NARM Newborn Assessment 5

Question 1

Jaundice that appears within the first 24 hours of life should be treated as what?

Accepted Answer

Pathologic until proven otherwise

Answer

Jaundice before 24 hours is pathologic until proven otherwise, often from hemolysis, and needs a bilirubin level right away.

Question 2

A newborn has not passed meconium by 48 hours. Which condition is most important to consider?

Accepted Answer

Hirschsprung disease

Answer

Delayed passage of meconium beyond 48 hours in a term baby is a classic sign of Hirschsprung disease.

Question 3

Which reflex is tested by stroking the lateral sole from heel to toes, producing toe fanning and dorsiflexion of the big toe in a newborn?

Accepted Answer

Babinski

Answer

A positive Babinski response is normal in newborns and usually goes away in the first 1-2 years.

Question 4

Asymmetric Moro reflex with decreased movement of one arm after a shoulder dystocia most likely indicates what?

Accepted Answer

Brachial plexus injury or clavicle fracture

Answer

Shoulder dystocia can fracture the clavicle or injure the brachial plexus (Erb palsy), which reduces arm movement on that side.

Question 5

What is the normal resting heart rate range for a term newborn?

Accepted Answer

110-160 bpm

Answer

A term newborn's heart rate is normally about 110-160 bpm, and it may dip slightly during deep sleep.

(NARM) North American Registry of Midwives Practice Test