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AWHONN POEP MODULE 13

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AWHONN POEP MODULE 13 2024/2025 QUESTIONS AND
CORRECT ANSWERS / A GRADE

The growth pattern for an infant whose head circumference, length, and weight all fall
below the 10th percentile on the newborn growth chart is considered - ANSWER-
symmetric intrauterine growth restriction.

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.

One of the most common causes of neonatal sepsis is - ANSWER-group B strep
infection.

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