which instruction should the nurse give regarding umbilical cord care?
Keep cord covered with diaper
Turn diaper down to expose cord
Apply baby lotion daily
Remove stump after 3 days
Which finding requires provider notification during circumcision recovery?
Yellow crust over glans
Red, warm, swollen penis with drainage
Small amount of bleeding
Mild fussiness
Which is an appropriate parent teaching after circumcision? Select all that apply.
Apply petroleum jelly to gauze
Leave yellow crusting alone
Clean with alcohol wipes
Check for bleeding every 4 hours for first 24 hours
Remove any loosened parts of the Plastibell ring
Which statement by the parent of a Plastibell circumcised infant requires further teaching?
I won’t apply any lubricants.
The ring should fall off by itself.
I will pull off the ring if it’s still attached after 3 days.
I won’t try to remove any crusting.
A parent reports swelling and redness at the circumcision site 24 hours after a Gomco procedure. The nurse should:
Tell them this is normal
Tell them to wash crusts off
Tell them to notify provider immediately
Remove the dressing
Which parent statement about colic indicates correct understanding?
I should give extra formula.
I’ll keep a journal of feeding and crying patterns.
I’ll try different medications every day.
Crying always means my baby is in danger.
On average, newborns display hunger cues approximately:
5 minutes before crying
10 minutes before crying
30 minutes before crying
Right when they cry
Which are examples of newborn hunger cues? Select all that apply.
Rooting
Smacking lips
Drooling
Yawning
Sneezing
The nurse is teaching newborn sleep safety. Which statement from the parent shows understanding?
I’ll keep soft blankets in the crib.
I’ll place the baby on a firm surface made for infants.
My baby can share our bed to feel secure.
I’ll use a sleep positioner.
Which environment promotes safe sleep for the newborn?
Loose bedding
Decorative pillows
No objects in crib
Soft mattress
Which parent statement demonstrates correct understanding of room-sharing?
The baby should sleep in the same bed as me.
The baby should sleep in our room for at least 6 months.
The baby can sleep on my chest all night.
Room-sharing causes dependency.
The nurse teaches parents proper swaddling. Which instruction is correct?
Swaddle tightly around hips
Leave at least 2–3 fingers at the chest
Swaddle until 6 months
Use heavy blankets only
Swaddling should be discontinued when:
The infant weighs 10 lbs
The infant smiles
The infant can roll front to back
After 1 year of age
Which risk is associated with improper swaddling?
Dehydration
Hip dysplasia
Obesity
Febrile seizures
Newborns should receive sponge baths until when?
1 week of age
They begin crawling
The umbilical cord stump falls off
They reach 8 lbs
Which instruction is appropriate during a newborn bath?
Clean eyes outer to inner
Clean eyes inner to outer
Use Q-tips in ears
Bathe in cool room
Which action helps reduce newborn heat loss during a bath?
Bathing for 15–20 minutes
Bathing in a warm, draft-free environment
Leaving baby uncovered
Using room-temperature water
What is the recommended bath duration to prevent heat loss?
1–2 minutes
15–20 minutes
5–10 minutes
20–30 minutes
Which is appropriate newborn bathing education? Select all that apply.
Keep baby warm throughout
Leave circumcision exudate alone
Use mild cleanser
Use Q-tips to clean nose and ears
Bathe in a draft-free room
Which ethnic groups have genetic tendencies toward hyperbilirubinemia? Select all that apply.
American Indian
East Asian
Mediterranean descent
African American
Scandinavian
The nurse recognizes a newborn at high risk for NEC when assessing a:
Term infant with meconium
Preterm infant with immature gut
Post-term infant
LGA infant
For a newborn suspected of NEC, the nurse should monitor for which symptoms?
Frequent stools
Abdominal distention and vomiting
Excessive rooting
Mottled skin only
Which newborn assessment finding indicates normal GI function?
Bowel sounds present within first hour
No bowel sounds for 3 hours
Visible peristalsis
Rectal bleeding
The nurse prepares for newborn metabolic screening. Which statement is true?
Blood is drawn from the thigh
Baby must have eaten before screening
Baby must be asleep
Test must be done before 12 hours of age
Which of the following is TRUE regarding newborn tear production?
Tears should be present at birth
Tears develop by 2 months
Absence of tears is a sign of dehydration
Tears develop immediately after first feeding
Which newborn weight loss percentage is considered NORMAL in the first week?
0–2%
3–4%
5–10%
15–20%
Which newborns are at risk for hypothermia? Select all that apply.
SGA infants
Post-term infants
Infants with wet blankets
Infants in warm, draft-free rooms
Infants not dried after birth
Which action should the nurse take when caring for a newborn under a radiant warmer?
