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Varney's Midwifery 7th Edition (Chapters 35–39) Question Bank & Practice Exam 2026 (Newborn& Advanced Practice)

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For Varney’s Midwifery, 7th Edition, Chapters 35–39, the exam can cover the following major areas: Postpartum Care — maternal assessment, normal postpartum changes, recovery, health promotion, and discharge planning. Postpartum Complications — postpartum hemorrhage, infection, thromboembolic disorders, hypertensive complications, and other postpartum concerns. Newborn Assessment and Care — newborn adaptation, physical assessment, thermoregulation, feeding, screening, and routine newborn management. Breastfeeding and Lactation — breastfeeding initiation, positioning and latch, milk production, common breastfeeding problems, and lactation support. Family Planning and Contraception — postpartum contraception, fertility counseling, contraceptive methods, and reproductive planning. Women's Health and Reproductive Care — preventive care, gynecologic assessment, reproductive health concerns, and patient education. Clinical Decision-Making in Midwifery — recognition of complications, appropriate interventions, referrals, and evidence-based care. Overall exam focus: Postpartum & Newborn Care, Breastfeeding, Family Planning, and Women’s Reproductive Health.

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Varney's Midwifery 7th Edition (Chapters 35–39) Question Bank & Practice Exam
(Newborn& Advanced Practice)




1. The neonatal period refers to the first:
A. 7 days of life
B. 14 days of life
C. 28 days of life
D. 6 months of life
Answer: C

2. A full-term newborn is generally born between:
A. 28–32 weeks
B. 34–36 weeks
C. 37–42 weeks
D. 43–45 weeks
Answer: C

3. The Apgar score is assessed at:
A. 1 and 5 minutes after birth
B. 30 and 60 minutes after birth
C. 12 and 24 hours after birth
D. 48 and 72 hours after birth
Answer: A

4. Which Apgar component evaluates heart rate?
A. Pulse
B. Respiration
C. Activity
D. Reflex irritability
Answer: A

5. A normal newborn heart rate is approximately:
A. 60–90 bpm
B. 80–110 bpm
C. 110–160 bpm
D. 170–220 bpm
Answer: C

6. Which finding is considered normal in a healthy newborn?
A. Acrocyanosis during the first hours of life
B. Persistent central cyanosis
C. Severe respiratory distress
D. Absent reflexes
Answer: A

7. The rooting reflex helps the newborn:
A. Locate the breast or bottle for feeding

, B. Maintain body temperature
C. Walk independently
D. Control breathing
Answer: A

8. Which reflex causes the infant to grasp an object placed in the hand?
A. Moro reflex
B. Babinski reflex
C. Palmar grasp reflex
D. Tonic neck reflex
Answer: C

9. Colostrum provides newborns with:
A. Excess sodium
B. Antibodies and nutrients
C. Artificial immunity only
D. Water only
Answer: B

10. The primary source of nutrition for most newborns is:
A. Breast milk or infant formula
B. Fruit juice
C. Solid foods
D. Water alone
Answer: A

11. Which assessment finding may indicate respiratory distress in a newborn?
A. Strong cry
B. Quiet sleep
C. Regular feeding
D. Grunting
Answer: D

12. Newborn thermoregulation is promoted by:
A. Skin-to-skin contact
B. Cold exposure
C. Delayed drying
D. Frequent bathing
Answer: A

13. Physiologic jaundice typically appears after:
A. Birth before 12 hours
B. The first 24 hours of life
C. Age 10 years
D. Adolescence
Answer: B

14. Which vitamin is routinely administered to newborns shortly after birth?
A. Vitamin K
B. Vitamin C

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