CCRN NEONATAL EXAM WITH FULL
COVERAGE
A tdeformation tis ta(n) t- tcorrect tanswers t-abnormality tcaused tby tunusual tmechanical
tforces ton tnormal ttissue.
A tlow tbirth tweight tinfant's ttemperature tincreases tduring tskin-to-skin tcare. tThis tis tan
texample tof theat ttransfer tby t- tcorrect tanswers t-conduction.
At tthe tonset tof tlabor tthe trelease tof tcatecholamines tstimulates t- tcorrect tanswers t-
increased tabsorption tof tlung tfluid.
,An tedematous, tbruised tlesion ton tthe tright tanterior tscalp twhere tthe tvacuum twas
tapplied. tThis tlesion thas tclearly tdemarcated tedges, tis tfirm tto ttouch, tand tdoes tnot
tcross tthe tsuture tline. tThis tis tbest tdescribed tas ta t- tcorrect tanswers t-
cephalohematoma.
An tinfant tborn tat t40 t5/7 tweeks tgestation tand tweighed t5 tlbs t2oz t(2,360 tgrams). tIn
tcompleting ta tgestational tage tassessment ton tthis tinfant, tyou twould tidentify ther tas t-
tcorrect tanswers t-term, tsmall tfor tgestational tage.
During tfetal tlife, tthe tductus tarteriosus t- tcorrect tanswers t-diverts tblood tflow tfrom tthe
tpulmonary tartery tto tthe tdescending taorta.
Expected tfindings tin ta tneonate tborn tto ta tmother twho treceived tmagnesium tsulfate
tin tlabor tinclude t- tcorrect tanswers t-hypotonia.
Eye tprophylaxis twith ta tsingle-use tdose tof tsterile tophthalmic tointment tcontaining t1%
ttetracycline tor t0.5% terythromycin tis tusually tadministered twithin tthe tfirst tfew thours
tof tbirth tto tprevent tan teye tinfection tcaused tby t- tcorrect tanswers t-gonorrhea.
Following ta tbirth tcomplicated tby tshoulder tdystocia, tthe tneonate tshould tbe tassessed
tfor t- tcorrect tanswers t-Erb's tpalsy.
Preeclampsia tmay tresult tin tall tof tthe tfollowing tfetal tconditions t- tcorrect tanswers t-
growth trestriction, thypoxia/neurological tinjury, tprematurity.
Hyperthermia tis tdefined tas tan taxillary ttemperature tgreater tthan t99.5ºF t(37.5ºC).
tThe tMOST tcommon tcause tof thyperthermia tin tthe tnewborn tis t- tcorrect tanswers t-
environmental.
In tthe timmediate tnewborn ttransition tperiod, tthe tability tto tmaintain tfunctional tresidual
tlung tcapacity tis tmost tdependent tupon t- tcorrect tanswers t-an tadequate tamount tof
talveolar tsurfactant.
Neonates tat trisk tof thypoglycemia tshould thave ttheir tglucose tlevels tevaluated twithin
t2 thours tof tlife tbecause t- tcorrect tanswers t-blood tglucose tlevels treach ttheir tlowest
tpoint twithin tone tto ttwo thours tafter tdelivery.
Polycythemia tin tthe timmediate tnewborn tperiod tis toften tassociated twith t- tcorrect
tanswers t-infant tof ta tdiabetic tmother.
Symptoms tof tmild tperinatal tasphyxia tinclude t- tcorrect tanswers t-hyperalert tstate tand
tjitteriness.
The tcondition tin twhich tthe tnewborn's timmature thypothalamus tdoes tnot tregulate
tperipheral tblood tvessels, tresulting tin ta tvasoconstriction ton tone tside tof tthe tbody
, twith ta tvasodilation ton tthe topposite tside tof tthe tbody tis tcalled t- tcorrect tanswers t-
harlequin tphenomena.
The tfollowing tconditions tmay tall tlead tto tmetabolic tacidosis t- tcorrect tanswers t-loss
tof tHCO3/excess tacid tload td/t tprematurity, trenal ttubular tnecrosis, tsevere tdiarrhea,
thypoxia, thypoperfusion, tinborn terrors tof tmetabolism, tcaloric tdeprivation, tintolerance
tof tcow's tmilk tprotein.
The tfull tnewborn tcardiovascular tassessment tincludes tauscultation, tinspection, tand
tpalpation. tThe tpoint tof tmaximum timpulse tis tusually tpalpable tand tcan tbe
tauscultated tin tthe t- tcorrect tanswers t-third tto tfourth tintercostal tspace tand tleft tof tthe
tmidclavicular tline.
