Midwifery Practice and Normal Neonate: MCQ examples Questions And Answers

The number of fontanelles that you would expect to be able to palpate on Jack is: a) 1 b) 2 c) 3 d) 6 - ANS b) 2 If you could palpate a third fontanelle this might indicate that Jack has: a) Plagiocephaly b) Excessive molding c) A congenital abnormality: Trisomy 21 d) Craniosynostosis - ANS c) A congenital abnormality: Trisomy 21 You explain to Kelly that Jack has 'caput' because there is a swelling on his head that: a) Is a light pink color and located at the base of his hairline b) Does not cross a suture line and pits with digital pressure c) Is firm and coloured like a reddish bruise d) Is a diffuse oedematous swelling of the soft tissues of his scalp and crosses the suture that will resolve in 24-48 hours - ANS d) Is a diffuse oedematous swelling of the soft tissues of his scalp and crosses a suture that will resolve in 24-48 hours The physical characteristics of Jack at 41 weeks gestation include all of these EXCEPT: a) Dry, peeling skin b) Ears stiff with instant recoil c) Abundance of vernix d) Scrotum with deep rugae - ANS a) Abundance of vernix Radiation is the most predominant mode of heat loss for Jack. Radiation refers to: a. loss of heat through water evaporation from the baby b. loss of heat through the baby shivering c. loss of heat from the baby's surface to surrounding colder objects d. loss of heat to moving air or fluid around the baby - ANS c. loss of heat from the baby's surface to surrounding colder objects Kelly asks how many hours a day Jack is likely to sleep. You reply that it is usual for a newborn to sleep: a. 8 - 10 hours b. 10 - 12 hours c. 14 - 16 hours d. 18 - 20 hours - ANS c. 14 - 16 hours You palpate Jack's femoral pulses. If you found an asynchronous pulsation this may indicate: a. poor circulation to the legs b. common finding in the first weeks of examination' c. congenital cardiovascular anomaly d. less blood volume being pumped - ANS d. congenital cardiovascular anomaly Barlow's test is used to: a. Check the baby's buttocks creases are symmetrical b. Check that the limbs are of equal length c. Confirm that the pelvis is stable d. To assess if hip is subluxable (can be easily dislocated of the acetabulum). e. None of the above - ANS d. none of the above Which of the following findings is Jack at increased risk of having because it occurred to his sister: a) Breech presentation b) Developmental dysplasia of the hips c) Port wine stain birthmark d) Absent red eye reflex - ANS Developmental dysplasia of the hips You examine Jack's genitalia. The most common finding in the male newborn is: a) Hydrocele b) Epispadias c) Inguinal hernia d) Chordee - ANS a) Hydrocele AT one week Kelly complains that Jack's umbilical cord is smelly. You: a.Tell her that often happens and reassure her all is well b.Inspect the cord and surrounding skin c.Clean the cord with antiseptic d.Phone a pediatrician - ANS b) Inspect the cord and surrounding skin As a midwife you are always ready to resuscitate a baby but which one of the following might reassure you that resuscitation is less likely to be needed for Charlotte's baby a) Meconium in the liquor b) Reassuring heart rate c) Prolonged labor d) Assisted delivery - ANS b) Reassuring heart rate Which of the following is NOT a characteristic of fetal circulation: a) Shunt dependent b) Hypogastric arteries c) Low oxygen affinity hemoglobin d) High pulmonary resistance - ANS c) Low oxygen affinity hemoglobin You explain that Charlotte's fetus is able to produce urine from which gestation? a) 8-10 weeks b) 10-12 weeks c) 24-26 weeks d) 32-34 weeks - ANS b) 10-12 weeks