The fetal circulatory system is supported by the placenta. The umbilical cord, which is
comprised of two arteries and one vein, carries blood to and from the fetus. Identify the
correct statement about the umbilical cord below. Correct Ans-The umbilical vein carries
oxygenated blood from the placenta to the fetus.
Jaundice that typically appears within the first 24-36 hours of life, with rapidly rising serum
bilirubin levels, and is usually caused by an underlying disease process, such as sepsis or
hemolysis is called Correct Ans-pathologic jaundice.
Gabriella was born by operative vaginal birth after a prolonged second stage of labor. She
presented as floppy and apneic, and required bag/mask ventilation and fluid resuscitation in
the delivery room. Her Apgar scores were 3 at 1 minute of life, 5 at 5 minutes of life, and 8 at
10 minutes of life. The pediatrician has requested that a cord blood sample be sent to the lab.
To document the most accurate acid-base status at the time of delivery, this blood sample
should be drawn from the Correct Ans-umbilical artery.
Which infant is most at risk for hypothermia? Correct Ans-An infant with neurologic
deficits
The purpose of gestational age assessment is to verify the newborn's gestational age after
birth by evaluating physical and neuromuscular maturity. Ideally, a gestational age
assessment should be performed by Correct Ans-12 hours of life.
, AWHONN POEP Module 12- Test Questions and Answers
Although most women are able to breastfeed if they choose, there are important instances in
which breastfeeding is contraindicated. Which of the following is not a contraindication to
breastfeeding? Correct Ans-Hepatitis C infection
While inspecting the patency of the anus, it is important to note the passage of stool. Most
newborns will pass meconium within the first Correct Ans-24-48 hours.
A pink macular lesion that blanches with pressure and darkens with crying and oftentimes
found over the brow or on the neck is called Correct Ans-*Wrong: erythema toxicum &
melanocytic nevus
Francesca is a 34-year-old primipara with a history of type-I diabetes. She was delivered by
primary cesarean birth for macrosomia. She gave birth to a male infant weighing 12 lbs 4 oz.
(5,557 g). You recognize that the infant may be at risk for hypoglycemia secondary to
Correct Ans-fetal-neonatal overproduction of insulin.
While teaching Karin about her infant's umbilical cord, it is important to stress that routine
cord care consists of Correct Ans-leaving the cord exposed to air and observing for
redness, drainage, and/or odor.
Mrs. Joseph delivered a healthy, male infant yesterday. She and her partner are discussing the
benefits and risks of circumcision. Which of the following statements about neonatal
circumcision is correct? Correct Ans-When the decision is made to proceed with
circumcision, analgesia and anesthesia should be provided.
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