The tneonate tborn tto ta tmother twith tuncontrolled tdiabetes tmellitus tshould tbe
tevaluated tfor t- tcorrect tanswers t-congenital tmalformations.
You tare tthe tnurse tcaring tfor ta t38 tweeks tgestation, tfemale tinfant, twho twas tborn
tone thour tago tin tthe tparking tlot tof tthe temergency troom. tOn tadmission tto tthe
tnursery, tthe tneonate's trectal ttemperature twas t95ºF t(35ºC). tYou trecognize tthat tcold
tstress tmay tpredispose tthe tinfant tto t- tcorrect tanswers t-increased toxygen
tconsumption tand thypoxia.
A tfull tterm tneonate twho tpresents tat tsix thours tof tage twith tincreasingly tlabile
toxygenation tthat tappears tdisproportionate tto tthe tpulmonary tdisease tshould tbe
tevaluated tfor t- tcorrect tanswers t-pulmonary thypertension tof tthe tnewborn.
The tdevelopment tof tpneumonia tin tchronically tventilated tinfants tis tmost tcommonly
tassociated twith twhich tof tthe tfollowing torganisms? t- tcorrect tanswers t-Ureaplasma
turealyticum
Antenatal tsteroids tenhance tlung tmaturation tby t- tcorrect tanswers t-increasing tthe
tnumber tof ttype tII tpneumocytes tin tthe tlung.
Mean tairway tpressure tis tdefined tas tthe t- tcorrect tanswers t-pressure ttransmitted tto
tthe tlung tthroughout tthe trespiratory tcycle.
Many tinfants twith tthe tdiagnosis tof tpersistent tpulmonary thypertension t(PPHN) twill
thave tpharmacologic tsupport. tIdentify tthe tmedication tthat tis ta tdirect-acting
tvasodilator tand tacts tby trelaxing tpulmonary tvessel tmusculature. t- tcorrect tanswers t-
Nitric toxide
The tfollowing tarterial tblood tgas tresults: tpH t7.28, tPaO2 t74, tPaCO2 t55, tHCO3- t21
tand tbase tdeficit t-4 tindicate t- tcorrect tanswers t-respiratory tacidosis.
Nastassia tis ta tone-hour-old tneonate, tborn tat t39 tweeks tgestation tby tprimary
tcesarean tbirth tfor tfetal tbradycardia. tShe twas thypotonic tat tbirth twith tgasping
COVERAGE
A tdeformation tis ta(n) t- tcorrect tanswers t-abnormality tcaused tby tunusual tmechanical
tforces ton tnormal ttissue.
A tlow tbirth tweight tinfant's ttemperature tincreases tduring tskin-to-skin tcare. tThis tis tan
texample tof theat ttransfer tby t- tcorrect tanswers t-conduction.
At tthe tonset tof tlabor tthe trelease tof tcatecholamines tstimulates t- tcorrect tanswers t-
increased tabsorption tof tlung tfluid.
,An tedematous, tbruised tlesion ton tthe tright tanterior tscalp twhere tthe tvacuum twas
tapplied. tThis tlesion thas tclearly tdemarcated tedges, tis tfirm tto ttouch, tand tdoes tnot
tcross tthe tsuture tline. tThis tis tbest tdescribed tas ta t- tcorrect tanswers t-
cephalohematoma.
An tinfant tborn tat t40 t5/7 tweeks tgestation tand tweighed t5 tlbs t2oz t(2,360 tgrams). tIn
tcompleting ta tgestational tage tassessment ton tthis tinfant, tyou twould tidentify ther tas t-
tcorrect tanswers t-term, tsmall tfor tgestational tage.
During tfetal tlife, tthe tductus tarteriosus t- tcorrect tanswers t-diverts tblood tflow tfrom tthe
tpulmonary tartery tto tthe tdescending taorta.
Expected tfindings tin ta tneonate tborn tto ta tmother twho treceived tmagnesium tsulfate
tin tlabor tinclude t- tcorrect tanswers t-hypotonia.
Eye tprophylaxis twith ta tsingle-use tdose tof tsterile tophthalmic tointment tcontaining t1%
ttetracycline tor t0.5% terythromycin tis tusually tadministered twithin tthe tfirst tfew thours
tof tbirth tto tprevent tan teye tinfection tcaused tby t- tcorrect tanswers t-gonorrhea.
Following ta tbirth tcomplicated tby tshoulder tdystocia, tthe tneonate tshould tbe tassessed
tfor t- tcorrect tanswers t-Erb's tpalsy.
Preeclampsia tmay tresult tin tall tof tthe tfollowing tfetal tconditions t- tcorrect tanswers t-
growth trestriction, thypoxia/neurological tinjury, tprematurity.
