AWHONN POEP FINAL EXAM REVIEW
QUESTIONS WITH CORRECT
ANSWERS
A new mother is very concerned and asks you about the 'red marks' on the newborn's
eyelids. She noticed that they get darker when the newborn cries. What is your BEST
response? - Answer- They are common birthmarks called nevus simplex or stork bites
that blanch with pressure and become pinker with crying.
Baby Lourdes was born 4 hours ago at 42 weeks of gestation by vacuum-assisted
delivery. On your initial newborn examination, you document an edematous, bruised
lesion on the right anterior scalp where the vacuum was applied. This lesion has clearly
demarcated edges and does not cross the suture line. This is BEST described as a -
Answer- cephalohematoma
The full term newborn cardiovascular assessment includes auscultation, inspection, and
palpation. The point of maximal impulse is usually palpable and can be auscultated in
the - Answer- third to fourth intercostal space and left of the midclavicular line.
An intrauterine condition in which rings of amniotic membranes lead to constriction
resulting in malformation or amputation of the extremities is - Answer- amniotic band
syndrome
While inspecting the patency of the anus, it is important to note the passage of stool.
Most newborns will pass meconium within the first - Answer- 12-48 hours
While teaching Karin about her newborn's umbilical cord, it is important to stress that
routine cord care consists of - Answer- leaving the cord exposed to air and observing for
redness, drainage, and/or odor.
Mrs. Joseph delivered a healthy, male newborn yesterday. She and her partner are
discussing the benefits and risks of circumcision. Which of the following statements
about neonatal circumcision is correct? - Answer- When the decision is made to
proceed with circumcision, analgesia and anesthesia should be provided.
Mrs. Johnson has described that her newborn has been crying constantly since his
circumcision this morning. When you arrive at her room, you find the newborn crying in
his crib. Which of the following nonpharmacologic interventions can you teach Mrs.
Johnson to help console her newborn? - Answer- holding & rocking
,Which of the following breastfeeding positions is MOST useful for the mother recovering
from a cesarean birth? - Answer- Allow the mother to choose the method and position
that works best for her and for the newborn.
Last evening Katelyn gave birth to a healthy baby girl, weighing 7 lbs 1 oz (3,203 g). Her
newborn nursed well immediately after delivery. She has not had a second successful
breastfeeding in 4 hours despite repeated attempts. You should - Answer- assess the
newborn's sleep cycles and hunger cues.
Mrs. Lang is concerned that breastfeeding is not going well because her newborn has
lost weight since birth. What is your BEST response? - Answer- It is normal for babies
to lose up to 7% of their birth weight after birth. We will continue to monitor the baby's
weight.
Mrs. Jung is returning to work 8 weeks after the birth of her first baby. When teaching
about pumping and storing breast milk, it is important to stress that the BEST method
for breast milk to be thawed - Answer- in the refrigerator
Although most women are able to breastfeed if they choose, there are important
instances in which breastfeeding is contraindicated. Which of the following is NOT a
contraindication to breastfeeding? - Answer- hepatitis c infection
Jaundice that typically appears within the first 24 hours of life, with rapidly rising serum
bilirubin levels, and is usually caused by an underlying disease process, such as sepsis
or hemolysis is called - Answer- pathological jaundice
One of the metabolic disorders that results from a deficiency in a liver enzyme that may
cause progressive developmental delays, severe intellectual disability, seizures,
and autistic-like behavior is - Answer- phenlketonuria
You are demonstrating newborn care in a discharge teaching class to a group of new
mothers. In your discussion of Sudden Infant Death Syndrome (SIDS), it is important
that you emphasize proper sleeping conditions. Which of the following constitutes a safe
sleeping environment for a newborn infant? - Answer- Firm mattress free of loose
bedding and stuffed toys
Sarah asks you if using a pacifier is bad since she is breastfeeding her baby. What is
your BEST response? - Answer- Pacifiers may have a protective effect that can reduce
the incidence of SIDs, however, it is recommended to delay the use until breastfeeding
is well established.
rom the nurse's station you can hear Karen's newborn crying. When you enter the room,
you notice that Karen is also crying and curled up in her bed. When you ask her if she
needs any assistance Karen responds by saying "I can't get her to stop crying. I am a
horrible mother." What is your BEST response? - Answer- it can be frustrating when
, your baby cries; you did the right thing by placing her in the crib & then taking a moment
for yourself
You are orienting Stacy in the newborn nursery. After plotting the newborns weight,
length, and head circumference on the growth chart, you document the newborn is
asymmetric IUGR. Stacy asks you to explain asymmetric IUGR. What is your BEST
response? - Answer- Asymmetric IUGR occurs when the body weight and length fall
below the 10th percentile on the newborn growth chart. The head and abdominal
circumference both fall within normal range.
