Pre and post-test for ENC 2.

Essential Newborn Care Knowledge check

Select the best answer to each question or statement. Circle the letter of the correct answer

1. What will determine a baby’s plan of care after birth?

a. Mother’s request to leave by 6 hours

b. Risk factors and assessment of the baby

c. Available bed space in the facility

d. Sex of the baby

2. Which of these are risk factors that affect a baby’s care?

a. Rupture of membranes >18 hours with foulsmelling

fluid

b. Small or large size at birth

c. Need for help to breathe at birth

d. All of the above

3 How fast should a normal baby breathe?

a. At least 65 times per minute

b. At any rate as long as there is no chest indrawing

c. 40–60 times per minute

d. 25 times per minute

4. When should a baby be given liquids other than

breastmilk?

a. When the baby does not feed at the breast

within the first hour after birth

b. When the mother has engorged breasts

c. When the baby cries between feeds

d. Never, unless mother cannot supply breastmilk

and formula is clean and available

5. What is the most important reason for weighing all

babies soon after birth?

special care

b. Mother and family members want to know the

birthweight

c. Birthweight will determine how long a baby

will breastfeed at each feeding

d. Birth weight will identify babies who need vitamin K

6. What is the normal temperature range for a healthy baby?

a. 36.5 – 37.5 °C

b. 34.0 – 35.5 °C

c. 35.5 – 36.5 °C

d. 37.5 – 38.5 °C

7. What is a sign of good attachment at the breast?

a. The baby’s nose is pressed against the breast

b. The baby bites down and pulls on the nipple

c. Only the tip of the breast is in the babies mouth

d. The baby’s mouth is wide open on the breast

8. How should a baby be kept warm after

skin-to-skin care?

a. Bathing in warm water

b. Wrapping in a clean, dry blanket or cloth

c. Placing near warm stones

d. Exposing to sunshine

9. When should a healthy baby be bathed?

a. As soon as the baby has a normal temperature

b. As soon as normal breathing has been

established

c. At least 24 hours following birth

d. Immediately after the first breastfeeding

can swallow?

a. Eye dropper or syringe

b. Squeeze bottle

c. Cup feeding

d. Only intravenous fluids

11. Which of the following would describe convulsions?

a. Occur only in legs

b. Cannot be stopped by holding arms and legs

c. Occur in response to a loud noise

d. Occur only when the baby is awake

12. After the first day following birth, jaundice is severe

when it appears on what body area?

a. Back and abdomen

b. White part of the eye

c. Legs and arms

d. Palms and soles

13. Which of the following is a sign that a baby is breast

feeding adequately?

a. Crying within one hour after each feeding

b. Vigorous sucking that causes nipple pain with

each feeding

c. Remaining awake and active after each feeding

d. Feeding 8–10 times per day and settling after

feeds

14. When should a baby be treated with antibiotics?

a. If birth weight is less than 2000 grams

b. When a Danger Sign is present

c. If the baby cries often

15. Babies should be regularly assessed for:

a. Frequency and success at feeding, temperature,

presence of hiccups

b. Activity, breathing, color, temperature, and

weight gain

c. Breathing problems, temperature, and white

blood cell count

d. Frequency and success at feeding, cough,

presence of convulsions

16. What is an important step in the care of all babies?

a. Teaching the mother to give a bath

b. Giving the small baby lots of time in

the sunlight

c. Preventing infection by washing hands before

touching the baby

d. Weighing the small baby 3 times a day

17. At 90 minutes after birth, an 1800 gram baby is placed

skin-to-skin with the mother and has a temperature of

36.7oC. What should you do to help maintain the baby’s

temperature?

a. Bathe the baby in warm water

b. Place in direct sunlight

c. Assist mother with continuous skin-to-skin care

d. Place the baby on an open warmer set for high

output

18. Which of the following techniques can help a mother

to support or improve a baby’s attachment?

a. Wrapping breasts in tight clothing between

b. Supporting the baby’s head to take the nipple

and surrounding area into an open mouth

c. Putting oils on the breast

d. Feeding first with a bottle until sucking

is strong

19. When a baby cannot feed directly from the breast

after support is provided, what should you advise a

mother to do next?

a. Give the baby formula

b. Keep trying to breastfeed the baby

c. Express her breastmilk to feed the baby by a safe

alternative feeding method

d. Wait until the baby can feed directly from

the breast

20. When a mother expresses her breastmilk, how can it

be stored safely?

a. In a covered container in a cool place for up to

4 hours

b. In an open container in a shaded area

c. In an open container in direct sunlight

d. In a covered container heated in warm water

until used

21. How many feeds should a baby have in a day?

a. Two to four

b. Five to six

c. Eight to ten

d. Twenty-four

22. On the day after birth, a 1600 gram baby cannot

a. Refer for intravenous fluids

b. Start antibiotics

c. Provide nasogastric feeding

d. Give sugar water by syringe

23. A baby born at 1700 grams has jaundice to the palms and

soles on reassessment on day 5. What would you do?

a. Put the baby in the sun

b. Increase the feeding volumes

c. Measure bilirubin and consider advanced care

d. Begin antibiotics

24. Which of the following is a Danger Sign?

a. Temperature 35.4 °C after one hour of rewarming

with skin-to-skin care

b. Breastfeeding less than 5 minutes per side

c. Stooling 6–8 times per day

d. Crying before each feeding

25. Which baby do you consider ready for discharge from

the birth facility?

a. Any baby who weighs >2000 grams

b. A baby who is gaining weight, has stable temperature

and no breathing difficulty and a mother who can

perform care

c. A baby whose family lives close to the

birth facility

d. A 1500 gram baby with stable temperature in

skin-to-skin care