CMS Newborn Assessment & Neonatal Care Flashcards
6 cards from real CMS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CMS Newborn Assessment & Neonatal Care flashcards as text
The Apgar score is assessed at 1 minute and 5 minutes after birth. Which five criteria are evaluated?
Answer: Heart rate, respiratory effort, muscle tone, reflex irritability, color
Apgar score assesses heart rate, respiratory effort, muscle tone, reflex irritability, and skin color, each scored 0–2 for a maximum of 10.
A newborn has an Apgar score of 4 at 1 minute. Which immediate action is most appropriate?
Answer: Begin positive-pressure ventilation
An Apgar score of 4–6 indicates moderate depression; positive-pressure ventilation is initiated if the newborn is not breathing adequately.
Which finding on newborn physical exam is considered a normal variant requiring no intervention?
Answer: Epstein pearls on the hard palate
Epstein pearls are benign inclusion cysts on the hard palate that resolve spontaneously within weeks.
A term newborn's blood glucose is 38 mg/dL at 2 hours of life. What is the first-line management?
Answer: Early breastfeeding or formula supplementation
For symptomatic-free newborns with glucose 36–45 mg/dL, the first step is early oral feeding before considering IV glucose.
Which newborn reflex disappears by 4–6 months of age and its persistence may indicate neurological pathology?
Answer: Moro reflex
The Moro (startle) reflex normally disappears by 4–6 months; its persistence beyond this suggests possible neurological abnormality.
A newborn is born at 38 weeks with respiratory distress syndrome. Which surfactant-related factor is most likely responsible?
Answer: Immature type II pneumocytes producing insufficient surfactant
Respiratory distress syndrome results from immature type II pneumocytes failing to produce adequate surfactant, leading to alveolar collapse.