You are providing couplet care for Linda and her newborn. Linda is a diabetic mother
who gave birth yesterday. She asks you why her baby would be a risk for blood sugar
problems. What is your BEST response? - Answer- Following birth, your supply of
glucose to your baby is rapidly diminished. However, the increased level of insulin
remains, resulting in a potential for your baby's blood sugar to be lower than normal.
Baby Aleah was born at 42 weeks of gestation by vacuum-assisted vaginal birth 2 hours
ago. She had a vacuum-assisted delivery with Apgar scores 5/8. Which potential birth
injury should baby Aleah be monitored closely for? - Answer- subgaleal hemorrhage
The late preterm infant population is currently defined as babies who are born between -
Answer- 34 and 36 completed weeks of gestation.
Kimberly is a full-term newborn born at 8:40 am to a diabetic mother. Her mother is
planning to feed her with formula. Prior to her third feeding at 1:30 p.m., Kimberly's
blood sugar was 31 mg/dl (1.7 mmol/L). She tolerated 1⁄4 oz. of formula. One hour after
feeding, Kimberly's blood sugar was 30 mg/dl (1.6 mmol/L). The next intervention is to -
Answer- notify the primary care provider immediately and anticipate an order for
intravenous (IV) fluids containing a dextrose solution.
Keith, a new nurse you are orienting, asks you how long blood glucose screenings need
to be completed on an LGA newborn. What is your BEST response? - Answer- We will
continue to check blood sugars until the newborn is 24 hours of age and the glucose is
45 mg/dL or higher.
In contrast to term newborns, bilirubin levels in late preterm infants typically peak at -
Answer- 5-10 days of life
Primary causes of jaundice in late preterm infants - Answer- decreased life of fetal
hemoglobin and diminished bilirubin conjugation.
Determination of risk levels of hyperbilirubinemia treatment is currently based on the
use of nomograms that compare a newborn's - Answer- TSB level & age in hours
Placental function begins to decrease toward the end of pregnancy, which may result in
- Answer- decreased blood flow and fetal hypoxia.
QUESTIONS WITH CORRECT
ANSWERS
A new mother is very concerned and asks you about the 'red marks' on the newborn's
eyelids. She noticed that they get darker when the newborn cries. What is your BEST
response? - Answer- They are common birthmarks called nevus simplex or stork bites
that blanch with pressure and become pinker with crying.
Baby Lourdes was born 4 hours ago at 42 weeks of gestation by vacuum-assisted
delivery. On your initial newborn examination, you document an edematous, bruised
lesion on the right anterior scalp where the vacuum was applied. This lesion has clearly
demarcated edges and does not cross the suture line. This is BEST described as a -
Answer- cephalohematoma
The full term newborn cardiovascular assessment includes auscultation, inspection, and
palpation. The point of maximal impulse is usually palpable and can be auscultated in
the - Answer- third to fourth intercostal space and left of the midclavicular line.
An intrauterine condition in which rings of amniotic membranes lead to constriction
resulting in malformation or amputation of the extremities is - Answer- amniotic band
syndrome
While inspecting the patency of the anus, it is important to note the passage of stool.
Most newborns will pass meconium within the first - Answer- 12-48 hours
While teaching Karin about her newborn's umbilical cord, it is important to stress that
routine cord care consists of - Answer- leaving the cord exposed to air and observing for
redness, drainage, and/or odor.
Mrs. Joseph delivered a healthy, male newborn yesterday. She and her partner are
discussing the benefits and risks of circumcision. Which of the following statements
about neonatal circumcision is correct? - Answer- When the decision is made to
proceed with circumcision, analgesia and anesthesia should be provided.
Mrs. Johnson has described that her newborn has been crying constantly since his
circumcision this morning. When you arrive at her room, you find the newborn crying in
his crib. Which of the following nonpharmacologic interventions can you teach Mrs.
Johnson to help console her newborn? - Answer- holding & rocking
,Which of the following breastfeeding positions is MOST useful for the mother recovering
from a cesarean birth? - Answer- Allow the mother to choose the method and position
that works best for her and for the newborn.
Last evening Katelyn gave birth to a healthy baby girl, weighing 7 lbs 1 oz (3,203 g). Her
newborn nursed well immediately after delivery. She has not had a second successful
breastfeeding in 4 hours despite repeated attempts. You should - Answer- assess the
newborn's sleep cycles and hunger cues.
