AWHONN NEONATAL ALL MODULES
COMPLETE COURSE REVIEW GUIDE
◉ The neonate born to a mother with uncontrolled diabetes mellitus
should be evaluated for.
Answer: 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.
Answer: 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.
Answer: pulmonary hypertension of the newborn.
◉ The development of pneumonia in chronically ventilated infants is
most commonly associated with which of the following organisms?.
Answer: Ureaplasma urealyticum
,◉ Antenatal steroids enhance lung maturation by.
Answer: increasing the number of type II pneumocytes in the lung.
◉ Mean airway pressure is defined as the.
Answer: 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..
Answer: Nitric oxide
◉ The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2
55, HCO3- 21 and base deficit -4 indicate.
Answer: 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.
Answer: mixed respiratory and metabolic acidosis.
,◉ Which statement is most accurate when identifying the
pathophysiology of transient tachypnea of the newborn (TTN)?.
Answer: 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?.
Answer: Canalicular phase
◉ An absence of air flow despite respiratory effort is an example of
which apnea classification?.
Answer: Obstructive apnea
◉ Continuous positive airway pressure (CPAP) improves
oxygenation by.
Answer: improving the ventilation-perfusion ratio.
◉ The functional residual capacity in a newborn infant should be
approximately.
Answer: 30 ml/kg.
◉ A 29 week gestation infant who displays symptoms of a
pulmonary hemorrhage should be evaluated for.
, Answer: patent ductus arteriosus.
◉ The most significant role of surfactant in neonatal lung
development is to.
Answer: maintain alveolar stability by decreasing surface tension.
◉ Most respiratory disorders result in a ventilation-perfusion
mismatch. Ideally, the ventilation-perfusion ratio should be.
Answer: 1 to 1
◉ A neonate at 12 hours of life with meconium aspiration syndrome
who has been intubated since birth suddenly develops severe
respiratory distress, tachycardia, and hypotension. Which diagnosis
would be least likely to be in the differential?.
Answer: Intraventricular hemorrhage
◉ Which of the following conditions is not an air leak?.
Answer: Pneumatosis intestinalis
◉ The decision to intubate an infant born through thick meconium
should be based on the infant's.
Answer: response to stimulation and bag and mask ventilation.
COMPLETE COURSE REVIEW GUIDE
◉ The neonate born to a mother with uncontrolled diabetes mellitus
should be evaluated for.
Answer: 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.
Answer: 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.
Answer: pulmonary hypertension of the newborn.
◉ The development of pneumonia in chronically ventilated infants is
most commonly associated with which of the following organisms?.
Answer: Ureaplasma urealyticum
,◉ Antenatal steroids enhance lung maturation by.
Answer: increasing the number of type II pneumocytes in the lung.
◉ Mean airway pressure is defined as the.
Answer: 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..
Answer: Nitric oxide
◉ The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2
55, HCO3- 21 and base deficit -4 indicate.
Answer: 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.
Answer: mixed respiratory and metabolic acidosis.
,◉ Which statement is most accurate when identifying the
pathophysiology of transient tachypnea of the newborn (TTN)?.
Answer: 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?.
Answer: Canalicular phase
◉ An absence of air flow despite respiratory effort is an example of
which apnea classification?.
Answer: Obstructive apnea
◉ Continuous positive airway pressure (CPAP) improves
oxygenation by.
Answer: improving the ventilation-perfusion ratio.
◉ The functional residual capacity in a newborn infant should be
approximately.
Answer: 30 ml/kg.
◉ A 29 week gestation infant who displays symptoms of a
pulmonary hemorrhage should be evaluated for.
, Answer: patent ductus arteriosus.
◉ The most significant role of surfactant in neonatal lung
development is to.
Answer: maintain alveolar stability by decreasing surface tension.
◉ Most respiratory disorders result in a ventilation-perfusion
mismatch. Ideally, the ventilation-perfusion ratio should be.
Answer: 1 to 1
◉ A neonate at 12 hours of life with meconium aspiration syndrome
who has been intubated since birth suddenly develops severe
respiratory distress, tachycardia, and hypotension. Which diagnosis
would be least likely to be in the differential?.
Answer: Intraventricular hemorrhage
◉ Which of the following conditions is not an air leak?.
Answer: Pneumatosis intestinalis
◉ The decision to intubate an infant born through thick meconium
should be based on the infant's.
Answer: response to stimulation and bag and mask ventilation.
