Newborn NCLEX Questions With Answers

Reviewed by Farah Naz
Farah Naz, MBBS, Medicine |
Medical Expert
Review Board Member
Farah holds a Bachelor of Medicine and Bachelor of Surgery (MBBS) from Dow University of Health Sciences. She gained valuable experience through internships in Radiology, Cardiology, and Neurosurgery, and has contributed to two research publications in medical journals. Passionate about healthcare education, Farah excels in crafting medical content, including articles, literature reviews, and e-learning courses. Leveraging her expertise, she meticulously reviews medical science quizzes, ensuring accuracy and educational value for aspiring healthcare professionals.
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Newborn NCLEX Questions With Answers - Quiz

Are you ready for these Newborn NCLEX questions with answers? This quiz below is for testing your knowledge of newborn nursing. Newborn nursing is one of the most difficult nursing out there. If you can pass this test with a good score, you can proudly call yourself well-prepared on this topic. Also, mention your score in the comment after you have completed this test. We wish you the best of luck with this test.


Questions and Answers
  • 1. 

    For Apgar scoring, what is the primary critical observation?

    • A.

      Muscle tone

    • B.

      Presence of meconium

    • C.

      Heart rate

    • D.

      None of these

    Correct Answer
    C. Heart rate
    Explanation
    The primary critical observation for Apgar scoring is the heart rate. Apgar scoring is a method used to quickly assess the health of a newborn baby. It evaluates five vital signs: heart rate, respiratory effort, muscle tone, reflex irritability, and color. The heart rate is considered the most important observation because it reflects the baby's overall cardiovascular function and can indicate any potential cardiac issues.

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  • 2. 

    After the birth of an infant, within 3 minutes, what is the normal heart rate?

    • A.

      120 and 160

    • B.

      160 and 200

    • C.

      200 and 220

    • D.

      All

    Correct Answer
    A. 120 and 160
    Explanation
    After the birth of an infant, the normal heart rate within 3 minutes is between 120 and 160 beats per minute.

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  • 3. 

    How high can the expected respiratory rate of a neonate for the first 3 minutes after the birth be?

    • A.

      40

    • B.

      50

    • C.

      60

    • D.

      80

    Correct Answer
    C. 60
    Explanation
    The expected respiratory rate of a neonate for the first 3 minutes after birth can be as high as 60 breaths per minute. This is a normal range for newborns as they adjust to breathing outside the womb.

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  • 4. 

    In what sequence should the nurse measure the vital signs when he/she is performing a newborn assessment?

    • A.

      Pulse, respirations, temperature

    • B.

      Respirations, pulse, temperature

    • C.

      Temperature, pulse, respirations

    • D.

      Any sequence is good.

    Correct Answer
    B. Respirations, pulse, temperature
    Explanation
    The correct answer is respiration, pulse, and temperature. This sequence is recommended because it allows the nurse first to assess the newborn's breathing, followed by their heart rate and then body temperature. This order is important as abnormal respiratory rates can indicate respiratory distress and abnormal heart rates can indicate cardiac issues. Temperature measurement is done last as it can be influenced by external factors and may change during the assessment.

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  • 5. 

    A healthy newborn's respirations should be

    • A.

      Regular, abdominal, 40-50 per minute, deep

    • B.

      Irregular, initiated by chest wall, 30-60 per minute, deep

    • C.

      Irregular, abdominal, 30-60 per minute, shallow

    • D.

      All are okay

    Correct Answer
    C. Irregular, abdominal, 30-60 per minute, shallow
    Explanation
    A healthy newborn's respirations should be irregular, abdominal, 30-60 per minute, and shallow. This means that the newborn's breathing pattern may vary and be inconsistent. The breathing is initiated by the movement of the abdomen; the respiratory rate should be between 30-60 breaths per minute, and the breaths are shallow rather than deep. This is considered normal for a healthy newborn and does not indicate any respiratory distress.

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  • 6. 

    Mothers (with diabetes) of newborns are at high risk for high cholesterol.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Mothers with diabetes may have an increased risk for high cholesterol, but it does not necessarily mean that all mothers with diabetes are at high risk. Factors such as diet, exercise, genetics, and overall health can also play a role in determining an individual's risk for high cholesterol. Therefore, it is not accurate to say that all mothers with diabetes are at high risk for high cholesterol.

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  • 7. 

    What should a newborn have when he has been on formula for between 36 to 48 hours?

    • A.

      Vitamin K injection

    • B.

      Test for necrotizing enterocolitis

    • C.

      Heel stick for blood glucose level

    • D.

      Screening for PKU

    Correct Answer
    D. Screening for PKU
    Explanation
    Newborns who have been on formula for 36 to 48 hours should undergo screening for phenylketonuria (PKU). PKU is a genetic disorder in which the body cannot break down an amino acid called phenylalanine. If left untreated, it can lead to intellectual disability and other health problems. Screening for PKU involves a blood test to check the levels of phenylalanine in the baby's blood. Early detection and treatment can help manage the condition and prevent complications.

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  • 8. 

    A newborn child whose mother has diabetes is at risk of this complication.

    • A.

      Nitrogen loss

    • B.

      Hypoglycemia

    • C.

      Anemia

    • D.

      None of these

    Correct Answer
    B. Hypoglycemia
    Explanation
    A newborn child whose mother has diabetes is at risk of hypoglycemia. Diabetes can cause high blood sugar levels in the mother, which can pass on to the baby during pregnancy. After birth, when the baby is no longer receiving the high levels of glucose from the mother, their own blood sugar levels can drop rapidly, leading to hypoglycemia. This is because the baby's pancreas may still produce insulin in response to the high blood sugar levels it experienced in the womb. Therefore, hypoglycemia is a potential complication for newborns of mothers with diabetes.

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  • 9. 

    More focus should be on the mother, while the child needs very little care.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement contradicts the commonly accepted notion that children require significant care and attention from their parents or caregivers. It suggests that the mother should receive more attention, which goes against the traditional understanding of parenting responsibilities. This statement is not supported by research or societal norms, making it false.

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  • 10. 

    A newborn whose mother has diabetes is at risk for this complication following birth.

    • A.

      Macrosomia

    • B.

      Microcephaly

    • C.

      Pneumothorax

    • D.

      None of these

    Correct Answer
    A. Macrosomia
    Explanation
    A newborn whose mother has diabetes is at risk for macrosomia, which is the excessive growth of the baby during pregnancy. This occurs because high blood sugar levels in the mother can lead to increased insulin production in the baby, causing rapid growth. Macrosomia can lead to complications during birth, such as shoulder dystocia, where the baby's shoulder gets stuck behind the mother's pelvic bone. It can also increase the risk of injury to both the mother and the baby during delivery.

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Farah Naz |MBBS, Medicine |
Medical Expert
Farah holds a Bachelor of Medicine and Bachelor of Surgery (MBBS) from Dow University of Health Sciences. She gained valuable experience through internships in Radiology, Cardiology, and Neurosurgery, and has contributed to two research publications in medical journals. Passionate about healthcare education, Farah excels in crafting medical content, including articles, literature reviews, and e-learning courses. Leveraging her expertise, she meticulously reviews medical science quizzes, ensuring accuracy and educational value for aspiring healthcare professionals.

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  • Current Version
  • Jan 23, 2024
    Quiz Edited by
    ProProfs Editorial Team

    Expert Reviewed by
    Farah Naz
  • Sep 11, 2017
    Quiz Created by
    Santepro
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