Neonatal ECG Quiz
1. Identify the cardiac rhythm below:
a. Atrial flutter
b. Atrial fibrillation
c. Normal sinus rhythm
d. None of the above
2. Your patient’s monitor start to alarm you of the heart rhythm below. What could be some of
the possible causes for this rhythm?
a. Hypothermia, decreased intracranial pressure, Digoxin
b. Hypothermia, increased intracranial pressure, increased vagal tone
c. Hyperthermia, hypoglycemia, Digoxin
d. Hyperthermia, hyperglycemia, Digoxin
3. Your patient has the following heart rhythm. You know that this rhythm is:
a. Atrial flutter
b. Ventricular Fibrillation
c. Ventricular Tachycardia
d. Normal sinus rhythm
4. You are caring for a newborn baby girl who has the following cardiac rhythm. What are
possible treatments for this rhythm?
a. Adenosine
b. Amiodarone
c. Propranolol
d. Vagal maneuvers
e. All of the above
5. Identify the following cardiac rhythm:
a. Ventricular fibrillation
b. Ventricular tachycardia
c. Atrial flutter
d. None of the above
6. You are looking at your patient’s monitor when you notice a cardiac rhythm that resembles the
rhythm below. Is this rhythm occasionally a normal finding in infants?
a. True
b. False
7. A baby boy has the following cardiac rhythm. You identify this as:
a. Ventricular Fibrillation
b. Ventricular Tachycardia
c. Asystole
d. Sinus Tachycardia
8. If your patient has the following heart rhythm, should you attempt to use the defibrillator?
a. True
b. False
9. Identify the cardiac rhythm below:
a. Sinus tachycardia
b. Atrial flutter
c. Atrial fibrillation
d. Premature ventricular contractions
10. You are caring for a baby girl with a gestational age of 36 weeks who has the following heart
rhythm. What could be some of the causes of this rhythm?
a. Fever, hypervolemia, high Hematocrit
b. Fever, hypoglycemia, anemia
c. Hypoglycemia, hypervolemia, anemia
d. Fever, anemia, pain
e. None of the above
11. You are attending the caesarean delivery of a term baby girl. When you auscultate the
infant’s heart to obtain vital signs, you notice that her heart rate is 260. What abnormal heart
rhythm could be a possible cause for this heart rate?
a. Sinus tachycardia
b. Supraventricular tachycardia (SVT)
c. Ventricular tachycardia
d. None of the above
12. You notice your patient to have a heart rate of 50 with a sinus heart rhythm. What are some
appropriate interventions for this patient?
a. Administer oxygen
b. Start resuscitation
c. Apply ice to the infant’s forehead
d. All of the above
e. Both A and B
13. You are performing the initial newborn assessment on a one-hour-old infant. When
auscultating his heart rate, you notice that there are some skipped heartbeats. What should be
your first course of action?
a. Immediately page the on-call attending cardiologist
b. Notify the infant’s pediatrician so that an ECG can be obtained
c. Nothing. This is normal.
d. None of the above
14. If your patient is in Ventricular Tachycardia with a pulse, can you use the defibrillator?
a. True
b. False
15. You are caring for a 2-day-old term infant who is crying after a circumcision. The patient’s
heart rate reaches 190. You know the best way to treat this is to:
a. Treat the infant’s pain
b. Take the infant’s temperature to rule out fever
c. Hope the heart rate lowers on its own
d. All of the above