Care of Newborn & Newborn Resuscitation CNE Questions Answers INC CNE ANSWER-KEY
Q1=
To provide an immediate care to all newborns at birth, a health facility
must have within its delivery room
Newborn care corner
Newborn stabilization unit
Special newborn care unit
Neonatal intensive care unit
Q2=
What is the ideal temperature of a labor room
25-27°C
26-28°C
24-26°C
28-30°C
Q3=
Which newborns need initial care after delivery?
All newborns
Those at
risk of infection
Asphyxiated newborns
Those born in thick meconium
Q4= What is the ideal capacity of a resuscitation bag for
newborn
350-400 ml
250-500 ml
700 -1000 ml
600-800 ml
Q5= Which are the two safety mechanisms available in a
self-inflating bag?
(More than one answer possible)
Pop-off valve
Oxygen inlet
Pressure gauge
Air inlet
Q6= What essential equipment should be kept in the Baby
tray
(More than one answer possible)
Plastic sheets
Shoulder roll
Mucus extractor
Ambu bag& mask
Q7= Checking functionality of bag & mask prior to
resuscitation is mandatory
True
False
Q8= How
frequently should the bag & mask be decontaminated after use
Every 30
minutes
Every 4-6
hours
After each use
Every 24
hours
Q9= What
are the key steps for successful resuscitation?
(More than
one answer possible)
Call for help when needed
Suction
the newborn before drying
Anticipate the risk factors
Communicate effectively
Q10=How
can one test the bag before use
(More than
one answer possible)
Block patient outlet by palm
and squeeze the bag
Should feel pressure against
the palm
Look for
hissing sound at the air inlet
With pressure, can open the
pop- off valve
PART 2
TOTAL 10 QUESTIONS
Q1= Which
are the parameters to be monitored for every 30 minutes in the first two hours
of life ?
(More than
one answer possible)
Temperature
Heart rate
Breathing
Q2= Which
of the following is not a sign of good attachment during breastfeeding ?
Chin
touching the breast
Mouth wide
open
Lower lip
turned outwards
More areola visible below
than above
Q3= When
to clamp and cut the umbilical cord of a newborn who is crying and breathing
well
Immediately
after birth
Between 1-3 minutes of birth
10 minutes
after birth
Before the
cord stops pulsating
Q4= How
soon breast feeding to be initiated after birth of the newborn?
Within ½
hour
Within 1 hour
Within 4
hours
Within 24
hours
Q5= What
is the dose of Inj. vitamin K1 for newborn weighing < 1000 gm ?
0.5mg IM
1mg IV
0.5mg IV
1mg IM
Q6=What do
you do as soon as the birth of a vigorous newborn?
(More than
one answer possible)
Dry the newborn with a towel
Stimulate
the newborn by rubbing the back
Cut the
umbilical cord
Remove wet towels and cover
newborn
Q7= Which
vaccine is given at birth for a newborn ?
Hepatitis
A
Hepatitis B
IPV
Pentavalent
Q8= What
is the benefit of giving injection vitamin K to the newborn?
Prevents
neonatal jaundice
Prevents hemorrhagic disease
of newborn
Boosts
neonatal immunity
Prevents
neonatal infections
Q9= What
are some of the benefits of early initiation of breastfeeding for mother and
newborn?
(More than
one answer possible)
It strengthens newborn’s
immune system and provides nutrition
It stimulates production of
breast milk
It keeps the baby warm
It helps the uterus to
contract
Q10= Which
of the following is NOT an essential newborn care practice ?
Assessment
of the newborn while drying the baby
Suction of the mouth and then
the nose
Placing
the baby on skin to skin contact with the mother
PART – 3 TOTAL 13 QUESTION
Q1= What
is true about clearing the airway of the newborn during resuscitation?
