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? Correct Ans-Respiratory acidosis
The late preterm infant population is currently defined as babies who are born between
Correct Ans-34 and 36 completed weeks of gestation.
One of the most common causes of neonatal sepsis is Correct Ans-group B strep infection.
Blood sugar screenings for a late preterm infant should continue prior to every feeding until
Correct Ans-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
Correct Ans-5-7 days of life.
Which of the following signs may be seen in a newborn with a pneumothorax? Correct
Ans-All of the above
, AWHONN POEP Module 13- Questions and Answers
All of the following conditions may predispose an infant to meconium aspiration syndrome
except Correct Ans-prematurity.
Lola is a 24-year-old Caucasian primipara who has arrived at the labor and birth unit with
excessive, bright red, vaginal bleeding. She is 36 5/7 weeks' pregnant and has a known
placenta previa. She has a history of poorly controlled type I diabetes. After an evaluation, her
primary care provider has determined that Lola needs to have a primary cesarean birth. Her
neonate is most at risk for Correct Ans-respiratory distress syndrome.
Baby Aleah was born at 42 weeks of gestation by vacuum-assisted vaginal birth 2 hours ago.
She had a vacuum-assisted delivery with Apgar scores 5/8. Which potential birth injury should
baby Aleah be monitored closely for? Correct Ans-Subgaleal hemorrhage
Placental function begins to decrease toward the end of pregnancy, which may result in
decreased perfusion to the fetal kidneys. This may cause Correct Ans-oligohydramnios.
A newborn is born after a difficult birth and meets the criteria for therapeutic hypothermia.
Cooling the newborn must begin within Correct Ans-6 hours of birth.
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 Correct Ans-symmetric
intrauterine growth restriction.
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