AWHONN NEONATAL CERTIFICATION
EVALUATION TEST PAPER QUESTIONS
AND SOLUTIONS VERIFIED RESOURCE
●● 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.
●● When evaluating a neonate for sepsis the term "left shift" refers to
the
Answer: increase in proportion of immature white blood cells.
●● Mario is a 2-hour-old neonate who was born at 41 weeks gestation
with meconium stained amniotic fluid. He presented floppy and apneic
and after tracheal suctioning for meconium, he required 2 minutes of
bag/mask ventilation on 100% oxygen. He was weaned to room air by
10 minutes of age. Currently, Mario has tachypnea, mild grunting, and
retractions. His arterial blood gas levels are: pH: 7.15, pCO2: 63, HCO3:
21. Which of the following is a correct interpretation of these blood gas
results?
Answer: Respiratory acidosis
●● The late preterm infant population is currently defined as babies who
are born between
Answer: 34 and 36 completed weeks of gestation.
EVALUATION TEST PAPER QUESTIONS
AND SOLUTIONS VERIFIED RESOURCE
●● 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.
●● When evaluating a neonate for sepsis the term "left shift" refers to
the
Answer: increase in proportion of immature white blood cells.
●● Mario is a 2-hour-old neonate who was born at 41 weeks gestation
with meconium stained amniotic fluid. He presented floppy and apneic
and after tracheal suctioning for meconium, he required 2 minutes of
bag/mask ventilation on 100% oxygen. He was weaned to room air by
10 minutes of age. Currently, Mario has tachypnea, mild grunting, and
retractions. His arterial blood gas levels are: pH: 7.15, pCO2: 63, HCO3:
21. Which of the following is a correct interpretation of these blood gas
results?
Answer: Respiratory acidosis
●● The late preterm infant population is currently defined as babies who
are born between
Answer: 34 and 36 completed weeks of gestation.