Keep the baby uncovered completely
Cluster care to minimize heat loss
Turn off warmer between checks
Use cold stethoscope for accuracy
A newborn with suspected infection shows which EARLY sign?
High-pitched cry
Fever
Low temperature
Projectile vomiting
Which factor increases the newborn’s risk for sepsis?
Maternal Rh compatibility
PROM
Scheduled c-section
Term gestation
A newborn exposed to meconium-stained fluid is at risk for:
Hypothermia
Persistent pulmonary hypertension
Hypoglycemia
Hyperbilirubinemia only
Which finding indicates respiratory distress requiring intervention?
Mild crackles
Acrocyanosis
Nasal flaring
Soft grunting during sleep
Which newborn condition warrants suctioning with a bulb syringe?
Clear crying
Strong, vigorous breathing
Difficult clearing airway
Pink skin tone
Which finding is associated with neonatal hypoglycemia?
Quiet alert state
Hypotonia
Jitteriness
Strong cry
A newborn with PDA will most likely present with:
Bradycardia
Murmur
Sunken fontanel
Absent pulses
Which condition places the newborn at high risk for respiratory distress syndrome (RDS)?
Term birth
Excess surfactant
Prematurity
Prolonged pregnancy
What is the nurse’s FIRST action for a term newborn showing difficulty breathing?
Give IV fluids
Suction airway
Prepare for transport
Start chest compressions
Which baby is MOST likely to require CPAP support?
40-week infant
Preterm infant
LGA infant
Post-term infant
Which action helps prevent skin injury in preterm infants requiring respiratory support?
Frequent use of adhesive tape
Minimal use of adhesives
Leaving CPAP straps in place for 48 hours
Removing humidity support
Which baby is at highest risk for clavicle fracture?
3200g infant
SGA infant
4200g infant
Preterm infant
A newborn with a fractured clavicle will show which sign?
Symmetric Moro reflex
Diminished movement on affected side
Strong palmar grasp
Bounding pulses
Which newborn assessment is a PRIORITY when suspecting clavicle fracture?
Inspect fontanel
Palpate clavicles
Measure head circumference
Check suck reflex
Which newborn needs an urgent feeding assessment?
Weight loss of 4%
Latching for short periods
Weight loss of 11%
Cluster feeding
Which newborn test evaluates metabolic and genetic disorders?
APGAR
Ballard
Newborn screening test
Finnegan
Where is the heel stick for newborn screening performed?
Center of heel
Lateral or medial heel surface
Arch of foot
Ankle
Which is TRUE about newborn voiding and stooling?
Urine output may take up to 72 hours
Baby should void within 24 hours
Baby should stool within 48 hours
No stool until day 3 is normal
A depressed fontanel is associated with:
Overhydration
Dehydration
Hydrocephalus
Hypoglycemia
Crackles heard 2 hours after birth indicate:
RDS
Normal lung clearing
Pneumonia
Meconium aspiration
Which skin finding is NORMAL in a post-term infant?
Smooth skin
Dry, cracked, peeling skin
Heavy vernix
Moist, shiny skin
Which newborn should receive erythromycin eye prophylaxis?
All newborns unless parents decline
Only preterm infants
Only symptomatic infants
Only infants of GBS+ mothers
Which newborn medication is given IM shortly after birth to prevent bleeding?
Hepatitis B vaccine
Vitamin K
Surfactant
Naloxone
Infants of diabetic mothers are at increased risk for which respiratory complication?
Laryngomalacia
Persistent pulmonary hypertension
Respiratory distress syndrome
Chronic lung disease
Which is a sign of persistent pulmonary hypertension?
Easy feeding
Tachypnea
Loud cry
Pink extremities
A newborn with PPHN will show symptoms within:
Immediately after birth
6 hours
12 hours
3 days
Which sign indicates neonatal abstinence syndrome?
Regular feeding pattern
Excessive crying
No rooting
Absence of reflexes
Which maternal factor can increase bilirubin in the newborn?
Oxytocin use in labor
IV fluids
Epidural
Acetaminophen
What is the priority nursing intervention during phototherapy?
Cover eyes with shields
Stop feeds
Remove diaper only during diaper changes
Place lights 24–30 inches away
Which infant position helps reduce respiratory distress?
Flat supine
Slightly elevated head
Trendelenburg
Full prone
Which finding in a newborn is expected after circumcision?
Profuse bleeding
Yellow crusted area
Foul-smelling drainage
Thick green discharge
Which finding indicates the Plastibell circumcision is healing correctly?
Ring falls off on its own within a week
Ring falls off day 1
Parent removes the ring manually
Uses lubricant around the ring
