AWHONN INTERMEDIATE FETAL
MONITORING ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A low birth weight infant's temperature increases during skin-to-
skin care. This is an example of heat transfer by.
Answer: conduction.
◉ At the onset of labor the release of catecholamines stimulates.
Answer: increased absorption of lung fluid.
◉ An edematous, bruised lesion on the right anterior scalp where
the vacuum was applied. This lesion has clearly demarcated edges, is
firm to touch, and does not cross the suture line. This is best
described as a.
Answer: cephalohematoma.
◉ An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz
(2,360 grams). In completing a gestational age assessment on this
infant, you would identify her as.
Answer: term, small for gestational age.
,◉ During fetal life, the ductus arteriosus.
Answer: diverts blood flow from the pulmonary artery to the
descending aorta.
◉ Expected findings in a neonate born to a mother who received
magnesium sulfate in labor include.
Answer: hypotonia.
◉ Eye prophylaxis with a single-use dose of sterile ophthalmic
ointment containing 1% tetracycline or 0.5% erythromycin is
usually administered within the first few hours of birth to prevent
an eye infection caused by.
Answer: gonorrhea.
◉ Following a birth complicated by shoulder dystocia, the neonate
should be assessed for.
Answer: Erb's palsy.
◉ Preeclampsia may result in all of the following fetal conditions.
Answer: growth restriction, hypoxia/neurological injury,
prematurity.
,◉ Hyperthermia is defined as an axillary temperature greater than
99.5ºF (37.5ºC). The MOST common cause of hyperthermia in the
newborn is.
Answer: environmental.
◉ In the immediate newborn transition period, the ability to
maintain functional residual lung capacity is most dependent upon.
Answer: an adequate amount of alveolar surfactant.
◉ Neonates at risk of hypoglycemia should have their glucose levels
evaluated within 2 hours of life because.
Answer: blood glucose levels reach their lowest point within one to
two hours after delivery.
◉ Polycythemia in the immediate newborn period is often
associated with.
Answer: infant of a diabetic mother.
◉ Symptoms of mild perinatal asphyxia include.
Answer: hyperalert state and jitteriness.
◉ The condition in which the newborn's immature hypothalamus
does not regulate peripheral blood vessels, resulting in a
, vasoconstriction on one side of the body with a vasodilation on the
opposite side of the body is called.
Answer: harlequin phenomena.
◉ The following conditions may all lead to metabolic acidosis.
Answer: loss of HCO3/excess acid load d/t prematurity, renal
tubular necrosis, severe diarrhea, hypoxia, hypoperfusion, inborn
errors of metabolism, caloric deprivation, intolerance of cow's milk
protein.
◉ The full newborn cardiovascular assessment includes
auscultation, inspection, and palpation. The point of maximum
impulse is usually palpable and can be auscultated in the.
Answer: third to fourth intercostal space and left of the
midclavicular line.
◉ The neonate born to a mother with uncontrolled diabetes mellitus
should be evaluated for.
Answer: congenital malformations.
◉ You are the nurse caring for a 38 weeks gestation, female infant,
who was born one hour ago in the parking lot of the emergency
room. On admission to the nursery, the neonate's rectal temperature
was 95ºF (35ºC). You recognize that cold stress may predispose the
infant to.
MONITORING ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A low birth weight infant's temperature increases during skin-to-
skin care. This is an example of heat transfer by.
Answer: conduction.
◉ At the onset of labor the release of catecholamines stimulates.
Answer: increased absorption of lung fluid.
◉ An edematous, bruised lesion on the right anterior scalp where
the vacuum was applied. This lesion has clearly demarcated edges, is
firm to touch, and does not cross the suture line. This is best
described as a.
Answer: cephalohematoma.
◉ An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz
(2,360 grams). In completing a gestational age assessment on this
infant, you would identify her as.
Answer: term, small for gestational age.
,◉ During fetal life, the ductus arteriosus.
Answer: diverts blood flow from the pulmonary artery to the
descending aorta.
◉ Expected findings in a neonate born to a mother who received
magnesium sulfate in labor include.
Answer: hypotonia.
◉ Eye prophylaxis with a single-use dose of sterile ophthalmic
ointment containing 1% tetracycline or 0.5% erythromycin is
usually administered within the first few hours of birth to prevent
an eye infection caused by.
Answer: gonorrhea.
◉ Following a birth complicated by shoulder dystocia, the neonate
should be assessed for.
Answer: Erb's palsy.
◉ Preeclampsia may result in all of the following fetal conditions.
Answer: growth restriction, hypoxia/neurological injury,
prematurity.
,◉ Hyperthermia is defined as an axillary temperature greater than
99.5ºF (37.5ºC). The MOST common cause of hyperthermia in the
newborn is.
Answer: environmental.
◉ In the immediate newborn transition period, the ability to
maintain functional residual lung capacity is most dependent upon.
Answer: an adequate amount of alveolar surfactant.
◉ Neonates at risk of hypoglycemia should have their glucose levels
evaluated within 2 hours of life because.
Answer: blood glucose levels reach their lowest point within one to
two hours after delivery.
◉ Polycythemia in the immediate newborn period is often
associated with.
Answer: infant of a diabetic mother.
◉ Symptoms of mild perinatal asphyxia include.
Answer: hyperalert state and jitteriness.
◉ The condition in which the newborn's immature hypothalamus
does not regulate peripheral blood vessels, resulting in a
, vasoconstriction on one side of the body with a vasodilation on the
opposite side of the body is called.
Answer: harlequin phenomena.
◉ The following conditions may all lead to metabolic acidosis.
Answer: loss of HCO3/excess acid load d/t prematurity, renal
tubular necrosis, severe diarrhea, hypoxia, hypoperfusion, inborn
errors of metabolism, caloric deprivation, intolerance of cow's milk
protein.
◉ The full newborn cardiovascular assessment includes
auscultation, inspection, and palpation. The point of maximum
impulse is usually palpable and can be auscultated in the.
Answer: third to fourth intercostal space and left of the
midclavicular line.
◉ The neonate born to a mother with uncontrolled diabetes mellitus
should be evaluated for.
Answer: congenital malformations.
◉ You are the nurse caring for a 38 weeks gestation, female infant,
who was born one hour ago in the parking lot of the emergency
room. On admission to the nursery, the neonate's rectal temperature
was 95ºF (35ºC). You recognize that cold stress may predispose the
infant to.
