CCRN Neonatal Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
Link to questions - CORRECT
ANSWER https://coursewareobjects.elsevier.com/objects/elr/AACN/certification5e/onl
ineevolveexam/
Fetal fibronectin - CORRECT ANSWER biochemical marker useful for predicting
preterm birth within 2 weeks
placental α-microglobulin-1 (PAMG-1) protein - CORRECT ANSWER presence
indicates rupture of membranes
Fetal heart rate variability - CORRECT ANSWER best indicator of fetal oxygenation
status (absence of metabolic acidemia)
Biophysical profile - CORRECT ANSWER -fetal tone
-fetal breathing
-fetal movement
-nonstress test
-amniotic fluid volume
Late decelerations - CORRECT ANSWER transient response to hypoxemia during
contractions
Variable decelerations - CORRECT ANSWER cord compression
-tx: amnioinfusion, intrauterine pressure catheter
Maternal serum α-fetoprotein - CORRECT ANSWER -Elevated: neural tube defect,
abdominal wall defect, EA/duodenal atresia
-Decreased: Down syndrome
, Target preductal sat after birth - CORRECT ANSWER -1 minute 60-65%
-2 minutes 65-70%
-3 minutes 70-75%
-4 minutes 75-80%
-5 minutes 80-85%
-10 minutes 85-90%
Arterial cord blood gas - CORRECT ANSWER reveals the metabolic status of the
fetus before delivery and strongly correlates with perinatal asphyxia
Turner syndrome - CORRECT ANSWER -SGA with a broad chest
-widely spaced nipples
-edema of the extremities
-short webbed neck
Trisomy 13 - CORRECT ANSWER -cutis aplasia
-overlapping digits
-low-set ears, cleft palate
-microcephaly
-microphthalmia
-polydactyly
-rocker bottom feet
-numerous organ abnormalities (including cardiac)
Trisomy 18 - CORRECT ANSWER -low birth weight
-ears that are low set and/or of abnormal shape
-micrognathia
-microstomia
QUESTIONS AND CORRECT ANSWERS
Link to questions - CORRECT
ANSWER https://coursewareobjects.elsevier.com/objects/elr/AACN/certification5e/onl
ineevolveexam/
Fetal fibronectin - CORRECT ANSWER biochemical marker useful for predicting
preterm birth within 2 weeks
placental α-microglobulin-1 (PAMG-1) protein - CORRECT ANSWER presence
indicates rupture of membranes
Fetal heart rate variability - CORRECT ANSWER best indicator of fetal oxygenation
status (absence of metabolic acidemia)
Biophysical profile - CORRECT ANSWER -fetal tone
-fetal breathing
-fetal movement
-nonstress test
-amniotic fluid volume
Late decelerations - CORRECT ANSWER transient response to hypoxemia during
contractions
Variable decelerations - CORRECT ANSWER cord compression
-tx: amnioinfusion, intrauterine pressure catheter
Maternal serum α-fetoprotein - CORRECT ANSWER -Elevated: neural tube defect,
abdominal wall defect, EA/duodenal atresia
-Decreased: Down syndrome
, Target preductal sat after birth - CORRECT ANSWER -1 minute 60-65%
-2 minutes 65-70%
-3 minutes 70-75%
-4 minutes 75-80%
-5 minutes 80-85%
-10 minutes 85-90%
Arterial cord blood gas - CORRECT ANSWER reveals the metabolic status of the
fetus before delivery and strongly correlates with perinatal asphyxia
Turner syndrome - CORRECT ANSWER -SGA with a broad chest
-widely spaced nipples
-edema of the extremities
-short webbed neck
Trisomy 13 - CORRECT ANSWER -cutis aplasia
-overlapping digits
-low-set ears, cleft palate
-microcephaly
-microphthalmia
-polydactyly
-rocker bottom feet
-numerous organ abnormalities (including cardiac)
Trisomy 18 - CORRECT ANSWER -low birth weight
-ears that are low set and/or of abnormal shape
-micrognathia
-microstomia
