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AWHONN POEP Module 13 2026 Exam Study Guide | 20 Questions & 100% Correct Answers on Neonatal Assessment, Sepsis, Late Preterm Care & Respiratory Disorders | AWHONN POEP Certification

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This focused study guide contains 20 high-yield exam questions with 100% correct answers designed to support preparation for AWHONN's Perinatal Orientation and Education Program (POEP) Module 13 examinations and competency assessments. The material emphasizes critical neonatal concepts frequently encountered in postpartum units, newborn nurseries, transitional care settings, and neonatal nursing examinations. Through scenario-based questions and evidence-informed rationales, learners can strengthen clinical judgment and improve confidence in recognizing and managing common neonatal complications. The content provides an in-depth review of neonatal adaptation, growth abnormalities, respiratory compromise, metabolic disturbances, infectious processes, and risk identification in vulnerable newborn populations. Key concepts include the recognition of symmetric and asymmetric intrauterine growth restriction (IUGR), interpretation of arterial blood gas findings, identification and management of metabolic and respiratory acidosis, and evidence-based approaches to respiratory support, including indications and contraindications for continuous positive airway pressure (CPAP). Respiratory and resuscitation topics address meconium aspiration syndrome (MAS), neonatal pneumothorax, respiratory distress syndrome (RDS), therapeutic hypothermia eligibility, airway management, and interventions required during neonatal stabilization. The guide also examines complications associated with post-term births, vacuum-assisted deliveries, and placental insufficiency, helping learners recognize newborns at increased risk for conditions such as subgaleal hemorrhage, oligohydramnios, and birth-related respiratory compromise. Additional emphasis is placed on late preterm infant care, including definitions of late prematurity, hypoglycemia screening recommendations, bilirubin surveillance, feeding considerations, and discharge planning. Learners will also review neonatal abstinence syndrome (NAS), interpretation of abstinence scoring, hyperbilirubinemia risk stratification using hour-specific nomograms, and metabolic complications observed in infants of diabetic mothers. The study guide further explores neonatal infectious disease principles through questions related to Group B Streptococcus (GBS), neonatal sepsis evaluation, interpretation of a hematologic "left shift," and the role of neutrophils in the newborn immune response. These concepts reinforce evidence-based assessment strategies essential for timely intervention and safe neonatal outcomes. This resource aligns closely with educational objectives presented in AWHONN POEP curricula and serves as a concise yet comprehensive review tool for reinforcing foundational neonatal knowledge, supporting examination success, and enhancing competency in neonatal nursing practice. Referenced Sources: Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). Perinatal Orientation and Education Program (POEP): Neonatal Education Modules. Cloherty JP, Eichenwald EC, Hansen AR, Stark AR. Cloherty and Stark's Manual of Neonatal Care, 9th Edition. American Academy of Pediatrics (AAP). Guidelines for Perinatal Care, 8th Edition. American Heart Association & American Academy of Pediatrics. Textbook of Neonatal Resuscitation (NRP), 8th Edition. Committee on Fetus and Newborn. Clinical guidance published in Pediatrics regarding neonatal hypoglycemia, hyperbilirubinemia, and therapeutic hypothermia. Maisels MJ, Bhutani VK, Bogen D, et al. Clinical recommendations for the management of neonatal hyperbilirubinemia published in Pediatrics. Polin RA. "Management of Neonates With Suspected or Proven Early-Onset Bacterial Sepsis." Pediatrics. Relevant Students: This document is especially useful for registered nurses completing AWHONN POEP orientation requirements, postpartum nurses, mother-baby nurses, newborn nursery nurses, neonatal intensive care unit (NICU) nurses, nursing students undertaking maternal-newborn coursework, graduate nursing students specializing in neonatal care, nurse residents transitioning into perinatal practice, neonatal transport personnel, and healthcare professionals preparing for neonatal competency examinations and certification reviews. Keywords: AWHONN POEP Module 13, AWHONN neonatal exam questions, neonatal nursing study guide, neonatal assessment, neonatal sepsis, Group B Streptococcus, late preterm infant care, neonatal hypoglycemia, neonatal hyperbilirubinemia, neonatal abstinence syndrome, arterial blood gas interpretation, respiratory acidosis, metabolic acidosis, meconium aspiration syndrome, respiratory distress syndrome, CPAP in newborns, therapeutic hypothermia, intrauterine growth restriction, subgaleal hemorrhage, infant of diabetic mother, neonatal resuscitation, neonatal complications, newborn transition, neonatal certification preparation

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POEP AWHONN
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POEP AWHONN

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AWHONN POEP Module 13
2026 Exam Questions with
100% Correct Answers | Latest
Update



The growth pattern for an infant whose head circumference, length, and

weight all fall below the 10th percentile on the newborn growth chart is

considered - ANSWER ✔✔symmetric intrauterine growth restriction.


Selwin is a 2-hour-old neonate who was born at 41 weeks gestation with

a tight nuchal cord. After delivery of the placenta, the primary care

provider noted a silent abruption. Currently, Selwin has tachypnea, mild

, grunting, and retractions. His arterial blood gas results are: pH: 7.25,

pCO2: 36, HCO3: 15. Which of the following is a correct interpretation of

these blood gas results? - ANSWER ✔✔Metabolic acidosis


Cecelia was born at 42 week gestation with meconium stained amniotic

fluid after a prolonged second stage of labor. She is floppy, apneic, and

has a heart rate of 60 beats per minute. The first action in caring for

Cecelia is to - ANSWER ✔✔assist with intubation to clear the airway

of meconium.

All of the following conditions warrant the use of continuous positive

airway pressure (CPAP) in a newborn except - ANSWER

✔✔diaphragmatic hernia.


Tatiana is a 24-year-old homeless woman who presents to the labor and

delivery unit in active labor with no history of prenatal care. She gives

birth precipitously within 10 minutes after her arrival. The neonate's

Apgar scores are 2 at 1 minute of life, 5 at 5 minutes of life, and 7 at 10

minutes of life, and the neonate falls in the small for gestational age

category on the neonatal growth chart. At 12 hours of age, the neonate

is tachypneic, jittery, hypertonic, high-pitched cry, and inconsolable. It is

important to screen this neonate for - ANSWER ✔✔substance

exposure.

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