(More than
one answer possible)
Suction first the mouth them
nose
Suction
should be deep and more than 1 minute
Size of catheter for clear
amniotic fluid is 12 F
Apply suction while
withdrawing the tube
Q2= After
delivery and stimulation, a newborn is not crying or breathing well, what do
you do
Proceed to neonatal
resuscitation
Counsel
the mother and family
Place the
newborn skin to skin with the mother
Wait for
spontaneous breathing to begin
Q3= A
newborn has been resuscitated successfully and is stable. What are the next
actions
(More than
one answer possible)
Ensure early breastfeeding
Keep warm by skin to skin
contact with the mother
Monitor closely for danger
signs
Wrap to
keep warm and give the newborn to a relative
Q4= Where
do you place the mask on the newborn during bag and mask ventilation?
On the mouth and nose
On the
mouth
On the
nose
On the
eyes, mouth and nose
Q5= How to
ensure an even rhythm in ventilation breaths?
Squeeze
the bag three times every time you say “breathe - two – three”
Count out
loud: “Breathe—one—two—three” while ventilating the newborn
Squeeze the bag as say
“breathe” and release the pressure on the bag as say “two—three.”
Q6= What
percentage of newborns may need extensive resuscitative measures at birth ?
10%
8%
1%
5%
Q7=After
30 second of ventilation If the newborn has not established regular breathing
or the pulse is below 100 what do you do?
Continue ventilation breaths
and prepare for referral or specialist care
Give chest
compressions
Stop
resuscitation
Wait and
see if the respiration is restored spontaneously
Q8=Which
of the following statements is true? The newborn needs resuscitation using bag
and mask if:
Within 30 seconds after
delivery and after thorough stimulation it is gasping or not crying or
breathing
Within 2
minutes after delivery, it is gasping or not crying or not breathing
Q9= What
are important actions to provide successful ventilation breaths?
(More than
one answer possible)
Position the head in a
sniffing position
Give ventilation breaths at a
rate of 40-60 breaths per minute
Stop
ventilation after one minute no matter what the condition of newborn is.
Stop
ventilation after one minute no matter what the condition of newborn is.
Make sure that the chest
moves with every breath.
Q10= The
golden minute implies that all newborns should by one minute of age:
(More than
one answer possible)
Breathe on their own
Move their
arms and legs with a good tone
If not breathing be
ventilated with a bag and a mask
Lie skin
to skin with the mother
Q11= When
do you stop resuscitation?
(More than
one answer possible)
When newborn is breathing
well, it has normal colour, tone, and a heart rate above 100 bpm
If newborn is not breathing
and has no heart rate after 10 min of birth
If the
newborn is not breathing and has no pulse after 2 min of effective ventilation
Q12= When
performing resuscitation with bag and mask, what is the correct head position?
Head is parallel to the
surface
Head is
bent forward to open the airway
Head is to
the side to let fluids escape
Q13= What
are the actions to be taken if the chest is not rising during the attempts to
provide ventilation breaths?
(More than
one answer possible)
Reapply mask an ensure better
seal
Try a
different mask
Reposition the head and
ensure neck is slightly extended
Stop
resuscitation
PART 4 TOTAL 20 QUESTIONS
Q1= All
newborns should be weighed only after stabilization- preferably one hour after
birth
True
False
Q2= When
should you start neonatal bag and mask ventilation?
If newborn
is crying loudly and moving the chest quickly
If newborn’s heart rate is above 100 beats per minutes
If newborn is not crying or
breathing after 30 seconds of birth despite stimulation
If a
newborn is born with meconium
Q3=How to
ensure an even rhythm in ventilation breaths?
Squeeze
the bag three times every time you say “breathe - two – three”
Count out
loud: “Breathe—one—two—three” while ventilating the newborn
Squeeze the bag as say
“breathe” and release the pressure on the bag as say “two—three.”
Q4=What is
the benefit of giving injection vitamin K to the newborns?
Prevents
neonatal jaundice
Prevents hemorrhagic disease
of newborn
Boosts
neonatal immunity
Prevents
neonatal infections
Q5=What do
you do when the newborn is born?
(More than
one answer possible)
Place the newborn on the
mother’s abdomen
Dry the newborn
Separate
mother and the newborn and keep under observational care
Document the birth
Q6=Size of
suction catheter which is used for suctioning of mouth and nose of a new born
with clear amniotic fluid
6 F
10 F
12 F
16 F
Q7=When
performing resuscitation with bag and mask, what is the correct head position?
