NBRC Registered Respiratory Therapist – Neonatal Pediatric Specialty (RRT-NPS) Practice Test

Neonatal lab values reflect transitional physiology after birth, especially the higher red cell mass and fetal hemoglobin. Hemoglobin in healthy newborns is typically higher than adult values, often in the mid-teens to the low twenties range. A range that includes 12.7 to 18.6 g/dL fits well with what many healthy newborns may have in the early neonatal period, so it represents a normal finding. A white blood cell count in the tens of thousands can occur, but the normal range for a healthy neonate is lower; counts as high as 50,000–60,000/µL are not considered a typical normal finding and may indicate stress or infection rather than a normal baseline. Neonatal glucose should be maintained above about 40 mg/dL; a value of 20–40 mg/dL would indicate hypoglycemia, which is not normal and requires assessment and intervention. The albumin/globulin ratio in healthy neonates is not typically this high; a ratio around 3.0–4.0 would be unusual and not considered a normal baseline. Thus, the statement describing a hemoglobin value in the neonatal range best aligns with normal neonatal laboratory findings.