PMED CH42,43 EXAM QUESTIONS & ANSWERS 2024/2025
Which of the following is NOT an antepartum risk factor that increases the potential that a newborn may require resuscitation?
A) Preeclampsia
B) Prolapsed cord
C) Polyhydramnios
D) Multiple gestations - ANSWERSB
The risk of newborn compli...
Which of the following is NOT an antepartum risk factor that increases the potential that a newborn may
require resuscitation?
A) Preeclampsia
B) Prolapsed cord
C) Polyhydramnios
D) Multiple gestations - ANSWERSB
The risk of newborn complications is HIGHEST if the amniotic sac:
A) encases the baby's face at birth.
B) is still intact at the time of birth.
C) contains thin, brown amniotic fluid.
D) ruptured more than 18 hours before birth. - ANSWERSD
Which of the following events is a critical part of fetal transition?
A) Diversion of blood flow to the fetus's lungs
B) An acute increase in intrapulmonary pressure
C) Fetal lung expansion within 5 minutes after birth
D) Blood flow diversion across the ductus arteriosis - ANSWERSA
Causes of delayed fetal transition include all of the following, EXCEPT:
A) acidosis.
B) hypothermia.
C) birth at 41 weeks.
D) meconium aspiration. - ANSWERSC
,A newborn born between ___ and ___ weeks of gestation is described as term.
A) 36, 38
B) 38, 42
C) 40, 42
D) 42, 44 - ANSWERSB
A delay in clamping the umbilical cord and keeping the baby below the level of the placenta can result in
fetal:
A) anemia.
B) hypovolemia.
C) exsanguination.
D) polycythemia. - ANSWERSD
While preparing equipment for newborn resuscitation, which of the following items is/are NOT
considered optional?
A) Pulse oximeter
B) Cardiac monitor
C) Endotracheal tubes
D) Laryngeal mask airway - ANSWERSC
Which of the following statements regarding the Apgar score is correct?
A) If resuscitation is necessary, the Apgar score is completed to determine the result of the resuscitation.
B) The Apgar score is determined on the basis of the newborn's condition at 2 and 10 minutes after
birth.
C) If resuscitation is needed, it should commence immediately after you obtain the 1-minute Apgar
score.
D) A newborn with a heart rate of greater than 80 beats/min would be assigned a score of 2 on the
Apgar score. - ANSWERSA
According to the Apgar score, a newborn with a heart rate of 80 beats/min and slow, irregular breathing
should receive a combined score of:
,A) 2.
B) 3.
C) 4.
D) 5. - ANSWERSA
An infant born with a pink body and blue extremities, a pulse rate of 90 beats/min, a strong cry, and
active movement should be assigned an initial Apgar score of:
A) 5.
B) 6.
C) 7.
D) 8. - ANSWERSD
If a newborn does not respond to the initial steps of resuscitation, the need for further intervention is
based upon:
A) pulse rate, activity, and appearance.
B) respiratory effort, pulse rate, and color.
C) appearance, skin color, and muscle tone.
D) respirations, appearance, and muscle tone. - ANSWERSB
The initial steps of newborn resuscitation include:
A) free-flow oxygen.
B) proper positioning.
C) assessment of pulse rate.
D) positive-pressure ventilation. - ANSWERSB
If you feel 13 pulsations in a 6-second time frame, the newborn's heart rate is approximately:
A) 30 beats/min.
B) 60 beats/min.
C) 90 beats/min.
, D) 130 beats/min. - ANSWERSD
The MOST common etiology for bradycardia in a newborn is:
A) severe hypoxia.
B) untreated acidosis.
C) occult hypovolemia.
D) increased vagal tone. - ANSWERSA
A newborn with central cyanosis, adequate respirations, and a heart rate of 120 beats/min should
initially be treated with:
A) continued observation only.
B) high-flow oxygen via mask.
C) free-flow oxygen at 5 L/min.
D) positive-pressure ventilation. - ANSWERSC
Choanal atresia is defined as a:
A) small chin that causes a posteriorly positioned tongue.
B) condition in which high-flow oxygen causes blindness.
C) bony or membranous obstruction of the back of the nose.
D) condition in which the occipital skull is abnormally large. - ANSWERSC
An oropharyngeal airway would MOST likely be indicated for a newborn with:
A) gasping respirations.
B) Pierre Robin sequence.
C) a diaphragmatic hernia.
D) prolonged periods of apnea. - ANSWERSB
A newborn with a pulse rate of 80 beats/min:
A) requires ventilations and chest compressions.
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