Head is positioned with the
neck slightly extended
Head is
bent forward to open the airway
Head is to
the side to let fluids escape
Q8=What
are important actions to take in order to provide successful inflation breaths?
(More than
one answer possible)
Position the head parallel to
the surface
Sustain
the breath for 2-3 seconds
Make sure
that chest moves with every breath
Assess the
heart rate
Q9=The
golden minute implies that all newborns should by one minute of age:
(More than
one answer possible)
Breathe on their own
Move their
arms and legs with a good tone
If not breathing be
ventilated with a bag and a mask
Lie skin
to skin with the mother
Q10=The
newborn is born with meconium, secretions are copious and does not breathe.
What do you do?
(More than
one answer possible)
Nothing
Wipe the
face gently
Suction first in mouth and
then in nose
Start resuscitation
Q11=A
newborn has been resuscitated successfully and is stable. What are the next
actions?
(More than
one answer possible)
Ensure early breastfeeding
Keep warm by skin to skin
contact with the mother
Monitor closely for danger
signs
Wrap to
keep warm and give the newborn to a relative
Q12=What
is the ideal capacity of a resuscitation bag for newborn?
350-400 ml
250-500 ml
700 -1000
ml
600-800 ml
Q13= How
do you know if the newborn is stable so you can proceed to routine initial
care?
(More than
one answer possible)
If it is crying and breathing
well with good colour
If it is moving its arms and
legs with a good tone
If it has a heart rate above
100 beats per minute
If it has a heart rate above 60 beats per minute
Q14=How
can one test the bag before use?
(More than
one answer possible)
Block patient outlet by palm
and squeeze the bag
Should feel pressure against
the palm
Look for hissing sound at the air inlet
With pressure, can open the
pop- off valve
Q15=Which
of the following is not a sign of good attachment during breastfeeding?
Chin
touching the breast
Mouth wide
open
Lower lip
turned outwards
More areola visible below
than above
Q16=Which
vaccine is given at birth for a newborn?
Hepatitis
A
Hepatitis B
IPV
Pentavalent
Q17=When
to clamp and cut the umbilical cord of a newborn who is crying and breathing
well?
Immediately
after birth
Between 1-3 minutes of birth
10 minutes
after birth
Before the
cord stops pulsating
Q18=The
initial care of a newborn weighing above 1000gms includes which of the
following?
(More than
one answer possible)
Check breathing and colour
every 15 minutes
Give 1 mg vitamin K1 (IM)
Give
Ampicillin and Gentamicin IM/IV
Ensure skin to skin contact
Q19=Why is
early breastfeeding important for the mother?
It stimulates the uterus to
contract
It
strengthens the mother’s immune system
It protects her from getting pregnant again
It
prepares the newborn for bottle feeding
Q20=After
initial hours of observation of the cord what should you do with the cord?
Cover the
cord with bandage or a patch
Leave the cord uncovered to
make it air-dry
Apply
herbs according to local tradition
Apply
ointment in it for healing
PART -5 TOTAL 9 QUESTIONS
Q1= CASE
3: A 38-year-old woman presents to the
labour ward in the evening with a history of contractions for the whole day. On
vaginal examination, the cervix is fully dilated and there is no meconium
staining of the liquor. On delivery, the newborn is pale and limp and making a
few gasping respirations. Its hands and feet, as well as the tongue, are blue.
The newborn is not responding to stimulation by drying and rubbing the back.
Question 1: What are the four most
important actions to take now?
(More than one answer possible)
Call for help.
Perform cardiac massage (chest compressions).
Open the airway, position the
head in a sniffing position
Suction thoroughly and deeply.
Place the mask over the mouth
and nose and give inflation breaths.
Continue with ventilation
breaths if breathing is still not sufficient.
Q2=Question 3: You have provided ventilation
breaths, and the airway is open. The newborn is not crying or breathing. It is
blue and the heart rate is below 100. What to do?
(More than one answer possible)
Continue resuscitation with 60 ventilation breaths per
minute.
Start chest compressions.
Stop resuscitation.