Mrs. Lang is concerned that breastfeeding is not going well because her newborn has
lost weight since birth. What is your BEST response? - Answer- It is normal for babies
to lose up to 7% of their birth weight after birth. We will continue to monitor the baby's
weight.
Mrs. Jung is returning to work 8 weeks after the birth of her first baby. When teaching
about pumping and storing breast milk, it is important to stress that the BEST method
for breast milk to be thawed - Answer- in the refrigerator
Although most women are able to breastfeed if they choose, there are important
instances in which breastfeeding is contraindicated. Which of the following is NOT a
contraindication to breastfeeding? - Answer- hepatitis c infection
Jaundice that typically appears within the first 24 hours of life, with rapidly rising serum
bilirubin levels, and is usually caused by an underlying disease process, such as sepsis
or hemolysis is called - Answer- pathological jaundice
One of the metabolic disorders that results from a deficiency in a liver enzyme that may
cause progressive developmental delays, severe intellectual disability, seizures,
and autistic-like behavior is - Answer- phenlketonuria
You are demonstrating newborn care in a discharge teaching class to a group of new
mothers. In your discussion of Sudden Infant Death Syndrome (SIDS), it is important
that you emphasize proper sleeping conditions. Which of the following constitutes a safe
sleeping environment for a newborn infant? - Answer- Firm mattress free of loose
bedding and stuffed toys
Sarah asks you if using a pacifier is bad since she is breastfeeding her baby. What is
your BEST response? - Answer- Pacifiers may have a protective effect that can reduce
the incidence of SIDs, however, it is recommended to delay the use until breastfeeding
is well established.
rom the nurse's station you can hear Karen's newborn crying. When you enter the room,
you notice that Karen is also crying and curled up in her bed. When you ask her if she
needs any assistance Karen responds by saying "I can't get her to stop crying. I am a
horrible mother." What is your BEST response? - Answer- it can be frustrating when
, your baby cries; you did the right thing by placing her in the crib & then taking a moment
for yourself
You are orienting Stacy in the newborn nursery. After plotting the newborns weight,
length, and head circumference on the growth chart, you document the newborn is
asymmetric IUGR. Stacy asks you to explain asymmetric IUGR. What is your BEST
response? - Answer- Asymmetric IUGR occurs when the body weight and length fall
below the 10th percentile on the newborn growth chart. The head and abdominal
circumference both fall within normal range.
You are providing couplet care for Linda and her newborn. Linda is a diabetic mother
who gave birth yesterday. She asks you why her baby would be a risk for blood sugar
problems. What is your BEST response? - Answer- Following birth, your supply of
glucose to your baby is rapidly diminished. However, the increased level of insulin
remains, resulting in a potential for your baby's blood sugar to be lower than normal.
Baby Aleah was born at 42 weeks of gestation by vacuum-assisted vaginal birth 2 hours
ago. She had a vacuum-assisted delivery with Apgar scores 5/8. Which potential birth
injury should baby Aleah be monitored closely for? - Answer- subgaleal hemorrhage
The late preterm infant population is currently defined as babies who are born between -
Answer- 34 and 36 completed weeks of gestation.
Kimberly is a full-term newborn born at 8:40 am to a diabetic mother. Her mother is
planning to feed her with formula. Prior to her third feeding at 1:30 p.m., Kimberly's
blood sugar was 31 mg/dl (1.7 mmol/L). She tolerated 1⁄4 oz. of formula. One hour after
feeding, Kimberly's blood sugar was 30 mg/dl (1.6 mmol/L). The next intervention is to -
Answer- notify the primary care provider immediately and anticipate an order for
intravenous (IV) fluids containing a dextrose solution.
Keith, a new nurse you are orienting, asks you how long blood glucose screenings need
to be completed on an LGA newborn. What is your BEST response? - Answer- We will
continue to check blood sugars until the newborn is 24 hours of age and the glucose is
45 mg/dL or higher.
In contrast to term newborns, bilirubin levels in late preterm infants typically peak at -
Answer- 5-10 days of life
Primary causes of jaundice in late preterm infants - Answer- decreased life of fetal
hemoglobin and diminished bilirubin conjugation.
Determination of risk levels of hyperbilirubinemia treatment is currently based on the
use of nomograms that compare a newborn's - Answer- TSB level & age in hours
Placental function begins to decrease toward the end of pregnancy, which may result in
- Answer- decreased blood flow and fetal hypoxia.
