Free CMA Postpartum Care & Newborn Assessment Questions and Answers

Question 1

What is the most important assessment of uterine involution after delivery?

Accepted Answer

Palpating fundal height and tone

Answer

Uterine involution is the process of the uterus returning to its pre-pregnancy size and state. Palpating the fundal height and tone is the most important assessment because it directly indicates the uterus's contraction and descent. A firm, well-contracted fundus prevents excessive bleeding, while a boggy uterus suggests uterine atony, a common cause of postpartum hemorrhage.

Question 2

Which newborn reflex causes the infant to turn their head toward a touch on the cheek?

Accepted Answer

Rooting reflex

Answer

The rooting reflex is a primitive newborn reflex crucial for feeding. When a baby's cheek or mouth area is touched, they instinctively turn their head towards the stimulus and open their mouth, searching for a nipple. This reflex helps the infant locate the breast or bottle for feeding.

Question 3

When should the first newborn bath typically be given?

Accepted Answer

After 24 hours

Answer

Current recommendations suggest delaying the first newborn bath until at least 24 hours after birth, or even longer if culturally appropriate. This delay allows the vernix caseosa, a protective waxy coating, to remain on the baby's skin, providing natural moisturizing and antibacterial benefits. It also helps stabilize the newborn's temperature and blood glucose levels.

Question 4

Which of the following is a common sign of postpartum hemorrhage?

Accepted Answer

Boggy uterus and heavy bleeding

Answer

Postpartum hemorrhage (PPH) is excessive bleeding after childbirth, and a boggy (soft, poorly contracted) uterus is the most common cause. A poorly contracted uterus cannot effectively compress blood vessels, leading to heavy, continuous bleeding. This combination is a critical sign requiring immediate intervention to prevent maternal shock.

Question 5

Which newborn screening is required shortly after birth in many states?

Accepted Answer

Metabolic screening

Answer

Newborn metabolic screening, often called the 'heel stick test,' is a mandatory screening in many states performed shortly after birth. It tests for a range of serious, but treatable, genetic and metabolic disorders, such as phenylketonuria (PKU) and congenital hypothyroidism. Early detection allows for timely intervention, preventing severe health problems and developmental delays.

CMA - Certified Midwife Assistant Practice Test

CMA - Certified Midwife Assistant Practice Test

Free CMA Postpartum Care & Newborn Assessment Questions and Answers