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The First 48 Hours for the Newborn Post-Test Evaluation

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Full Name (as you would like to have on your CEU certificate)

Credentials to be printed after your name (ex. CPM, CNM, etc)

Last 4 digits of your SSN Number

1. A newborn remains dusky at 5 minutes despite delayed cord clamping and stimulation. What physiologic transitions might still be incomplete, and what is your next priority in management? And Why?

You arrive at a precipitous home birth with a baby showing grunting and nasal flaring at 20 minutes of life. Using the SBAR framework, unscramble these truths of the case. Uncomplicated pregnancy, rupture of membranes for 1 hr, Home birth, term infant, 20 minutes old, grunting/nasal flaring, vaginal birth, Infant tachypneic, with retractions, Request immediate evaluation by peds, we are transferring by EMS, awaiting their arrival, pulse ox 90%, we are 20 min away from the hospital.

Your SBAR:

3. During a resuscitation, a midwife places the infant skin-to-skin with the parent while providing PPV. According to current NRP guidelines, what are the benefits and potential risks of this integrative approach?

4. While performing a newborn exam, you identify a sacral dimple with a tuft of hair. How do you differentiate between a benign variant and a concerning anomaly that requires referral?

5. The placenta shows a velamentous cord insertion and multiple infarcts. How might these findings inform your ongoing newborn assessment and follow-up care?

6. A mother is exclusively breastfeeding, but the infant has poor latch and persistent clicking sounds. What steps would you take to evaluate for tongue-tie, and when would referral be appropriate?

7. A 36-hour-old infant presents with yellowing to the chest and upper arms. Based on updated AAP guidelines, what factors determine whether this newborn requires monitoring, phototherapy, or hospital transfer?

8. A small-for-gestational-age infant is jittery but otherwise vigorous. Which assessments and interventions are indicated to rule out and manage hypoglycemia?

9. During routine pulse oximetry screening at 24 hours, a healthy-appearing infant has saturations of 91% in the right hand and 93% in the foot. How would you interpret these findings and communicate the plan to the family? And why?

Do you have any additional suggested content for this course?

Would you recommend this course to your friends / other midwives?

Why or why not? (Seriously my team and I love feedback!!)

Learn and get CEUs through our range of self-paced, online courses!

MEAC-approved CEU Courses

Emergency Breech Birth 4-CEU Course for Midwives

Suturing After Birth 5-CEU Course for Midwives

The First 48 Hours for the Newborn CEU Course for Midwives

Solving Iron Deficiency 4-CEU Course for Midwives

Fetal Positioning 4-CEU Course for Midwives

Preventing and Treating Hemorrhage 4-CEU Course for Midwives

Defensive Charting Seminar 12-CEU Course for Midwives

Defensive Charting Updates 3-CEU Course for Midwives

Fetal Heart Tones 4-CEU Course for Midwives

Pharmacology for Midwives 5-CEU Course for Midwives

Physiological Induction and Augmentation 4-CEU Course for Midwives

Midwife and the Machine 3-CEU Course for Midiwives

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Non-CEU Courses

Courses designed to help you launch and grow your midwifery business.
Please note: CEUs are not available for these courses.

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