AWHONN NEONATAL UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 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
Answer: increased oxygen consumption and hypoxia.
●● A full term neonate who presents at six hours of age with
increasingly labile oxygenation that appears disproportionate to the
pulmonary disease should be evaluated for
Answer: pulmonary hypertension of the newborn.
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 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
Answer: increased oxygen consumption and hypoxia.
●● A full term neonate who presents at six hours of age with
increasingly labile oxygenation that appears disproportionate to the
pulmonary disease should be evaluated for
Answer: pulmonary hypertension of the newborn.
