NARM Newborn Assessment 3

Question 1

A newborn at 1 minute has a heart rate of 90, weak cry, some flexion, grimace to stimulation, and a pink body with blue extremities. What is the Apgar score?

Accepted Answer

5

Answer

Heart rate <100 = 1, weak cry = 1, some flexion = 1, grimace = 1, acrocyanosis = 1, total 5.

Question 2

Which finding on newborn exam most strongly suggests developmental dysplasia of the hip?

Accepted Answer

A palpable clunk on the Ortolani maneuver

Answer

A clunk on Ortolani means a dislocated hip is moving back into the acetabulum, which points to DDH.

Question 3

A newborn's anterior fontanelle is tense and bulging while the baby is quiet and upright. What does this most likely indicate?

Accepted Answer

Increased intracranial pressure

Answer

A bulging fontanelle in a calm, upright infant suggests raised intracranial pressure, for example from meningitis or hemorrhage.

Question 4

Which newborn scalp swelling crosses suture lines and is present at birth?

Accepted Answer

Caput succedaneum

Answer

Caput succedaneum is edema of the scalp that crosses sutures and is present at birth.

Question 5

A term newborn has a single palmar crease, upslanting palpebral fissures, and marked hypotonia. Which condition should the midwife suspect?

Accepted Answer

Trisomy 21

Answer

Hypotonia, upslanting eyes, and a single palmar crease are classic signs of Down syndrome (trisomy 21).

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Newborn Assessment 3