A newborn has inadequate breathing immediately after birth. The care team should wait for the 1-minute Apgar score before deciding whether to begin resuscitation. True or false?
7 Newborn Transition and Assessment Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Newborn Transition and Assessment, test your knowledge, and prepare for your next test or exam.
A vigorous newborn is breathing effectively after birth. The infant can usually remain skin-to-skin with the parent while routine care begins. True or false?
- A
True
- B
False
After the first breaths, rising oxygen levels cause pulmonary to fall.
A newborn is classified as small for gestational age when size is below the on an appropriate growth chart.
In the Apgar score, what category describes the newborn’s response to stimulation?
What is the approximate upper limit of the typical resting newborn heart-rate range? Enter the value in beats/min.
A stable newborn has no urgent concerns. When is a complete clinical examination generally performed?
- A
Only after the newborn has been discharged
- B
Within the first 24 hours, with earlier or repeated assessment when indicated
- C
At exactly 24 hours in every case
- D
Only if an initial screening test is abnormal
A newborn’s pregnancy dating is uncertain, and the infant’s apparent maturity seems inconsistent with the history. Which approach is most appropriate?
- A
Use the score instead of early-ultrasound dating in every newborn
- B
Use the score only to predict long-term developmental outcomes
- C
Consider the score if dating is uncertain or maturity appears inconsistent, while treating it as an estimate
- D
Use the score to decide whether initial resuscitation should begin
Which caregiver instruction follows the safe-sleep guidance for a newborn?
- A
Place the infant alone, on the back, on a firm, flat sleep surface
- B
Place the infant on the side on a soft sleep surface
- C
Place the infant prone on a firm sleep surface
- D
Share an adult bed so the infant can remain warm
A caregiver asks why intramuscular vitamin K is included in routine newborn care. What is the main purpose?
- A
To prevent critical congenital heart disease
- B
To improve pulmonary blood flow during transition
- C
To treat neonatal jaundice
- D
To prevent vitamin K deficiency bleeding
Which approaches are commonly included in routine newborn screening before discharge? Select all that apply.
- A
Blood-spot screening for selected disorders
- B
A screen that by itself confirms a diagnosis
- C
Hearing screening
- D
Pulse-oximetry screening for critical congenital heart disease
Which newborn findings should prompt escalation for urgent assessment? Select all that apply.
- A
Apnea
- B
Bluish hands and feet early after birth
- C
Blue lips or tongue
- D
A resting respiratory rate of 40 breaths/min
- E
Bilious vomiting
A clinician measures a newborn’s weight, length, and head circumference. How should these measurements be interpreted to assess growth?
- A
Compare measurements with a single universal cutoff, regardless of gestational age or sex
- B
Plot measurements on standards appropriate for gestational age and sex
- C
Use birth weight alone to assess all aspects of growth
- D
Replace measurements with the New Ballard Score
A newborn is 36 completed weeks’ gestation and measures at the 8th percentile on an appropriate growth chart. Classify the newborn by gestational age and size for gestational age, and explain one reason these classifications matter for ongoing care.
A vigorous newborn is breathing effectively after birth. Which action is appropriate while routine care begins?
- A
Separate the infant immediately for routine procedures
- B
Keep the infant skin-to-skin while routine care begins
- C
Begin resuscitation before assessing breathing
- D
Delay warmth measures until the first examination is complete
The Apgar score determines whether initial resuscitation should begin.
- A
True
- B
False
A newborn has bluish hands and feet, but pink lips and tongue. Which interpretation best matches the assessment guidance?
- A
It indicates central cyanosis, even when the lips and tongue are pink.
- B
It can be early acrocyanosis.
- C
It always requires resuscitation.
- D
It indicates that the newborn has a heart defect.
A stable newborn is being cared for in the first hours after birth. Which bathing plan best supports routine care?
- A
Delay bathing until the infant is stable and warm
- B
Bathe immediately to remove birth fluids before assessing temperature
- C
Bathe as soon as the cord is clamped, regardless of the infant’s condition
- D
Avoid drying the infant until after the first bath
If obstetric dating is uncertain or a newborn’s apparent maturity is inconsistent with the history, what assessment may a trained clinician use to estimate gestational age?
A newborn is delivered at 36 weeks and 5 days of gestation. What is the gestational-age category?