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CCRN Neonatal Questions with Detailed Verified
Answers
A deformation is a(n)
Ans: 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
Ans: conduction.
At the onset of labor the release of catecholamines stimulates
Ans: 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
Ans: 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
Ans: term, small for gestational age.
During fetal life, the ductus arteriosus
Ans: diverts blood flow from the pulmonary artery to the descending aorta.
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Expected findings in a neonate born to a mother who received magnesium sulfate in
labor include
Ans: 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
Ans: gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be assessed
for
Ans: Erb's palsy.
Preeclampsia may result in all of the following fetal conditions
Ans: 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
Ans: environmental.
In the immediate newborn transition period, the ability to maintain functional residual
lung capacity is most dependent upon
Ans: an adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2
hours of life because
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Ans: blood glucose levels reach their lowest point within one to two hours after
delivery.
Polycythemia in the immediate newborn period is often associated with
Ans: infant of a diabetic mother.
Symptoms of mild perinatal asphyxia include
Ans: 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
Ans: harlequin phenomena.
The following conditions may all lead to metabolic acidosis
Ans: 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
Ans: 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
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Ans: congenital malformations.
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
Ans: 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
Ans: pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly
associated with which of the following organisms?
Ans: Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by
Ans: increasing the number of type II pneumocytes in the lung.
Mean airway pressure is defined as the
Ans: 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.
Ans: Nitric oxide
© Get it right 2025 Getaway - Stuvia US All rights reserved
CCRN Neonatal Questions with Detailed Verified
Answers
A deformation is a(n)
Ans: 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
Ans: conduction.
At the onset of labor the release of catecholamines stimulates
Ans: 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
Ans: 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
Ans: term, small for gestational age.
During fetal life, the ductus arteriosus
Ans: diverts blood flow from the pulmonary artery to the descending aorta.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Expected findings in a neonate born to a mother who received magnesium sulfate in
labor include
Ans: 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
Ans: gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be assessed
for
Ans: Erb's palsy.
Preeclampsia may result in all of the following fetal conditions
Ans: 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
Ans: environmental.
In the immediate newborn transition period, the ability to maintain functional residual
lung capacity is most dependent upon
Ans: an adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2
hours of life because
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Ans: blood glucose levels reach their lowest point within one to two hours after
delivery.
Polycythemia in the immediate newborn period is often associated with
Ans: infant of a diabetic mother.
Symptoms of mild perinatal asphyxia include
Ans: 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
Ans: harlequin phenomena.
The following conditions may all lead to metabolic acidosis
Ans: 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
Ans: 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
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
Ans: congenital malformations.
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
Ans: 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
Ans: pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly
associated with which of the following organisms?
Ans: Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by
Ans: increasing the number of type II pneumocytes in the lung.
Mean airway pressure is defined as the
Ans: 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.
Ans: Nitric oxide
© Get it right 2025 Getaway - Stuvia US All rights reserved
