NARM Exam – Midwifery Certification Study Guide & Practice Questions
Normal Newborn Heart Rate - correct answer ✔✔110-150 bpm
Apgar scale - correct answer ✔✔appearance, pulse, grimace, activity, respiration
Appearance - correct answer ✔✔color of skin: red, pink, blue, white
Activity - correct answer ✔✔vigorous or limp
How many newborn signs are ranked when doing Apgar? - correct answer ✔✔5 signs
What are the 5 signs that are ranked during an Apgar score? - correct answer ✔✔heart rate
respirations
reflex response
muscle tone
color
Heart Rate Apgar Score - correct answer ✔✔0- absent
1- below 100
2- above 100
Respiration Apgar Score - correct answer ✔✔0- absent
1- weak cry
2- strong cry
, In practice, the baby does not NEED to cry to be breathing. Always check respirations.
Reflex Response Apgar Score - correct answer ✔✔0- absent
1- grimace
2- cough or sneeze
Muscle Tone Apgar Score - correct answer ✔✔0- limp
1- some flexion
2- well flexed
Color Apgar Score - correct answer ✔✔0- pale/blue
1- body pink, extremities blue
2- all pink
When do you preform an Apgar? - correct answer ✔✔1 and 5 minutes
Generally good Apgar appearance - correct answer ✔✔pink-red
breathing well
flexion good
EX: 1 minute Apgar score: Infant is floppy with no tone, is blue, is making no effort to breathe.
The HR is 75 and the baby recoils minimally when stimulated. What is the 1 minute Apgar? (1, 2,
3, or 4) - correct answer ✔✔Apgar is 2.
Infant has a HR (but it is less than 100) so it gets one point. Has some response or "grimace" but
it is minimal, so it gets another point. Otherwise, the baby has apnea, is completely blue, and is
limp - so it gets zero points for breathing, color, and tone.
Normal Newborn Heart Rate - correct answer ✔✔110-150 bpm
Apgar scale - correct answer ✔✔appearance, pulse, grimace, activity, respiration
Appearance - correct answer ✔✔color of skin: red, pink, blue, white
Activity - correct answer ✔✔vigorous or limp
How many newborn signs are ranked when doing Apgar? - correct answer ✔✔5 signs
What are the 5 signs that are ranked during an Apgar score? - correct answer ✔✔heart rate
respirations
reflex response
muscle tone
color
Heart Rate Apgar Score - correct answer ✔✔0- absent
1- below 100
2- above 100
Respiration Apgar Score - correct answer ✔✔0- absent
1- weak cry
2- strong cry
, In practice, the baby does not NEED to cry to be breathing. Always check respirations.
Reflex Response Apgar Score - correct answer ✔✔0- absent
1- grimace
2- cough or sneeze
Muscle Tone Apgar Score - correct answer ✔✔0- limp
1- some flexion
2- well flexed
Color Apgar Score - correct answer ✔✔0- pale/blue
1- body pink, extremities blue
2- all pink
When do you preform an Apgar? - correct answer ✔✔1 and 5 minutes
Generally good Apgar appearance - correct answer ✔✔pink-red
breathing well
flexion good
EX: 1 minute Apgar score: Infant is floppy with no tone, is blue, is making no effort to breathe.
The HR is 75 and the baby recoils minimally when stimulated. What is the 1 minute Apgar? (1, 2,
3, or 4) - correct answer ✔✔Apgar is 2.
Infant has a HR (but it is less than 100) so it gets one point. Has some response or "grimace" but
it is minimal, so it gets another point. Otherwise, the baby has apnea, is completely blue, and is
limp - so it gets zero points for breathing, color, and tone.
