Qualtrics Survey | Qualtrics Experience Management

Book 1 UNIT 8

Select the one best answer to each question (unless otherwise instructed).

Untreated hypoglycemia in a newborn can cause neurological injury.

True
False

Intravenous (IV) therapy for hypoglycemia should be stopped as soon as the blood glucose screening results become normal.

True
False

A baby who is hypoglycemic may have a seizure.

True
False

Large-for-gestational-age babies are at risk for the development of hypoglycemia.

True
False

Babies born to women with diabetes also have diabetes mellitus and, therefore, are at risk for hypoglycemia.

True
False

A newborn's blood glucose screening result of 32 mg/dL at 5 hours of age requires evaluation.

True
False

Which of the following term babies is at highest risk for hypoglycemia?

B. A baby with fetal growth restrictionA. A baby whose mother last ate 14 hours prior to delivery
B. A baby with fetal growth restriction
C. A breastfed baby
D. A baby who was delivered via planned cesarean delivery

The legs of a term, appropriate-for-gestational-age baby shake uncontrollably for 90 seconds. What should you do?

A. Begin IV therapy with 25% dextrose.
B. Wrap the baby in an extra blanket.
C. Perform a blood glucose screening.
D. Watch the baby to see if the shaking happens again.

A baby weighing 3,780 g (8 lb 5 oz) is born at 38 weeks of gestation to a woman with diabetes mellitus. What is the most appropriate time for this baby's first feeding?

A. Within 1 hour of age
B. 4 to 6 hours of age
C. 8 to 10 hours of age
D. On demand

A baby is being treated for hypoglycemia. The baby's IV line infiltrates at 3:00 am. What should you do?

A. Pull out the IV line and have a new one started immediately.
B. Leave the IV line in and slow the infusion rate.
C. Pull out the IV line and have a new one started when rounds are made at 8:00 am.
D. Pull out the IV line and feed the baby 15% dextrose by mouth.

A baby has a blood glucose screening result of 10 mg/dl and is jittery. What should you do next?

A. Immediately begin feedings of human (breast) milk or formula if that is the moth er's feeding plan.
B. Administer 2 ml/kg of 25% dextrose intravenously or oral dextrose gel, and then start a 10% dextrose infusion at 5 ml/kg/hand begin orally feeding the baby once asymptomatic.
C. Draw a blood sample for laboratory analysis of blood glucose. If the test con firms a low blood glucose level, begin treatment as soon as the test result is known.
D. Administer 2 ml/kg of 10% dextrose intravenously or 0.5 ml/kg of a 40% oral dextrose gel (200 mg/kg). and then start a 10% dextrose infusion at 5 ml/kg/h and begin orally feeding the baby once the baby is asymptomatic .