Certified Midwife Exam Prep Postpartum Care & Newborn Assessment

Question 1

At 1 minute after birth, a newborn has a heart rate of 90 bpm, blue extremities, weak cry, some flexion, and grimaces with stimulation. What is the APGAR score?

Accepted Answer

6

Answer

4

Answer

5

Answer

7

Question 2

Which finding during a newborn assessment at birth warrants immediate resuscitation?

Accepted Answer

Apgar score of 4 at 1 minute

Answer

Acrocyanosis at 2 minutes of life

Answer

Heart rate of 120 bpm

Answer

Respiratory rate of 48 breaths/min

Question 3

What is the normal respiratory rate range for a term newborn?

Accepted Answer

30–60 breaths/min

Answer

20–30 breaths/min

Answer

60–80 breaths/min

Answer

10–20 breaths/min

Question 4

A newborn's weight at 5 days of life is 7% below birth weight. How should the midwife respond?

Accepted Answer

Continue current feeding support and reassess

Answer

Supplement with formula immediately

Answer

Order IV fluids

Answer

Recommend weaning from breastfeeding

Question 5

Which breastfeeding position is most recommended for a patient recovering from a cesarean birth?

Accepted Answer

Football (clutch) hold

Answer

Cradle hold

Answer

Cross-cradle hold

Answer

Side-lying position

Question 6

When should a newborn receive the first hepatitis B vaccine according to the US immunization schedule?

Accepted Answer

Within 12 hours of birth if mother is HBsAg-positive; otherwise within 24 hours for all infants

Answer

At the 2-month well-child visit

Answer

At 1 month of age

Answer

Only if the mother is hepatitis B positive