Deck 43: Neonatal Care

Question 1

You are delivering a baby boy and note the presence of meconium as the head is being delivered. When should you suction his mouth and nose?

A) After wiping any blood or mucus off his face
B) Once he is cleaned and his body and head are covered
C) As soon as the umbilical cord is clamped and cut
D) As soon as his head has been completely delivered

Answer 1

As soon as his head has been completely delivered

Question 2

You have just delivered a baby girl and her breathing is not adequate. If there is no improvement after 5 to 10 seconds of stimulating her chest and extremities, you should

A) begin mouth-to-mask breathing.
B) administer chest compressions.
C) start by-blow oxygen procedures.
D) continue to stimulate the chest/extremities.

Answer 2

begin mouth-to-mask breathing.

Question 3

A newborn with an Apgar score of 6 is in:

A) mild distress
B) moderate distress
C) no distress
D) severe distress

Answer 3

moderate distress

Question 4

You are assessing a newborn baby for her Apgar score and find the baby's body is pink, but her extremities are blue, her pulse rate is 80 beats per minute, her respirations are slow and irregular, she does not grimace, and her muscle tone is limp. What is her Apgar score?

A) 3
B) 2
C) 6
D) 4

Question 5

When a baby is born, the four questions you should ask yourself include whether it is a term gestation, if meconium is present, if there is good muscle tone, and which of the following?

A) What is the skin color of the body/extremities?
B) What is the baby's activity level?
C) Is the baby breathing or crying?
D) Can the baby grimace or become irritable?

Question 6

You checked the heart rate of a newborn and found it was 80 beats per minute. You administered mouth-to-mask breathing for 30 seconds and the heart rate is now 55 beats per minute. You should

A) use a bag-mask device to administer oxygen.
B) stimulate the extremities.
C) assess the skin color again.
D) begin chest compressions.

Question 7

You are assessing a newborn and find a bluish tint on his face and chest. His heart rate is 105 beats per minute and his breathing is adequate. This finding requires

A) special warming techniques.
B) no specific intervention on your part.
C) stimulation of affected areas.
D) administration of blow-by oxygen.

Question 8

In an Apgar score, what does the second "A" prompt you to evaluate?

A) Absence/Presence of Respirations
B) Activity
C) Airway
D) Anger/Grimace Reaction

Question 9

How long does it typically take a newborn to completely move fetal lung fluid out of the airway?

A) 48 hours
B) 36 hours
C) 12 hours
D) 24 hours

Question 10

The color and consistency of meconium changes after ______ days of feeding the newborn breast milk or formula.

A) 1 to 2
B) 3 to 4
C) 2 to 3
D) 4 to 5

Question 11

When should you suction the baby's mouth and nose if meconium is observed during delivery?

A) As soon as head has been delivered
B) After the baby begins breathing
C) Once the baby is fully delivered and wrapped
D) After the umbilical cord is clamped and cut

Question 12

How long should the tasks of providing warmth, positioning the baby, clearing the airway as necessary, drying, stimulating and repositioning a newborn take?

A) 60 to 90 seconds
B) 45 to 60 seconds
C) 30 to 45 seconds
D) Less than 30 seconds

Question 13

You are providing mouth-to-mask breathing to a newborn. You should breathe at a rate of ________ breaths per minute.

A) 40 to 60
B) 20 to 40
C) 10 to 20
D) 60 to 80

Question 14

How long should you try to stimulate breathing in a newborn (rubbing the back, tapping the feet, etc.) before you provide supplemental oxygen?

A) 30 to 45 seconds
B) 15 to 20 seconds
C) 1 to 4 seconds
D) 5 to 10 seconds

Question 15

When taking a newborn's pulse by the brachial pulse, you should count the heart rate for ___________ to estimate the beats per minute.

A) 6 seconds and multiply by 10
B) 30 seconds and multiply by 2
C) 10 seconds and multiply by 6
D) 15 seconds and multiply by 4

Question 16

The heart rate of a newborn is 80 beats per minute. Which of the following should you do first?

A) Mouth-to-mask breathing
B) Begin chest compressions
C) Assess the skin color
D) Stimulate the baby's extremities

Question 17

Which of the following ranges is normal for a full-term baby's heart rate after the first 12 hours of life?

A) 80 to 120
B) 100 to 120
C) 120 to 160
D) 100 to 180

Question 18

You are assessing a newborn and find acrocyanosis in his extremities. This finding requires

A) blow-by oxygen.
B) no specific intervention.
C) warming techniques.
D) stimulation of affected areas.

Question 19

A full-term baby's respiratory rate is normally between _________ breaths per minute during the first 12 hours of life.

A) 30 to 60
B) 30 to 40
C) 30 to 50
D) 30 to 70

Question 20

An Apgar score is used to assess an infant's condition at 1 and _____ minutes after birth.

A) 8
B) 5
C) 10
D) 3

Question 21

You have just given a newborn an Apgar score of 3. This baby is in ______ distress.

A) mild
B) no
C) severe
D) moderate

Question 22

Which of the following does the "P" in an Apgar score have you assess?

A) Period of gestation
B) Sensitivity to Pain
C) Pulse/heart rate
D) Pink color of skin

Question 23

From which of the following areas is most of the body heat in a newborn lost?

A) Chest
B) Arms
C) Feet
D) Head

Question 24

You have just assisted in the delivery of a baby. You find a lack of good muscle tone and slow respirations. Due to these findings, you should

A) start resuscitation steps.
B) clear the baby's airway.
C) dry and wrap the baby.
D) provide warmth to the baby.
E) E: All of these are correct.

Question 25

A newborn has a pink body but blue extremities, her pulse rate is 80 beats per minute, her respirations are slow and irregular, she does not grimace, and her muscle tone is limp. This baby is in

A) mild distress.
B) no distress.
C) moderate distress.
D) severe distress.