NARM Newborn Assessment 2 — Questions and Answers
Question 1: Signs of neonatal respiratory distress?
- Grunting, nasal flaring, retractions, tachypnea, cyanosis (Correct answer)
- Quiet breathing
- Loud crying only
- Normal sleep
Correct answer: Grunting, nasal flaring, retractions, tachypnea, cyanosis
Multiple visible signs show breathing difficulty.
Question 2: Proper newborn resuscitation steps?
- Warm, dry, stimulate; position airway; PPV if needed (Correct answer)
- Immediate medications
- Submerge in water
- Wait 10 minutes
Correct answer: Warm, dry, stimulate; position airway; PPV if needed
A stepwise approach starts with simple interventions.
Question 3: Umbilical cord care for newborns?
- Keep clean and dry until natural detachment in 1-3 weeks (Correct answer)
- Apply alcohol daily
- Submerge in water
- Cover with bandages
Correct answer: Keep clean and dry until natural detachment in 1-3 weeks
Current evidence supports simple dry care.
Question 4: Normal weight loss in breastfed newborns?
- Up to 7-10% in first days, regained by 10-14 days (Correct answer)
- No loss should occur
- 50% loss normal
- Immediate weight gain
Correct answer: Up to 7-10% in first days, regained by 10-14 days
Initial weight loss is normal and temporary.
Question 5: What is neonatal hypoglycemia?
- Low blood sugar causing jitteriness, poor feeding, lethargy, possibly seizures (Correct answer)
- High blood sugar
- Skin condition
- Normal finding
Correct answer: Low blood sugar causing jitteriness, poor feeding, lethargy, possibly seizures
Low blood sugar requires prompt treatment.
Question 6: Purpose of newborn metabolic screen?
- Detect treatable genetic/metabolic conditions before symptoms appear (Correct answer)
- Determine intelligence
- Test allergies
- Measure growth rate
Correct answer: Detect treatable genetic/metabolic conditions before symptoms appear
Early detection enables treatment before irreversible damage.
NARM Newborn Assessment 2
Signs of neonatal respiratory distress?