Download AWHONN POEP Module 13 Questions with Complete Solutions | 100% pass 2025-2026 and more Exams Nursing in PDF only on Docsity!
AWHONN POEP Module 13 Questions with
Complete Solutions | 100% pass
The growth pattern for an infant whose head circumference, length, and weight all fall below the 10th percentile on the newborn growth chart is considered - ✔✔symmetric intrauterine growth restriction.
Selwin is a 2-hour-old neonate who was born at 41 weeks gestation with a tight nuchal cord. After delivery of the placenta, the primary care provider noted a silent abruption. Currently, Selwin has tachypnea, mild grunting, and retractions. His arterial blood gas results are: pH: 7.25, pCO2: 36, HCO3:
- Which of the following is a correct interpretation of these blood gas results? - ✔✔Metabolic acidosis
Cecelia was born at 42 week gestation with meconium stained amniotic fluid after a prolonged second stage of labor. She is floppy, apneic, and has a heart rate of 60 beats per minute. The first action in
caring for Cecelia is to - ✔✔assist with intubation to clear the airway of meconium.
All of the following conditions warrant the use of continuous positive airway pressure (CPAP) in a
newborn except - ✔✔diaphragmatic hernia.
Tatiana is a 24-year-old homeless woman who presents to the labor and delivery unit in active labor with no history of prenatal care. She gives birth precipitously within 10 minutes after her arrival. The neonate's Apgar scores are 2 at 1 minute of life, 5 at 5 minutes of life, and 7 at 10 minutes of life, and the neonate falls in the small for gestational age category on the neonatal growth chart. At 12 hours of age, the neonate is tachypneic, jittery, hypertonic, high-pitched cry, and inconsolable. It is important to
screen this neonate for - ✔✔substance exposure.
When evaluating a neonate for sepsis the term "left shift" refers to the - ✔✔increase in proportion of immature white blood cells.
Mario is a 2-hour-old neonate who was born at 41 weeks gestation with meconium stained amniotic fluid. He presented floppy and apneic and after tracheal suctioning for meconium, he required 2 minutes of bag/mask ventilation on 100% oxygen. He was weaned to room air by 10 minutes of age. Currently, Mario has tachypnea, mild grunting, and retractions. His arterial blood gas levels are: pH: 7.15, pCO2: 63, HCO3: 21. Which of the following is a correct interpretation of these blood gas results? -
✔✔Respiratory acidosis
The late preterm infant population is currently defined as babies who are born between - ✔✔34 and 36 completed weeks of gestation.
One of the most common causes of neonatal sepsis is - ✔✔group B strep infection.
Blood sugar screenings for a late preterm infant should continue prior to every feeding until - ✔✔the newborn is at least 24 hours old and plasma glucose concentrations are at least 45 mg/dl (2.5 mmol/L).
In contrast to term newborns, bilirubin levels in late preterm newborns typically peak at - ✔✔5-7 days of life.
Which of the following signs may be seen in a newborn with a pneumothorax? - ✔✔All of the above
All of the following conditions may predispose an infant to meconium aspiration syndrome except -
✔✔prematurity.
Complications associated with large for gestational age infants may include - ✔✔hypoglycemia, skull fractures, and Erb's palsy.
Determination of risk levels of hyperbilirubinemia treatment is currently based on the use of nomograms that compare an infant's - ✔✔TSB level and age in hours.
Which of the following maternal conditions may place an infant at risk for asymmetric intrauterine
growth restriction? - ✔✔Gestational hypertensive disorders
Which type of white blood cell migrates to the walls of blood vessels to attack bacteria through chemotaxis and phagocytosis? - ✔✔Neutrophils
Kimberly is a full term newborn born at 8:40 am to a diabetic mother. Her mother is planning to feed her with formula. Prior to her third feeding at 1:30 p.m., Kimberly's blood sugar was 31 mg/dl (1.7 mmol/L). She tolerated ¼ oz. of formula. One hour after feeding, Kimberly's blood sugar was 30 mg/dl (1.
mmol/L). The next intervention is to - ✔✔notify the primary care provider immediately and anticipate an order for intravenous (IV) fluids containing a dextrose solution.
