CCRN Neonatal Exam with Questions and
Answers latest updated
The following conditions may all lead to metabolic acidosis - 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 - 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 - congenital malformations.
Symptoms of mild perinatal asphyxia include - 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 - harlequin phenomena.
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 - 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 -
pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly
associated with which of the following organisms? - Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - increasing the number of type II
pneumocytes in the lung.
,Mean airway pressure is defined as the - pressure transmitted to the lung throughout
the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN) will have
pharmacologic support. Identify the medication that is a direct-acting vasodilator and
acts by relaxing pulmonary vessel musculature. - Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55, HCO3- 21 and
base deficit -4 indicate - respiratory acidosis.
Nastassia is a one-hour-old neonate, born at 39 weeks gestation by primary cesarean
birth for fetal bradycardia. She was hypotonic at birth with gasping respirations and a
heart rate of 80. She was provided bulb suctioning and bag mask ventilation and
recovered by five minutes of life. On admission to the NICU, her temperature was 36°
C. After admission to the NICU, her arterial blood gas is pH: 7.19, PCO2: 63, HCO3: 14.
The correct interpretation of this blood gas is - mixed respiratory and metabolic acidosis.
A deformation is a(n) - abnormality caused by unusual mechanical forces on normal
tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is an
example of heat transfer by - conduction.
At the onset of labor the release of catecholamines stimulates - 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 - 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 -
term, small for gestational age.
During fetal life, the ductus arteriosus - 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 - 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 - gonorrhea.
, Following a birth complicated by shoulder dystocia, the neonate should be assessed for
- Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - 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 - environmental.
In the immediate newborn transition period, the ability to maintain functional residual
lung capacity is most dependent upon - an adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2
hours of life because - blood glucose levels reach their lowest point within one to two
hours after delivery.
Polycythemia in the immediate newborn period is often associated with - infant of a
diabetic mother.
Which statement is most accurate when identifying the pathophysiology of transient
tachypnea of the newborn (TTN)? - Labor enhances the process of fetal lung fluid
absorption
During which phase of fetal pulmonary development do the type II pneumocytes
become numerous and begin to produce and store surfactant? - Canalicular phase
An absence of air flow despite respiratory effort is an example of which apnea
classification? - Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by - improving the
ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be approximately - 30 ml/kg.
A 29 week gestation infant who displays symptoms of a pulmonary hemorrhage should
be evaluated for - patent ductus arteriosus.
The most significant role of surfactant in neonatal lung development is to - maintain
alveolar stability by decreasing surface tension.
Most respiratory disorders result in a ventilation-perfusion mismatch. Ideally, the
ventilation-perfusion ratio should be - 1 to 1
Answers latest updated
The following conditions may all lead to metabolic acidosis - 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 - 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 - congenital malformations.
Symptoms of mild perinatal asphyxia include - 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 - harlequin phenomena.
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 - 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 -
pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly
associated with which of the following organisms? - Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - increasing the number of type II
pneumocytes in the lung.
,Mean airway pressure is defined as the - pressure transmitted to the lung throughout
the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN) will have
pharmacologic support. Identify the medication that is a direct-acting vasodilator and
acts by relaxing pulmonary vessel musculature. - Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55, HCO3- 21 and
base deficit -4 indicate - respiratory acidosis.
Nastassia is a one-hour-old neonate, born at 39 weeks gestation by primary cesarean
birth for fetal bradycardia. She was hypotonic at birth with gasping respirations and a
heart rate of 80. She was provided bulb suctioning and bag mask ventilation and
recovered by five minutes of life. On admission to the NICU, her temperature was 36°
C. After admission to the NICU, her arterial blood gas is pH: 7.19, PCO2: 63, HCO3: 14.
The correct interpretation of this blood gas is - mixed respiratory and metabolic acidosis.
A deformation is a(n) - abnormality caused by unusual mechanical forces on normal
tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is an
example of heat transfer by - conduction.
At the onset of labor the release of catecholamines stimulates - 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 - 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 -
term, small for gestational age.
During fetal life, the ductus arteriosus - 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 - 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 - gonorrhea.
, Following a birth complicated by shoulder dystocia, the neonate should be assessed for
- Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - 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 - environmental.
In the immediate newborn transition period, the ability to maintain functional residual
lung capacity is most dependent upon - an adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2
hours of life because - blood glucose levels reach their lowest point within one to two
hours after delivery.
Polycythemia in the immediate newborn period is often associated with - infant of a
diabetic mother.
Which statement is most accurate when identifying the pathophysiology of transient
tachypnea of the newborn (TTN)? - Labor enhances the process of fetal lung fluid
absorption
During which phase of fetal pulmonary development do the type II pneumocytes
become numerous and begin to produce and store surfactant? - Canalicular phase
An absence of air flow despite respiratory effort is an example of which apnea
classification? - Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by - improving the
ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be approximately - 30 ml/kg.
A 29 week gestation infant who displays symptoms of a pulmonary hemorrhage should
be evaluated for - patent ductus arteriosus.
The most significant role of surfactant in neonatal lung development is to - maintain
alveolar stability by decreasing surface tension.
Most respiratory disorders result in a ventilation-perfusion mismatch. Ideally, the
ventilation-perfusion ratio should be - 1 to 1
