AWHONN NEONATAL MODULES TESTBANK LATEST VERSION
2024-2026 OVER 350+ QUESTIONS WITH CORRECT DETAILED
ANSWERS GRADED A+
During fetal life, the ductus arteriosus - correct answer✔✔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 - correct answer✔✔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 -
correct answer✔✔gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be
assessed for - correct answer✔✔Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - correct
answer✔✔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 -
correct answer✔✔environmental.
In the immediate newborn transition period, the ability to maintain functional
residual lung capacity is most dependent upon - correct answer✔✔an
adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels
evaluated within 2 hours of life because - correct answer✔✔blood glucose
levels reach their lowest point within one to two hours after delivery.
Polycythemia in the immediate newborn period is often associated with -
correct answer✔✔infant of a diabetic mother.
,Symptoms of mild perinatal asphyxia include - correct answer✔✔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 - correct answer✔✔harlequin phenomena.
The following conditions may all lead to metabolic acidosis - correct
answer✔✔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 - correct answer✔✔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 - correct 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 - correct
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 - correct answer✔✔pulmonary hypertension of the
newborn.
The development of pneumonia in chronically ventilated infants is most
commonly associated with which of the following organisms? - correct
answer✔✔Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - correct
answer✔✔increasing the number of type II pneumocytes in the lung.
,Mean airway pressure is defined as the - correct 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. - correct answer✔✔Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55,
HCO3- 21 and base deficit -4 indicate - correct 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 - correct answer✔✔mixed
respiratory and metabolic acidosis.
Which statement is most accurate when identifying the pathophysiology of
transient tachypnea of the newborn (TTN)? - correct 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? - correct answer✔✔Canalicular phase
An absence of air flow despite respiratory effort is an example of which
apnea classification? - correct answer✔✔Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by -
correct answer✔✔improving the ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be
approximately - correct answer✔✔30 ml/kg.
, A 29 week gestation infant who displays symptoms of a pulmonary
hemorrhage should be evaluated for - correct answer✔✔patent ductus
arteriosus.
The most significant role of surfactant in neonatal lung development is to -
correct answer✔✔maintain alveolar stability by decreasing surface tension.
Most respiratory disorders result in a ventilation-perfusion mismatch.
Ideally, the ventilation-perfusion ratio should be - correct 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? - correct answer✔✔Intraventricular hemorrhage
Which of the following conditions is not an air leak? - correct
answer✔✔Pneumatosis intestinalis
The decision to intubate an infant born through thick meconium should be
based on the infant's - correct answer✔✔response to stimulation and bag
and mask ventilation.
The type of patient-triggered ventilator that applies a constant pressure
during inspiration and terminates with a decrease in air flow, thereby
decreasing the work of breathing, is a(n) - correct answer✔✔pressure
support ventilation.
Neonates receiving surfactant are at increased risk of developing - correct
answer✔✔pulmonary hemorrhage.
A discrepancy greater than 10 mm Hg between the blood pressure in the
upper and lower extremities is indicative of which defect? - correct
answer✔✔Coarctation of the aorta
In order to pass a pulse oximetry screening for critical congenital heart
disease (CCHD), which oxygenation and percentage of variance is required
2024-2026 OVER 350+ QUESTIONS WITH CORRECT DETAILED
ANSWERS GRADED A+
During fetal life, the ductus arteriosus - correct answer✔✔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 - correct answer✔✔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 -
correct answer✔✔gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be
assessed for - correct answer✔✔Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - correct
answer✔✔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 -
correct answer✔✔environmental.
In the immediate newborn transition period, the ability to maintain functional
residual lung capacity is most dependent upon - correct answer✔✔an
adequate amount of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels
evaluated within 2 hours of life because - correct answer✔✔blood glucose
levels reach their lowest point within one to two hours after delivery.
Polycythemia in the immediate newborn period is often associated with -
correct answer✔✔infant of a diabetic mother.
,Symptoms of mild perinatal asphyxia include - correct answer✔✔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 - correct answer✔✔harlequin phenomena.
The following conditions may all lead to metabolic acidosis - correct
answer✔✔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 - correct answer✔✔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 - correct 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 - correct
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 - correct answer✔✔pulmonary hypertension of the
newborn.
The development of pneumonia in chronically ventilated infants is most
commonly associated with which of the following organisms? - correct
answer✔✔Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - correct
answer✔✔increasing the number of type II pneumocytes in the lung.
,Mean airway pressure is defined as the - correct 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. - correct answer✔✔Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55,
HCO3- 21 and base deficit -4 indicate - correct 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 - correct answer✔✔mixed
respiratory and metabolic acidosis.
Which statement is most accurate when identifying the pathophysiology of
transient tachypnea of the newborn (TTN)? - correct 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? - correct answer✔✔Canalicular phase
An absence of air flow despite respiratory effort is an example of which
apnea classification? - correct answer✔✔Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by -
correct answer✔✔improving the ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be
approximately - correct answer✔✔30 ml/kg.
, A 29 week gestation infant who displays symptoms of a pulmonary
hemorrhage should be evaluated for - correct answer✔✔patent ductus
arteriosus.
The most significant role of surfactant in neonatal lung development is to -
correct answer✔✔maintain alveolar stability by decreasing surface tension.
Most respiratory disorders result in a ventilation-perfusion mismatch.
Ideally, the ventilation-perfusion ratio should be - correct 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? - correct answer✔✔Intraventricular hemorrhage
Which of the following conditions is not an air leak? - correct
answer✔✔Pneumatosis intestinalis
The decision to intubate an infant born through thick meconium should be
based on the infant's - correct answer✔✔response to stimulation and bag
and mask ventilation.
The type of patient-triggered ventilator that applies a constant pressure
during inspiration and terminates with a decrease in air flow, thereby
decreasing the work of breathing, is a(n) - correct answer✔✔pressure
support ventilation.
Neonates receiving surfactant are at increased risk of developing - correct
answer✔✔pulmonary hemorrhage.
A discrepancy greater than 10 mm Hg between the blood pressure in the
upper and lower extremities is indicative of which defect? - correct
answer✔✔Coarctation of the aorta
In order to pass a pulse oximetry screening for critical congenital heart
disease (CCHD), which oxygenation and percentage of variance is required
