North American Registry of Midwives (NARM) Practice Exam

What type of seizure activity is most commonly observed in newborns?

1. Generalized seizures

2. Myoclonic seizures

3. Subtle seizures

4. Tonic-clonic seizures

The correct answer is: Subtle seizures

In newborns, the most commonly observed type of seizure activity is subtle seizures. These seizures can often be difficult to identify because they may present as vague, non-specific movements or changes in behavior, such as eye movements, subtle twitching, or alterations in muscle tone. Subtle seizures may not be as overt as generalized seizures or tonic-clonic seizures, which are characterized by more distinct and recognizable symptoms, making them easier to diagnose. Subtle seizures can occur in a variety of neurological conditions and may represent an important indicator of underlying issues, such as hypoxic-ischemic encephalopathy or metabolic disturbances. Because newborns' nervous systems are still developing, the seizure patterns can differ significantly from those observed in older children and adults. Recognizing subtle seizures is crucial for early intervention and management of potential complications in newborns.