AWHONN NEONATAL MODULES STUDY
GUIDE 2026 COMPREHENSIVE QUESTIONS
AND ANSWERS
◉What are the symptoms of congestive heart failure?. Answer:
Tachypnea, tachycardia, central or prolonged peripheral cyanosis,
BP higher in R arm than either leg, arrhythmias, poor feeding,
cardiomegaly on CXR, hepatomegaly, pulmonary fine or coarse rales.
◉Which of the following organs forms first in the embryo?. Answer:
Heart
◉Which statement lists the four defects that make up the tetralogy
of Fallot?. Answer: Pulmonary stenosis, ventricular septal defect,
right ventricular hypertrophy, ascending aorta overriding the
ventricular septal defect
◉Which term describes the combination of the pressure on the
ventricular walls caused by the volume of blood inside those walls
and follows the principles of the Frank-Starling law?. Answer:
Preload
,◉Which types of shock are commonly seen in the infant who is
septic?. Answer: Distributive and hypovolemic
◉With a complete endocardial cushion defect, blood will flow.
Answer: freely among all four chambers of the heart.
◉An infant whose birth weight is at what percentile on the growth
chart is at increased risk for hypoglycemia due hyperinsulinism?.
Answer: 97th
◉At how many weeks gestation is suck-swallow-breathe
coordination present?. Answer: 34-36
◉Compared to full term formulas, preterm formulas contain.
Answer: more calories and increased protein.
◉Complications of percutaneous central venous lines. Answer:
catheter migration.
◉Depending on the amount of weight loss, electrolyte values, and
markers of renal function, fluid is usually administered at which rate
in the first 48 hours of life?. Answer: 60-100 ml/kg/day
,◉Disadvantages associated with continuous gavage feedings include
all of the following EXCEPT?. Answer: Decreases in the amount of
gastric acid in the stomach
◉Gluconeogenesis is the process of converting. Answer: non-glucose
precursors to glucose.
◉In which of the following conditions is the neonate MOST at risk
for hypokalemia?. Answer: Increased gastrointestinal losses
◉Insensible water losses occur primarily through. Answer:
respiratory and cutaneous routes.
◉Jeremiah was born via emergent cesarean birth at 38 weeks
gestation after a complete abruption. He required a full
resuscitation, and his Apgar scores were 1 at 5 minutes, 3 at 7
minutes, and 5 at 10 minutes. He is currently on ventilatory support
with a diagnosis of hypoxic ischemic encephalopathy. Jeremiah is
MOST at risk for hypoglycemia because. Answer: damage to the liver
may impair synthesis of enzymes that facilitate glucose homeostasis.
◉One of the advantages human milk has over formula is that it.
Answer: contains very long-chain fatty acids.
, ◉Patient care management for the neonate with hypernatremia
often includes. Answer: monitoring for hyperglycemia and
hypocalcemia.
◉Preterm neonates have fewer glomeruli and tubular immaturity,
which contribute to which of the following physiologic processes?.
Answer: Retention of sodium and bicarbonate, free water excretion,
and decreased renal concentrating capacity
◉Signs of renal compromise or severe fluid deficit will often include
a urine output of less than. Answer: 0.5 ml/kg/hour.
◉Symptoms of hyperkalemia include. Answer: electrocardiographic
changes and dysrhythmias.
◉The purpose of trophic feeds is to. Answer: stimulate functional
development of the GI tract.
◉What is the best treatment option for severe intractable
hyperkalemia?. Answer: Peritoneal dialysis
◉What is the timeframe for early hyponatremia in the neonate?.
Answer: 1-2 days
GUIDE 2026 COMPREHENSIVE QUESTIONS
AND ANSWERS
◉What are the symptoms of congestive heart failure?. Answer:
Tachypnea, tachycardia, central or prolonged peripheral cyanosis,
BP higher in R arm than either leg, arrhythmias, poor feeding,
cardiomegaly on CXR, hepatomegaly, pulmonary fine or coarse rales.
◉Which of the following organs forms first in the embryo?. Answer:
Heart
◉Which statement lists the four defects that make up the tetralogy
of Fallot?. Answer: Pulmonary stenosis, ventricular septal defect,
right ventricular hypertrophy, ascending aorta overriding the
ventricular septal defect
◉Which term describes the combination of the pressure on the
ventricular walls caused by the volume of blood inside those walls
and follows the principles of the Frank-Starling law?. Answer:
Preload
,◉Which types of shock are commonly seen in the infant who is
septic?. Answer: Distributive and hypovolemic
◉With a complete endocardial cushion defect, blood will flow.
Answer: freely among all four chambers of the heart.
◉An infant whose birth weight is at what percentile on the growth
chart is at increased risk for hypoglycemia due hyperinsulinism?.
Answer: 97th
◉At how many weeks gestation is suck-swallow-breathe
coordination present?. Answer: 34-36
◉Compared to full term formulas, preterm formulas contain.
Answer: more calories and increased protein.
◉Complications of percutaneous central venous lines. Answer:
catheter migration.
◉Depending on the amount of weight loss, electrolyte values, and
markers of renal function, fluid is usually administered at which rate
in the first 48 hours of life?. Answer: 60-100 ml/kg/day
,◉Disadvantages associated with continuous gavage feedings include
all of the following EXCEPT?. Answer: Decreases in the amount of
gastric acid in the stomach
◉Gluconeogenesis is the process of converting. Answer: non-glucose
precursors to glucose.
◉In which of the following conditions is the neonate MOST at risk
for hypokalemia?. Answer: Increased gastrointestinal losses
◉Insensible water losses occur primarily through. Answer:
respiratory and cutaneous routes.
◉Jeremiah was born via emergent cesarean birth at 38 weeks
gestation after a complete abruption. He required a full
resuscitation, and his Apgar scores were 1 at 5 minutes, 3 at 7
minutes, and 5 at 10 minutes. He is currently on ventilatory support
with a diagnosis of hypoxic ischemic encephalopathy. Jeremiah is
MOST at risk for hypoglycemia because. Answer: damage to the liver
may impair synthesis of enzymes that facilitate glucose homeostasis.
◉One of the advantages human milk has over formula is that it.
Answer: contains very long-chain fatty acids.
, ◉Patient care management for the neonate with hypernatremia
often includes. Answer: monitoring for hyperglycemia and
hypocalcemia.
◉Preterm neonates have fewer glomeruli and tubular immaturity,
which contribute to which of the following physiologic processes?.
Answer: Retention of sodium and bicarbonate, free water excretion,
and decreased renal concentrating capacity
◉Signs of renal compromise or severe fluid deficit will often include
a urine output of less than. Answer: 0.5 ml/kg/hour.
◉Symptoms of hyperkalemia include. Answer: electrocardiographic
changes and dysrhythmias.
◉The purpose of trophic feeds is to. Answer: stimulate functional
development of the GI tract.
◉What is the best treatment option for severe intractable
hyperkalemia?. Answer: Peritoneal dialysis
◉What is the timeframe for early hyponatremia in the neonate?.
Answer: 1-2 days
