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Chapter 43: Neonatal Care Practice Questions

About this Chapter 43 practice test

Part of the Medical Emergencies practice questions exam area.

This page holds 200 free practice questions for Chapter 43, Neonatal Care, covering the fetal-to-newborn transition, initial newborn assessment and the Apgar score, thermoregulation, neonatal resuscitation from positive-pressure ventilation and MR SOPA to compressions and epinephrine, meconium and preterm infants, respiratory and congenital heart emergencies, hypoglycemia, seizures, sepsis, and neonatal abstinence, and birth injuries, newborn transport, SIDS, and BRUE. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.

Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.

Topics covered in Chapter 43

Sample questions from this chapter

In the fetus, the ductus venosus carries oxygenated blood from the umbilical vein so that most of it bypasses the:

  1. A. Lungs
  2. B. Kidneys
  3. C. Liver
  4. D. Right atrium

Answer: C. Liver
The ductus venosus shunts umbilical venous blood past the liver into the inferior vena cava. The lungs are bypassed by two other shunts, the foramen ovale and the ductus arteriosus, not by the ductus venosus.

Immediately after birth, the three rapid questions that decide whether a newborn needs resuscitation steps are:

  1. A. Pink color? Heart rate above 100? Apgar above 7?
  2. B. Term gestation? Good tone? Breathing or crying?
  3. C. Meconium? Cord pulsing? Placenta delivered?
  4. D. Birth weight? Fontanelle? Capillary refill?

Answer: B. Term gestation? Good tone? Breathing or crying?
If the infant is term, has good tone, and is breathing or crying, it can stay with the mother for routine care. Color and the Apgar score are not used to decide whether to begin resuscitation, because waiting for them delays the first steps.

The neonatal resuscitation pyramid shows that the interventions needed by the largest number of newborns are:

  1. A. Supplemental oxygen given by a blow-by mask
  2. B. Chest compressions coordinated with ventilation
  3. C. Epinephrine and volume expansion by IV
  4. D. Warming, drying, positioning, and stimulation

Answer: D. Warming, drying, positioning, and stimulation
The broad base of the pyramid is the basic care nearly every newborn needs, and each higher level is needed by fewer infants. Medications sit at the narrow top because very few newborns require them.

How students use this page

Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.

Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.

Other chapters

Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53

These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.