NARM Newborn Assessment 4

Question 1

A newborn's axillary temperature is 96.8°F (36.0°C). What is the best first action?

Accepted Answer

Place the baby skin-to-skin with a warm blanket over both and recheck

Answer

Mild hypothermia is treated first by skin-to-skin rewarming, then rechecking the temperature and assessing for causes.

Question 2

Which sign of respiratory distress involves a sound made on expiration as the newborn closes the glottis to keep the alveoli open?

Accepted Answer

Grunting

Answer

Expiratory grunting keeps end-expiratory pressure up and is a sign of respiratory distress.

Question 3

On critical congenital heart disease (CCHD) pulse oximetry screening at 24 hours or later, which result is an immediate fail?

Accepted Answer

Any reading below 90%

Answer

Under the AAP algorithm, any reading below 90% is a failed screen and needs immediate evaluation.

Question 4

A newborn has a flat, salmon-pink mark on the nape of the neck that blanches with pressure. What is it?

Accepted Answer

Nevus simplex (stork bite)

Answer

Nevus simplex is a common benign capillary malformation that blanches, and it usually appears on the nape or eyelids.

Question 5

In the newborn, femoral pulses that are weak or absent compared with the brachial pulses suggest which condition?

Accepted Answer

Coarctation of the aorta

Answer

Narrowing of the aorta lowers blood flow to the lower body, so the femoral pulses are weaker than the upper-body pulses.

(NARM) North American Registry of Midwives Practice Test