AWHONN NEONATAL EXAM | ALL
MODULES EXAMS | CORRECTLY
ANSWERED AND GRADED A+ |
LATEST 2024/2025
The neonate displaying a marbling or mottling effect of the skin would be
exhibiting which of the following skin conditions?
- Correct Answer - Cutis marmorata
The nurse finds small white or yellow papules with erythematous
margins located on the neonate's face and trunk. Management should
include
- Correct Answer - explaining to the parents the rash is a normal
newborn finding.
What is the primary cause of skin breakdown in infants within a newborn
intensive care setting?
- Correct Answer - Use of adhesives to secure tubing
Which of the following is the MOST commonly observed newborn rash?
- Correct Answer - Erythema toxicum
Which of the following protocols is used to treat a dobutamine
extravasation? Administer
- Correct Answer - 5 subcutaneous injections of phentolamine (Regitine)
around the periphery of the site within one hour of infiltration.
,phentolamine s/b used to reverse vasoconstricting effects of dopamine;
administer hyaluronudase in 4-5 0.2 ml sc injections around ther
periphery of the injury; tx most effective when done w/in one hour, but
may still be beneficial if done in 12 hours.
Which of the following statements about hemangiomas is TRUE?
- Correct Answer - Some hemangiomas are permanent, and others will
resolve. nodules, solid, elevated lesions; arise from deeper layers of the
skin > 1 cm; more common in preterm infants, females, caucasian,
multiples; referred to as stork bite; blanches w pressure; darkens when
crying; includes port wine stains
Which of the following statements does not accurately describe the
stratum corneum? The stratum corneum
- Correct Answer - is the outermost layer of cells that form the dermal
layer.
All late preterm infants are at risk for hypoglycemia due to which of the
following?
- Correct Answer - Impaired ability to generate glucose from glycogen
stores and increased glucose utilization
All of the following have had an impact on the rising late preterm birth
rate EXCEPT
- Correct Answer - decreasing maternal age.
All of the following increase parental confidence in caring for the late
preterm infant EXCEPT
- Correct Answer - open visitation so others can help with newborn care.
,If the neonate is symptomatic with a plasma glucose value of less than
40mg/dl (2.2 mmol/L) and is refusing or NOT tolerating feedings, the
nurse should request orders for the following interventions:
- Correct Answer - an intravenous bolus of 2 ml/kg D10W and an
intravenous D10W infusion initiated at 80 ml/kg/day.
In contrast to term newborns, bilirubin levels in late preterm newborns
typically peak at
- Correct Answer - 5-7 days of life
Late preterm infants may need additional time to meet the criteria
recommended for discharge. Therefore, late preterm infants should NOT
be discharged prior to
- Correct Answer - 48 hours of life.
Parents should be taught to assess their infant's _________
temperature.
- Correct Answer - axillary
Routine nursing interventions to prevent hypoglycemia in the late
preterm infant should include
- Correct Answer - initiation of breastfeeding of all late preterm infants
within the first hour of life.
The components of safe sleep include the following EXCEPT
- Correct Answer - sharing a sleep surface with parents.
, The dose for oral glucose gel for asymptomatic neonatal hypoglycemia
is _____mg/kg body weight.
- Correct Answer - 200
The late preterm infant population is currently defined as infants who are
born between
- Correct Answer - 34 to 36 6/7 weeks of gestation.
The late preterm infant should meet the following discharge criteria:
Successful feedings for
- Correct Answer - 24 hours and vital signs within normal limits for 12
hours prior to discharge.
The late preterm newborn is at risk of developing hypothermia because
of - Correct Answer - decreased ability to flex extremities
The nurse should utilize the following interventions to promote
successful breastfeeding in the late preterm infant EXCEPT
- Correct Answer - providing supplementation after every feeding.
Which of the following statements about the late preterm infant is TRUE?
- Correct Answer - Body mass and fat stores are low and may impact the
infant's ability to maintain normal temperatures.
The MOST common screening tests for Down Syndrome offered to
parents in the first trimester
- Correct Answer - maternal serum alpha fetoprotein.
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