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Book 1 Unit 1

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of the following is an appropriate way to provide prenatal care to a woman with a high-risk pregnancy?
   
Yes No
 
 
 
 
Which of the following things should be done for every pregnant woman evaluated for labor?
   
Yes No
 
 
 
 
 
 
All of the following things should be done for every high-risk patient during labor except
All women with high-risk pregnancies deliver sick babies.
A healthy woman will always have a healthy fetus
When a fetus has a congenital anomaly that will require neonatal intensive care but the pregnancy is otherwise uncomplicated and the woman is healthy, there is no benefit in transferring the woman for delivery at a regional perinatal center.
If there is evidence of late-pregnancy vaginal bleeding, a vaginal examination should be conducted immediately.
Nearly 100% of high-risk pregnancies can be identified before the onset of labor.
A woman with a high-risk condition during her pregnancy may develop another, unrelated, high-risk condition during labor.
Every hospital with a delivery service should have resources avail­able to be able to perform an emergency cesarean delivery.
Which of the following findings indicates that a fetus is sick or at risk?
   
Yes No
 
 
 
 
Which of the following maternal conditions poses an increased risk for a pregnant woman or her fetus?
   
Yes No
 
 
 
 
Book 1 Unit 2

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
All of the following measures are used to assess fetal gestational age except
All of the following factors influence fundal height except
The most reliable US estimation of gestational age is performed by measuring the crown-rump length in the first trimester.
A fetus who is suspected of being small on the basis of US measurements or fundal height measurement may either be term and growth restricted or preterm but growing normally.
Recent use of oral contraceptives does not interfere with menstrual dating of a pregnancy .
Quickening often occurs earlier in a primigravida pregnancy than in a multigravida pregnancy.
Which of the following actions is most helpful in determining fetal gestational age?
All of the following actions are possible with US except
The pregnant uterus can first be felt in the abdomen, at the symphysis pubis, at 8 weeks of gestation.
If fetal heart sounds can be heard with a Doppler device, the examiner can conclude that the gestational age is at least 10 weeks .
Non-medically indicated inductions or scheduled cesarean deliveries are not recommended until at least 38°17 weeks of gestation.
Book 1 Unit 3

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
An abnormal contraction stress test result means that within a 10-minute period
All of the following elements are part of a biophysical profile except
For which of the following pregnant women would a nonstress test be indicated?
A pregnant woman has been recording fetal activity. She reports that her fetus has moved much less often than usual that day. You check the fetal heart rate and find it is 136 beats/ min. What else should be done that day?
The contraction stress test is used to assess
All these statements about biophysical profile testing are accurate except
Fetal heart rate response to auditory stimulation may be used as an indication of fetal well-being.
A contraction stress test can be done only after the membranes have ruptured .
Turning a woman on her side may correct an abnormal fetal heart rate pattern.
Variable fetal heart rate decelerations are probably due to compression of the umbilical cord.
Early fetal heart rate decelerations are usually not associated with fetal compromise.
An abnormal nonstress test result should be followed by a contraction stress test or biophysical profile.
A normal nonstress test result occurs when there are no fetal heart rate accelerations with fetal activity.
Fetal bradycardia is a baseline heart rate less than 110 beats/min.
Fetal heart rate accelerations during a scalp stimulation test indicate the fetus is acidotic.
In which of the following situations is internal fetal monitoring contraindicated?
Fetal tachycardia, without accompanying decelerations, may be caused by
Loss of fetal heart rate variability may be caused by all of the following factors except
In which of these situations would fetal activity determinations be most helpful?
Book 1 Unit 4

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
A well baby is defined as being ___________ and ___________
A term baby born to a woman with pre-eclampsia is
A sick baby has abnormal ________.
Check factors associated with sudden unexpected postnatal collapse
For sleeping, the American Academy of Pediatrics recommends that all infants be placed on their
Book 1 Unit 5

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of these babies needs resuscitation?
If epinephrine is administered during a delivery room resuscitation, which of the following routes is preferred?
Which of the following is the most appropriate rate to provide assisted ventilation to a newborn (who does not need chest compressions)?
If a baby does not begin spontaneously breathing after delivery, which of the following things would you do first?
Match the following actions with the appropriate medication from the list on the right.
 
