CMS CMS Newborn Assessment & Neonatal Care 2

Question 1

Which head circumference measurement is considered within normal range for a full-term newborn?

Accepted Answer

32–38 cm

Answer

Normal term newborn head circumference is 32–38 cm, with 34–35 cm being the average.

Question 2

A newborn develops jaundice within the first 24 hours of life. Which condition must be ruled out first?

Accepted Answer

Hemolytic disease of the newborn (HDN)

Answer

Jaundice appearing within the first 24 hours is always pathological and most commonly due to hemolytic disease caused by ABO or Rh incompatibility.

Question 3

Which vitamin is routinely administered to all newborns at birth to prevent hemorrhagic disease?

Accepted Answer

Vitamin K

Answer

Vitamin K is given intramuscularly at birth because newborns have low gut flora and cannot produce adequate vitamin K, risking hemorrhagic disease of the newborn.

Question 4

What is the normal respiratory rate for a term newborn at rest?

Accepted Answer

30–60 breaths/min

Answer

Normal neonatal respiratory rate is 30–60 breaths per minute; rates above 60 are considered tachypnea.

Question 5

A newborn is noted to have a single transverse palmar crease bilaterally. This finding is most commonly associated with:

Accepted Answer

Trisomy 21 (Down syndrome)

Answer

A single transverse palmar crease (simian crease) is classically associated with Trisomy 21, though it can be a normal variant.

CMS - Clinical Midwife Specialist Practice Test

CMS - Clinical Midwife Specialist Practice Test

CMS CMS Newborn Assessment & Neonatal Care 2