Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email info@bettercare.co.za or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email info@bettercare.co.za or call +27 76 657 0353.

Visit bettercare.co.za for information.

Test 1: Care of infants at birth

Please choose the one most correct answer to each question or statement.

  1. When should the umbilical cord be clamped in a normal infant?
    • At 2 to 3 minutes after delivery
    • After the infant has been breathing well for 5 minutes
    • Immediately after delivery
    • After the placenta has been delivered
  2. When should the infant be given to the mother?
    • After the mother has had a chance to sleep
    • As soon as possible
    • When the infant has had a bath
    • It does not matter when the infant is given to the mother
  3. Which infants should receive vitamin K1 (Konakion) after delivery?
    • Only preterm infants
    • Only infants with a low Apgar score
    • Only infants who have had a traumatic or difficult delivery
    • All infants
  4. What should be placed in the eyes of infants after birth?
    • Nothing
    • Sterile water to remove meconium or vernix
    • An antibiotic ointment such as chloromycetin
    • Colostrum
  5. A newborn infant is said to have failed to breathe well at delivery:
    • If the infant does not breathe well immediately after delivery
    • If the infant’s hands and feet are still blue at 1 minute after delivery
    • If the infant has not cried by 5 minutes after delivery
    • If the infant does not breathe well or cry after it has been well dried
  6. Which vital sign is included in the Apgar score?
    • Temperature
    • Heart rate
    • Meconium staining
    • Oedema
  7. The Apgar score at 1 minute should be determined:
    • In all newborn infants
    • Only when there have been signs of fetal distress
    • Only if the infant does not breathe well after birth
    • Only if the infant needs mask ventilation
  8. What is the value of the 1 minute Apgar score?
    • It predicts brain damage
    • It confirms fetal hypoxia
    • It is used to document the infant’s clinical condition after birth
    • It is used to assess gestational age
  9. What is the value of the 5 minute Apgar score?
    • It indicates whether the infant is responding to resuscitation
    • If less than 7, it confirms that the infant will die
    • If 7 or more, it confirms that the infant will survive
    • It is used to decide whether cardiac massage is needed
  10. A normal Apgar score at 1 minute is:
    • Above 10
    • 7–10
    • 3–7
    • Less than 3
  11. What is a common cause of a low Apgar score?
    • Hypothermia
    • Excessive suctioning of the mouth and throat
    • Infection
    • Hyaline membrane disease
  12. Fetal hypoxia is defined as:
    • Failure to breathe after delivery
    • A low 1 minute Apgar score
    • Too little oxygen to the fetus
    • Intra-uterine death
  13. After delivery the following infants should have their mouth and throat suctioned:
    • Preterm infants
    • Infants born by Caesarean section
    • Infants that fail to breathe well after stimulation
    • All newborn infants
  14. Which health workers need to be able to resuscitate infants:
    • Doctors only
    • Midwives only
    • Doctors and senior midwives only
    • All those who conduct deliveries
  15. What is the most important step in resuscitating an infant?
    • Giving bag-and-mask ventilation
    • Starting cardiac massage
    • Cooling the infant
    • Giving naloxone by intramuscular injection
  16. An infant who still has a slow heart rate after receiving bag-and-mask ventilation should:
    • Be given chest compressions
    • Be given vitamin K1 (Konakion)
    • Be given adrenaline
    • Receive no further resuscitation as it has probably suffered brain damage
  17. Naloxone (Narcan) reverses the respiratory depression caused by:
    • Barbiturates
    • General anaesthesia
    • Diazepam (Valium)
    • Pethidine and morphine
  18. If an infant is heavily meconium stained at delivery:
    • It is important to stimulate respiration before suctioning the airways
    • The mouth should be suctioned before the shoulders are delivered
    • The mouth should only be suctioned after the infant is completely delivered
    • Only the nose should be suctioned
  19. Which size of catheter should be used to suction a meconium-stained infant at birth?
    • F 3.5
    • F 5
    • F 6
    • F 10
  20. A stomach washout should be given to:
    • All low-birth-weight infants
    • Infants with a low 1 minute Apgar score
    • Infants who vomit thick meconium
    • All meconium-stained infants