 
 
Which of the following babies must be intubated immediately in the delivery room if resuscitation is required?
Which of the following concentrations of epinephrine is appropriate to use for newborns?
A newborn has been quickly rubbed dry after delivery and given tactile stimulation to breathe but remains blue and limp, with gasping respirations and a heart rate of 80 beats/min. Which of the following actions is recommended?
Which of the following concentrations of oxygen for resuscitation does the American Academy of Pediatrics recommend for a baby born at term who requires positive­ pressure ventilation?
Which of the following ranges of oxygen concentration for resuscitation does the American Academy of Pediatrics recommend to start positive-pressure ventilation with a preterm baby whose gestational age is less than 35 weeks?
Which of the following problems is least likely to happen to a baby who required prolonged resuscitation at birth?
Bag-and-mask ventilation is appropriate for all of the following babies except those
A baby will soon be delivered at term via emergency cesarean delivery because of a bleeding placenta previa. Which medication would you anticipate the baby is most likely to need?
Meconium aspiration may occur in utero minutes, hours, or days before delivery.
Initial positive-pressure inflation pressure of 40 to 45 cm H20 is preferred.
Babies who require resuscitation for as long as 20 minutes may have normal mental and physical development.
To avoid confusion, it is best if one person performs all resuscitation procedures.
A carbon dioxide detector is the recommended way to confirm endotracheal tube placement.
A limp, meconium-stained baby with weak respiratory efforts should have the mouth and nose cleared with suction and receive drying and stimulation.
Nearly all babies who require assisted ventilation should also receive chest compressions.
Overheating a compromised baby may worsen the extent of hypoxic brain injury.
Book 1 Unit 6

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
All babies weighing less than 2,500 g (< 5 lb 8 oz) are preterm.
Preterm babies are those whose gestational age is less than
A term , large-for-gestational-age baby is at high risk for which of the following problems?
Use the chart below to answer the two questions below.  
Pcep chart unti 6
A baby weighs 1,500 g (3 lb 5 oz) at an estimated gestational age of 30 weeks, according to physical and neuromuscular examination. What is the age category of this baby?
What is the size category of this baby?
Which of the following things would you do for this baby?
A baby weighs 1,900 g (4 lb 3 oz) and, according to neuromuscular and physical examination, is at 40 weeks' gestation. What is the age category of this baby?
What is the size category of this baby?
For which of the following problems is this baby at highest risk?
A baby weighs 1,200 g (2 lb 10 oz) at birth and has a gestational age of 35 weeks, based on neuromuscular and physical examination findings . What is the size and gestational age category of this baby?
For which of the following problems is this baby at highest risk?
Book 1 Unit 7

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
An axillary temperature of 35.8°C (96.4°F) in a preterm newborn represents?
Which of the following babies does not need to have their temperature checked more often than normal routine?
3. Which of the following methods is most appropriate for regulating the temperature of a term baby with hypoglycemia who is small for gestational age?
Which of the following actions is most appropriate when a baby is receiving care under a radiant warmer?
Which of the following methods of taking a baby's temperature is not recommended for frequent vital sign checks?
A baby whose temperature is 35.2°C (95.4°F) should undergo blood glucose screening.
When a baby is in the appropriate neutral thermal environment temperature range in an incubator, the baby's rectal or axillary tempera­ture will always be normal (37.0°C [98.6°F]).
In a baby, an increased temperature is most commonly caused by an infection.
Incubator portholes that are left open can result in conductive heat loss.
A newborn who has a skin temperature of 35.0°C (95.0°F) will have a higher metabolic rate than a newborn who has a skin temperature of 36.5°C (97.7°F) .
Delayed drying of a baby after delivery promotes evaporative heat loss.
A baby with a slightly low body temperature requires fewer calories and less oxygen than a baby with a normal temperature.
During the first week after birth, the neutral thermal environment temperature range is the same for all babies of the same birth weight, regardless of gestational age.
Book 1 Unit 8

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Untreated hypoglycemia in a newborn can cause neurological injury.
Intravenous (IV) therapy for hypoglycemia should be stopped as soon as the blood glucose screening results become normal.
A baby who is hypoglycemic may have a seizure.
Large-for-gestational-age babies are at risk for the development of hypoglycemia.
Babies born to women with diabetes also have diabetes mellitus and, therefore, are at risk for hypoglycemia.
A newborn's blood glucose screening result of 32 mg/dL at 5 hours of age requires evaluation.
Which of the following term babies is at highest risk for hypoglycemia?
The legs of a term, appropriate-for-gestational-age baby shake uncontrollably for 90 seconds. What should you do?
A baby weighing 3,780 g (8 lb 5 oz) is born at 38 weeks of gestation to a woman with diabetes mellitus. What is the most appropriate time for this baby's first feeding?
A baby is being treated for hypoglycemia. The baby's IV line infiltrates at 3:00 am. What should you do?
A baby has a blood glucose screening result of 10 mg/dl and is jittery. What should you do next?