Midwifery Practice and Normal Neonate: MCQ Examples Questions & 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 - Answer b) 2 If you could palpate a third fontanelle this might indicate that Jack has: a) Plagiocephaly b) Excessive moulding c) A congenital abnormality: Trisomy 21 d) Craniosinotosis - Answer 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 pinky colour 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 a suture that will resolve in 24-48hours - Answer d) Is a diffuse oedematous swelling of the soft tissues of his scalp and crosses a suture that will resolve in 24-48hours 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 - Answer a) Abundance of vernix Radiation is the most predominate 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 - Answer c. loss of heat from the baby's surface to surrounding colder objects Kelly asks how many hours a day does 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 - Answer c. 14 - 16 hours You palpate Jacks 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 - Answer 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 access if hip is subluxable (can be easily dislocated of the acetabulum). e. None of the above - Answer 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 - Answer Developmental dysplasia of the hips You examine Jacks genitalia. The most common finding in the male newborn is: a) Hydrocele b) Epispadias c) Inguinal hernia d) Chordee - Answer 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 - Answer 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 labour d) Assisted delivery - Answer 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 haemoglobin d) High pulmonary resistance - Answer c) Low oxygen affinity haemoglobin You explain that Charlottes 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 - Answer b) 10-12 weeks Charlotte rapidly gives birth to Rosie in 2 ½ hours. She weighs 4320g and after attempting to feed has been disinterested in the last 32 hours requiring some expressed breast milk top-ups. Rosie is at an increased risk of hypoglycaemia because of: 1) Her size 2) Her disinterest in feeding 3) Her precipitous birth 4) Hypoxia that occurred during labour a) 1 and 2 b) 1, 2 and 3 c) 1, 2, and 4 d) 3 and 4 - Answer b) 1, 2 and 3 You clamp and cut Rosie's cord. This closes the ductus venosus because: a) Higher oxygen concentrations are now present as she is breathing b) The umbilical vein closes and systemic vascular resistance is increased c) The inferior vena cava is now receiving deoxygenated blood d) Higher pressure in the left atrium closes the foramen ovale decreasing vascular resistance - Answer d) Higher pressure in the left atrium closes the foramen ovale decreasing vascular resistance When listening to Rosies' heart you place your stethoscope on the area between the 4th and 5th rib left of the sternum to listen to which heart sound? a) Mitral b) Aortic c) Pulmonic d) Tricuspid - Answer d) Tricuspid Charlotte's has declined Vitamin K. You review the signs and symptoms of Vitamin K deficiency bleeding that could alert her to a problem. Signs of Vitamin K deficiency bleeding are: a) Urates in the nappy b) Lethargy, petechiae and bleeding from umbilicus c) Petechiae, jaundice and ooze from the umbilicus d) Lethargy, temp of <36.5, and delayed meconium passage - Answer b) Lethargy, petechiae and bleeding from umbilicus Fill in the gap: You explain that Rosie is more likely to develop jaundice as she produces ________ bilirubin than an adult? a) twice the amount of b) triple the amount of c) quadruple the amount of d) ten times the amount of - Answer a) twice the amount of