newborn course GRADED A
Section 1
1. A newborn of 34 weeks’ gestation is not breathing (apneic) at birth, does not respond
to initial steps and requires positive pressure ventilation. What concentration of
oxygen should be used as you begin positive pressure ventilation?
a. 30 to 50% oxygen
b. 50 to 70% oxygen
c. 100% oxygen
d. 21 to 30% oxygen
2. What size (internal diameter) endotracheal tube should be used to intubate a
newborn with an estimated gestational age of 26 weeks (estimated birth weight of
800 g)?
a. 4.0 mm
b. 3.5 mm
c. 3.0 mm
d. 2.5 mm
3. You are called to attend a newborn at birth. At the time of the baby is delivered, which
three question should you ask to evaluate whether the baby can stay with his mother or
be moved to the radiant warmer for further assessment?
a. Is the baby warm? Does the baby have good tone? Is the baby full-term?
,newborn course GRADED A
b. Is the baby term? Does the baby have a good muscle tone?
Is the baby breathing or crying?
c. Is amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth
weight?
d. Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
4. What is the appropriate technique to stimulate a baby to breathe?
a. Gently rub the baby’s back or extremities
b. Hold the baby upside down and gently pat the buttocks
c. Vigorously suction the oropharynx with a bulb syringe
d. Apply free flow of oxygen to the baby’s face
5. What is the preferred technique for removing secretions from the mouth and nose
of a newborn who requires resuscitation?
a. Suction deeply to clear secretions
b. Suction the mouth before the nose
, newborn course GRADED A
c. Suction vigorously to clear secretions
d. Suction the nose before the mouth
6. You have determined a baby needs resuscitation at birth. What are the initial steps
of newborn care?
a. Position had to open the airway, dry, stimulate, evaluate the baby’s color
b. Provide warmth, position head and neck to open the airway,
clear secretions from the airway if needed, dry, stimulate
c. Provide warmth, position had to open airway, evaluate the baby’s color
d. Provide warmth, clear secretions with a suction catheter, evaluate the babies
color, and evaluate heart rate
7. Hey baby is born at 34 weeks gestation. After the initial steps of resuscitation, the baby
is not breathing (apneic). What are the next steps?
a. Administer free flow oxygen, place a pulse oximeter sensor on the right-hand
or wrist, evaluate heart rate
b. Administer CPAP, place the pulse oximeter sensor on the right hand or
wrist, evaluate color and tone
c. Initiate positive pressure ventilation, place a pulse oximeter
sensor on the right hand or wrist, evaluate heart rate
d. Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate
Section 1
1. A newborn of 34 weeks’ gestation is not breathing (apneic) at birth, does not respond
to initial steps and requires positive pressure ventilation. What concentration of
oxygen should be used as you begin positive pressure ventilation?
a. 30 to 50% oxygen
b. 50 to 70% oxygen
c. 100% oxygen
d. 21 to 30% oxygen
2. What size (internal diameter) endotracheal tube should be used to intubate a
newborn with an estimated gestational age of 26 weeks (estimated birth weight of
800 g)?
a. 4.0 mm
b. 3.5 mm
c. 3.0 mm
d. 2.5 mm
3. You are called to attend a newborn at birth. At the time of the baby is delivered, which
three question should you ask to evaluate whether the baby can stay with his mother or
be moved to the radiant warmer for further assessment?
a. Is the baby warm? Does the baby have good tone? Is the baby full-term?
,newborn course GRADED A
b. Is the baby term? Does the baby have a good muscle tone?
Is the baby breathing or crying?
c. Is amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth
weight?
d. Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
4. What is the appropriate technique to stimulate a baby to breathe?
a. Gently rub the baby’s back or extremities
b. Hold the baby upside down and gently pat the buttocks
c. Vigorously suction the oropharynx with a bulb syringe
d. Apply free flow of oxygen to the baby’s face
5. What is the preferred technique for removing secretions from the mouth and nose
of a newborn who requires resuscitation?
a. Suction deeply to clear secretions
b. Suction the mouth before the nose
, newborn course GRADED A
c. Suction vigorously to clear secretions
d. Suction the nose before the mouth
6. You have determined a baby needs resuscitation at birth. What are the initial steps
of newborn care?
a. Position had to open the airway, dry, stimulate, evaluate the baby’s color
b. Provide warmth, position head and neck to open the airway,
clear secretions from the airway if needed, dry, stimulate
c. Provide warmth, position had to open airway, evaluate the baby’s color
d. Provide warmth, clear secretions with a suction catheter, evaluate the babies
color, and evaluate heart rate
7. Hey baby is born at 34 weeks gestation. After the initial steps of resuscitation, the baby
is not breathing (apneic). What are the next steps?
a. Administer free flow oxygen, place a pulse oximeter sensor on the right-hand
or wrist, evaluate heart rate
b. Administer CPAP, place the pulse oximeter sensor on the right hand or
wrist, evaluate color and tone
c. Initiate positive pressure ventilation, place a pulse oximeter
sensor on the right hand or wrist, evaluate heart rate
d. Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate
