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

The newborn scores: HR 1 (90 bpm), color 1 (blue extremities), tone 1 (some flexion), cry 1 (weak), reflex 1 (grimace) = total 5; wait — HR <100=1, color=1 (acrocyanosis), tone=1, cry=1, reflex=1 = 5.

Question 2

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

Accepted Answer

Apgar score of 4 at 1 minute

Answer

An Apgar score of 4 at 1 minute indicates a depressed neonate requiring prompt resuscitation intervention.

Question 3

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

Accepted Answer

30–60 breaths/min

Answer

A normal respiratory rate for a term neonate is 30–60 breaths per minute; rates above 60 suggest respiratory distress.

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

Up to 7–10% weight loss in the first week of life is normal; 7% loss warrants close monitoring and feeding support but not immediate supplementation.

Question 5

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

Accepted Answer

Football (clutch) hold

Answer

The football hold keeps the infant away from the abdominal incision, making it most comfortable for post-cesarean patients.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Postpartum Care & Newborn Assessment