NNP 1 Test 2 Practice Exam QUESTIONS
AND CORRECT ANSWERS
Which of the following statements is FALSE regarding normal birth?
A As the uterus contracts, blood flow through the uterine artery is interrupted.
B Fetal blood oxygen levels can be 4-6 kPa (30-45 mmHg) without causing brain damage.
C The fetal brain can use alternative fuels such as ketones if the supply of glucose is interrupted.
D The umbilical arterial pH is the same or higher than the venous pH.
E Most babies are cyanosed at birth - CORRECT ANSWER D
Which of the following statements is true of the Apgar score?
A APGAR stands for Airway, Pulse, Gasp, Alertness, Reflexes
B Umbilical cord gases are not as reliable as Apgar scores when it comes to assessing the severity of
asphyxia.
C The Apgar score has excellent consistency when administered by different operators.
D An Apgar score of <7 at 1 minute means the baby requires immediate advanced resuscitation.
E An Apgar score of <5 at 10 minutes is associated with a poor outcome. - CORRECT
ANSWER E
A baby is born at 29 weeks following a large maternal antepartum haemorrhage. You arrive in the
delivery room just as the baby is being transferred to the resuscitation platform. Which of the
following is a CORRECT action that you should undertake?
A Dry the baby and wrap in several warm towels, then assess the condition of the baby.
B Don't worry about universal precautions, as resuscitation cannot be delayed
C Ask the obstetrician to administer intramuscular betamethasone to the mother.
D Administer intramuscular naloxone (200 µg) to the baby's thigh and massage vigorously.
E Place the baby in a sterile plastic bag up to the neck, cover the head with a hat and place the baby
under a radiant warmer. - CORRECT ANSWER E
AND CORRECT ANSWERS
Which of the following statements is FALSE regarding normal birth?
A As the uterus contracts, blood flow through the uterine artery is interrupted.
B Fetal blood oxygen levels can be 4-6 kPa (30-45 mmHg) without causing brain damage.
C The fetal brain can use alternative fuels such as ketones if the supply of glucose is interrupted.
D The umbilical arterial pH is the same or higher than the venous pH.
E Most babies are cyanosed at birth - CORRECT ANSWER D
Which of the following statements is true of the Apgar score?
A APGAR stands for Airway, Pulse, Gasp, Alertness, Reflexes
B Umbilical cord gases are not as reliable as Apgar scores when it comes to assessing the severity of
asphyxia.
C The Apgar score has excellent consistency when administered by different operators.
D An Apgar score of <7 at 1 minute means the baby requires immediate advanced resuscitation.
E An Apgar score of <5 at 10 minutes is associated with a poor outcome. - CORRECT
ANSWER E
A baby is born at 29 weeks following a large maternal antepartum haemorrhage. You arrive in the
delivery room just as the baby is being transferred to the resuscitation platform. Which of the
following is a CORRECT action that you should undertake?
A Dry the baby and wrap in several warm towels, then assess the condition of the baby.
B Don't worry about universal precautions, as resuscitation cannot be delayed
C Ask the obstetrician to administer intramuscular betamethasone to the mother.
D Administer intramuscular naloxone (200 µg) to the baby's thigh and massage vigorously.
E Place the baby in a sterile plastic bag up to the neck, cover the head with a hat and place the baby
under a radiant warmer. - CORRECT ANSWER E