Hyperthermia tis tdefined tas tan taxillary ttemperature tgreater tthan t99.5ºF t(37.5ºC).
tThe tMOST tcommon tcause tof thyperthermia tin tthe tnewborn tis t- tcorrect tanswers t-
environmental.
In tthe timmediate tnewborn ttransition tperiod, tthe tability tto tmaintain tfunctional tresidual
tlung tcapacity tis tmost tdependent tupon t- tcorrect tanswers t-an tadequate tamount tof
talveolar tsurfactant.
Neonates tat trisk tof thypoglycemia tshould thave ttheir tglucose tlevels tevaluated twithin
t2 thours tof tlife tbecause t- tcorrect tanswers t-blood tglucose tlevels treach ttheir tlowest
tpoint twithin tone tto ttwo thours tafter tdelivery.
Polycythemia tin tthe timmediate tnewborn tperiod tis toften tassociated twith t- tcorrect
tanswers t-infant tof ta tdiabetic tmother.
Symptoms tof tmild tperinatal tasphyxia tinclude t- tcorrect tanswers t-hyperalert tstate tand
tjitteriness.
The tcondition tin twhich tthe tnewborn's timmature thypothalamus tdoes tnot tregulate
tperipheral tblood tvessels, tresulting tin ta tvasoconstriction ton tone tside tof tthe tbody
, twith ta tvasodilation ton tthe topposite tside tof tthe tbody tis tcalled t- tcorrect tanswers t-
harlequin tphenomena.
The tfollowing tconditions tmay tall tlead tto tmetabolic tacidosis t- tcorrect tanswers t-loss
tof tHCO3/excess tacid tload td/t tprematurity, trenal ttubular tnecrosis, tsevere tdiarrhea,
thypoxia, thypoperfusion, tinborn terrors tof tmetabolism, tcaloric tdeprivation, tintolerance
tof tcow's tmilk tprotein.
The tfull tnewborn tcardiovascular tassessment tincludes tauscultation, tinspection, tand
tpalpation. tThe tpoint tof tmaximum timpulse tis tusually tpalpable tand tcan tbe
tauscultated tin tthe t- tcorrect tanswers t-third tto tfourth tintercostal tspace tand tleft tof tthe
tmidclavicular tline.
The tneonate tborn tto ta tmother twith tuncontrolled tdiabetes tmellitus tshould tbe
tevaluated tfor t- tcorrect tanswers t-congenital tmalformations.
You tare tthe tnurse tcaring tfor ta t38 tweeks tgestation, tfemale tinfant, twho twas tborn
tone thour tago tin tthe tparking tlot tof tthe temergency troom. tOn tadmission tto tthe
tnursery, tthe tneonate's trectal ttemperature twas t95ºF t(35ºC). tYou trecognize tthat tcold
tstress tmay tpredispose tthe tinfant tto t- tcorrect tanswers t-increased toxygen
tconsumption tand thypoxia.
A tfull tterm tneonate twho tpresents tat tsix thours tof tage twith tincreasingly tlabile
toxygenation tthat tappears tdisproportionate tto tthe tpulmonary tdisease tshould tbe
tevaluated tfor t- tcorrect tanswers t-pulmonary thypertension tof tthe tnewborn.
The tdevelopment tof tpneumonia tin tchronically tventilated tinfants tis tmost tcommonly
tassociated twith twhich tof tthe tfollowing torganisms? t- tcorrect tanswers t-Ureaplasma
turealyticum
Antenatal tsteroids tenhance tlung tmaturation tby t- tcorrect tanswers t-increasing tthe
tnumber tof ttype tII tpneumocytes tin tthe tlung.
Mean tairway tpressure tis tdefined tas tthe t- tcorrect tanswers t-pressure ttransmitted tto
tthe tlung tthroughout tthe trespiratory tcycle.
Many tinfants twith tthe tdiagnosis tof tpersistent tpulmonary thypertension t(PPHN) twill
thave tpharmacologic tsupport. tIdentify tthe tmedication tthat tis ta tdirect-acting
tvasodilator tand tacts tby trelaxing tpulmonary tvessel tmusculature. t- tcorrect tanswers t-
Nitric toxide
The tfollowing tarterial tblood tgas tresults: tpH t7.28, tPaO2 t74, tPaCO2 t55, tHCO3- t21
tand tbase tdeficit t-4 tindicate t- tcorrect tanswers t-respiratory tacidosis.
Nastassia tis ta tone-hour-old tneonate, tborn tat t39 tweeks tgestation tby tprimary
tcesarean tbirth tfor tfetal tbradycardia. tShe twas thypotonic tat tbirth twith tgasping
