AWHONN NEWBORN ASSESSMENT,
ROUTINE CARE, AND DISCHARGE
EXAM QUESTIONS & VERIFIED
CORRECT ANSWERS
During fetal life, the foramen ovule
allows blood to directly enter the left atrium from the right atrium.
The fetal circulatory system is supported by the placenta. The umbilical cord, which is comprised
of two arteries and one vein, carries blood to and from the fetus. Identify the correct statement
about the umbilical cord below.
The umbilical vein carries oxygenated blood from the placenta to the fetus.
Gabriella was born by operative vaginal birth after a prolonged second stage of labor. She
presented as floppy and apneic, and required bag/mask ventilation and fluid resuscitation in the
delivery room. Her Apgar scores were 3 at 1 minute of life, 5 at 5 minutes of life, and 8 at 10
minutes of life. The pediatrician has requested that a cord blood sample be sent to the lab. To
document the most accurate acid-base status at the time of delivery, this blood sample should
be drawn from the
umbilical artery.
, Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing 0.5%
erythromycin is usually administered within the first hour of birth to prevent which of the
following conditions?
Gonococcal opthalmia neonatorum
While you are providing discharge instructions to a new mother, her significant other asks you
why all the nurses have been so concerned about the baby’s temperature. What is your BEST
response?
Newborns are predisposed to heat loss because they have a large body surface area relative to
their total body mass and have a limited amount of body fat.
Which infant is most at risk for hypothermia?
An infant with neurologic deficits
You are the nurse caring for a 38-week, female newborn who was born 1 hour ago in the
parking lot of the emergency room. On admission to the nursery, the newborn's axillary
temperature was 97.5°F (36.4°C). You recognize that cold stress may predispose the newborn to
increased oxygen consumption and hypoxia
Hyperthermia is defined as a rectal or axillary temperature greater than 99.5ºF (37.5ºC). The
MOST common cause of hyperthermia in the newborn is
environmental
ROUTINE CARE, AND DISCHARGE
EXAM QUESTIONS & VERIFIED
CORRECT ANSWERS
During fetal life, the foramen ovule
allows blood to directly enter the left atrium from the right atrium.
The fetal circulatory system is supported by the placenta. The umbilical cord, which is comprised
of two arteries and one vein, carries blood to and from the fetus. Identify the correct statement
about the umbilical cord below.
The umbilical vein carries oxygenated blood from the placenta to the fetus.
Gabriella was born by operative vaginal birth after a prolonged second stage of labor. She
presented as floppy and apneic, and required bag/mask ventilation and fluid resuscitation in the
delivery room. Her Apgar scores were 3 at 1 minute of life, 5 at 5 minutes of life, and 8 at 10
minutes of life. The pediatrician has requested that a cord blood sample be sent to the lab. To
document the most accurate acid-base status at the time of delivery, this blood sample should
be drawn from the
umbilical artery.
, Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing 0.5%
erythromycin is usually administered within the first hour of birth to prevent which of the
following conditions?
Gonococcal opthalmia neonatorum
While you are providing discharge instructions to a new mother, her significant other asks you
why all the nurses have been so concerned about the baby’s temperature. What is your BEST
response?
Newborns are predisposed to heat loss because they have a large body surface area relative to
their total body mass and have a limited amount of body fat.
Which infant is most at risk for hypothermia?
An infant with neurologic deficits
You are the nurse caring for a 38-week, female newborn who was born 1 hour ago in the
parking lot of the emergency room. On admission to the nursery, the newborn's axillary
temperature was 97.5°F (36.4°C). You recognize that cold stress may predispose the newborn to
increased oxygen consumption and hypoxia
Hyperthermia is defined as a rectal or axillary temperature greater than 99.5ºF (37.5ºC). The
MOST common cause of hyperthermia in the newborn is
environmental
