CPM Newborn Care & Assessment 2

Question 1

At 1 minute, a newborn has a heart rate of 110, slow irregular respirations, some flexion of the extremities, a grimace with suctioning, and a pink body with blue extremities. What is the Apgar score?

Accepted Answer

6

Answer

Heart rate 2 + respirations 1 + tone 1 + reflex irritability 1 + color 1 = 6.

Question 2

Which jaundice finding in a newborn is always considered pathologic and needs prompt evaluation?

Accepted Answer

Jaundice visible within the first 24 hours of life

Answer

Jaundice in the first 24 hours suggests hemolysis or another pathologic cause and is never physiologic.

Question 3

A newborn has a soft, edematous scalp swelling present at birth that crosses suture lines. What is the most likely finding?

Accepted Answer

Caput succedaneum

Answer

Caput succedaneum is scalp edema present at birth that crosses suture lines and resolves within days.

Question 4

On day 2 a newborn has scattered red blotches with small central yellow-white papules on the trunk, and the baby is otherwise well. What is the most appropriate management?

Accepted Answer

Reassure parents; erythema toxicum resolves on its own

Answer

Erythema toxicum neonatorum is a benign, self-limiting rash that needs no treatment.

Question 5

What is the standard prophylactic dose of intramuscular vitamin K for a term newborn in the United States?

Accepted Answer

1 mg

Answer

The AAP recommends a single 0.5–1 mg IM dose of vitamin K, typically 1 mg for term infants, to prevent vitamin K deficiency bleeding.

CPM - Certified Professional Midwife Practice Test

CPM - Certified Professional Midwife Practice Test

CPM Newborn Care & Assessment 2