AWHONN INTERMEDIATE FETAL
MONITORING EXAM SCRIPT FINAL PAPER
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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
◉ When caring for a newborn on an insulin infusion, the glucose
levels should be monitored how often during the initial titration of
the drip?.
Answer: Every 15 minutes
◉ Which of the following does NOT cross the placenta from the
mother to the fetus?.
Answer: Insulin
◉ Which of the following parties is MOST essential to the feeding
experience of the NICU infant?.
Answer: Parent/family member
◉ Which substrate is the major source of fuel to the brain?.
,Answer: Glucose
◉ Who should dictate the feeding experience in the NICU?.
Answer: NICU infant
◉ A 38-week gestation neonate presents to the NICU with
respiratory distress symptoms and anuria. On physical examination,
she is found to have hypertension, bilateral flank masses, and
hypoplastic lungs. The best diagnosis for this presentation is.
Answer: polycystic kidney disease.
◉ A newborn's maternal history includes oligohydramnios
sequence. What might be an expected finding on physical exam?.
Answer: Compressed facial features potter's sequence;bilateral renal
agenesis, atresia of the ureter or urethra, polycystic or multicystic
kidney disease, renal hypoplasia, amniotic rupture, maternal
hypertension/pre-e
◉ A priority of management for the neonate diagnosed with
polycystic kidney disease is.
Answer: treatment of systemic hypertension. monitoring and
treatment of hypertension, nephrectomy sometimes indicated,
peritoneal dialysis
, ◉ Clinical manifestations of hypothyroidism include.
Answer: decreasing body growth and enlarged tongue.
◉ Clinical presentation of acute renal failure includes all of the
following EXCEPT.
Answer: serum creatinine <1.5 mg/dl (132.6 μmol/L). oliguria,
normal urine output, elevated creat, polyuria, hematuria,
proteinuria, fluid overloead, dehydration, vomiting, poor eating,
elevated medication levels
◉ Clinical presentation of renal vein thrombosis includes.
Answer: hematuria and anemia. hematuria, flank mass,
thrombocytopenia, transient hypertenion, urine output of <1
ml/kg/hr, anemia
◉ During pregnancy, maternal ingestion of goitrogenic substances
such as iodide or lithium may lead to which of the following
endocrine conditions?.
Answer: Transient congenital hypothyroidism
◉ Management of the patient with bladder exstrophy includes.
Answer: covering the defect with plastic wrap.
◉ Potential etiologies of Intrarenal AKI.
MONITORING EXAM SCRIPT FINAL PAPER
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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
◉ When caring for a newborn on an insulin infusion, the glucose
levels should be monitored how often during the initial titration of
the drip?.
Answer: Every 15 minutes
◉ Which of the following does NOT cross the placenta from the
mother to the fetus?.
Answer: Insulin
◉ Which of the following parties is MOST essential to the feeding
experience of the NICU infant?.
Answer: Parent/family member
◉ Which substrate is the major source of fuel to the brain?.
,Answer: Glucose
◉ Who should dictate the feeding experience in the NICU?.
Answer: NICU infant
◉ A 38-week gestation neonate presents to the NICU with
respiratory distress symptoms and anuria. On physical examination,
she is found to have hypertension, bilateral flank masses, and
hypoplastic lungs. The best diagnosis for this presentation is.
Answer: polycystic kidney disease.
◉ A newborn's maternal history includes oligohydramnios
sequence. What might be an expected finding on physical exam?.
Answer: Compressed facial features potter's sequence;bilateral renal
agenesis, atresia of the ureter or urethra, polycystic or multicystic
kidney disease, renal hypoplasia, amniotic rupture, maternal
hypertension/pre-e
◉ A priority of management for the neonate diagnosed with
polycystic kidney disease is.
Answer: treatment of systemic hypertension. monitoring and
treatment of hypertension, nephrectomy sometimes indicated,
peritoneal dialysis
, ◉ Clinical manifestations of hypothyroidism include.
Answer: decreasing body growth and enlarged tongue.
◉ Clinical presentation of acute renal failure includes all of the
following EXCEPT.
Answer: serum creatinine <1.5 mg/dl (132.6 μmol/L). oliguria,
normal urine output, elevated creat, polyuria, hematuria,
proteinuria, fluid overloead, dehydration, vomiting, poor eating,
elevated medication levels
◉ Clinical presentation of renal vein thrombosis includes.
Answer: hematuria and anemia. hematuria, flank mass,
thrombocytopenia, transient hypertenion, urine output of <1
ml/kg/hr, anemia
◉ During pregnancy, maternal ingestion of goitrogenic substances
such as iodide or lithium may lead to which of the following
endocrine conditions?.
Answer: Transient congenital hypothyroidism
◉ Management of the patient with bladder exstrophy includes.
Answer: covering the defect with plastic wrap.
◉ Potential etiologies of Intrarenal AKI.