Continue resuscitation with 40 ventilation breaths per
minute.
Make sure that the chest rises on every ventilation
breath.
Q3=Question
2: You now start ventilation breaths. What are important actions to
provide successful ventilation breaths?
(More than one answer possible)
Position the head in a
sniffing position.
Ventilation breaths should be
given at a rate of 40 per minute.
Make sure that the chest
moves with every breath.
Stop ventilation after one minute no matter what the
condition of the newborn
Assess the newborn every 30
seconds during ventilation breaths.
Q4=Question
2: Although the newborn is normal and did not require any assistance, you
know it is mandatory to monitor the newborn so that resuscitation can be
started in case needed? Which of the action you consider and parameters
you monitor for newborn?
(More than one answer possible)
Keep the newborn under radiant warmer
Observe breathing and colour
of the baby
Monitor temperature for two
hours
Ensure normal breathing rate
of 40-60 per minute
Give antibiotics according to prevent complications
Q5=Case
1: A 29-year-old woman has just given birth to her third child. After
an uncomplicated labour with clear amniotic fluid, you have just placed
the newborn on the mother’s abdomen and noted the time of birth.
Question 2: You proceeded immediately to neonatal
resuscitation since the newborn was not crying or breathing well after drying
and stimulation. After ventilating the newborn, it is now crying and breathing
well with a good colour and has a heart rate above 100 beats per min. What do
you do?
(More than one answer possible)
I continue ventilating the newborn until the heart rate
is above 120 beats per min.
I proceed with routine
initial care of the newborn
I separate the newborn and the mother, so that I can
monitor the newborn closely for the next hour
Place the baby with mother
skin to skin.
Start early breastfeeding
followed by supplementary feeding in a cup/paladai
Q6=CASE
3: A 38-year-old woman presents to the labour ward
in the evening with a history of contractions for the whole day. On
vaginal examination, the cervix is fully dilated and there is no meconium
staining of the liquor. On delivery, the newborn is pale and limp and making a
few gasping respirations. Its hands and feet, as well as the tongue, are blue.
The newborn is not responding to stimulation by drying and rubbing the back.
Question 5: The newborn is now crying with a good
colour and tone. What will you do now?
(More than one answer possible)
Put newborn in incubator.
Place the newborn with its
mother, skin-to-skin.
Start early breastfeeding.
Q7=CASE
3: A 38-year-old woman presents to the labour ward
in the evening with a history of contractions for the whole day. On
vaginal examination, the cervix is fully dilated and there is no meconium
staining of the liquor. On delivery, the newborn is pale and limp and making a
few gasping respirations. Its hands and feet, as well as the tongue, are blue.
The newborn is not responding to stimulation by drying and rubbing the back.
Question 4: The chest is not rising during your
attempts to provide ventilation breaths. What do you do?
(More than one answer possible)
Try to lift the newborn’s jaw
forward.
Try a different mask
Reposition the head.
Stop resuscitation.
Continue resuscitation with
ventilation breaths.
Make sure that the chest
rises on every ventilation breath.
Q8=Case 2: You are delivering a 21-year-old
primigravida with spontaneous onset of labour. She was fully dilated after
eight hours of active labour and there was clear amniotic fluid at birth. There
were no signs of fetal distress during delivery.
Question 1: The newborn is delivered, newborn is
crying and respiration is normal. What will you do now?
(More than one answer possible)
Wrap the newborn in a cloth and put safely in an
incubator.
Examine the newborn and look for congenital anomalies.
Give 1 mg of vitamin K1, IM.
Initiate
early breastfeeding.
Vaccinate the newborn
according to national guidelines.
Weigh the newborn.
Inform the mother to call for help if the condition
changes.
Q9=Case 1: A 29-year-old woman has just given
birth to her third child. After an uncomplicated labour with clear amniotic
fluid, you have just placed the newborn on the mother’s abdomen and noted the
time of birth.
Question 1: What do you do now?
(More than one answer possible)
I give 10 IU Oxytocin IM to
mother
I start a clock or note down
the time
I dry the newborn thoroughly
with a towel and assess
I cover the newborn with a warm wet towel
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