Page 1 of 14
CCRN NEONATAL ACTUAL EXAM QUESTIONS AND COMPLETE
SOLUTIONS
Fetal fibronectin - ANSWER-biochemical marker useful for predicting preterm
birth within 2 weeks
placental α-microglobulin-1 (PAMG-1) protein - ANSWER-presence indicates
rupture of membranes
Fetal heart rate variability - ANSWER-best indicator of fetal oxygenation status
(absence of metabolic acidemia)
Biophysical profile - ANSWER--fetal tone
-fetal breathing
-fetal movement
-nonstress test
-amniotic fluid volume
Late decelerations - ANSWER-transient response to hypoxemia during
contractions
Variable decelerations - ANSWER-cord compression
-tx: amnioinfusion, intrauterine pressure catheter
, Page 2 of 14
Maternal serum α-fetoprotein - ANSWER--Elevated: neural tube defect,
abdominal wall defect, EA/duodenal atresia
-Decreased: Down syndrome
Target preductal sat after birth - ANSWER--1 minute 60-65%
-2 minutes 65-70%
-3 minutes 70-75%
-4 minutes 75-80%
-5 minutes 80-85%
-10 minutes 85-90%
Arterial cord blood gas - ANSWER-reveals the metabolic status of the fetus
before delivery and strongly correlates with perinatal asphyxia
Turner syndrome - ANSWER--SGA with a broad chest
-widely spaced nipples
-edema of the extremities
-short webbed neck
Trisomy 13 - ANSWER--cutis aplasia
-overlapping digits
-low-set ears, cleft palate
-microcephaly
CCRN NEONATAL ACTUAL EXAM QUESTIONS AND COMPLETE
SOLUTIONS
Fetal fibronectin - ANSWER-biochemical marker useful for predicting preterm
birth within 2 weeks
placental α-microglobulin-1 (PAMG-1) protein - ANSWER-presence indicates
rupture of membranes
Fetal heart rate variability - ANSWER-best indicator of fetal oxygenation status
(absence of metabolic acidemia)
Biophysical profile - ANSWER--fetal tone
-fetal breathing
-fetal movement
-nonstress test
-amniotic fluid volume
Late decelerations - ANSWER-transient response to hypoxemia during
contractions
Variable decelerations - ANSWER-cord compression
-tx: amnioinfusion, intrauterine pressure catheter
, Page 2 of 14
Maternal serum α-fetoprotein - ANSWER--Elevated: neural tube defect,
abdominal wall defect, EA/duodenal atresia
-Decreased: Down syndrome
Target preductal sat after birth - ANSWER--1 minute 60-65%
-2 minutes 65-70%
-3 minutes 70-75%
-4 minutes 75-80%
-5 minutes 80-85%
-10 minutes 85-90%
Arterial cord blood gas - ANSWER-reveals the metabolic status of the fetus
before delivery and strongly correlates with perinatal asphyxia
Turner syndrome - ANSWER--SGA with a broad chest
-widely spaced nipples
-edema of the extremities
-short webbed neck
Trisomy 13 - ANSWER--cutis aplasia
-overlapping digits
-low-set ears, cleft palate
-microcephaly
