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Book 4 Unit 7
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
A term baby with short bowel syndrome recently returned to your nursery from a regional perinatal center. Which of the following measurements is least important for you to monitor in this baby?
A. Urine pH level
B. Weight gain
C. Frequency of stool production
D. Blood electrolytes
Two weeks ago, a 1,500-g (3 lb 5 oz), preterm baby returned to your hospital after 3 weeks in a regional perinatal center. The parents live in your town and have visited the baby once in the past 2 weeks. What would you do?
Two weeks ago, a 1,500-g (3 lb 5 oz), preterm baby returned to your hospital after 3 weeks in a regional perinatal center. The parents live in your town and have visited the baby once in the past 2 weeks. What would you do?
Yes
No
Request consultation from social service department staff.
Call the parents and chat with them about their baby.
Begin making plans for the baby to be sent to a foster home.
Which of the following babies is at highest risk for developing hydrocephalus?
A. A term baby treated for hypoglycemia
B. A 1,000-g (2 lb 3 oz), preterm baby requiring assisted ventilation
C. A baby at 36 weeks' postmenstrual age who received an exchange transfusion
D. 1,800-g (3 lb 15112 oz) baby born at 40 weeks' gestation
All of the following statements about retinopathy of prematurity are correct except
A. Laser photocoagulation may be helpful in reducing poor visual outcome from retinopathy of prematurity.
B. Retinopathy of prematurity is unlikely to develop in babies born at term.
C. Mild to moderate retinopathy of prematurity may resolve completely.
D. All preterm babies with a Pao2 greater than 100 mm Hg will develop retinopathy of prematurity .
A preterm baby requires assisted ventilation and several weeks of intensive care at a regional perinatal center. Now the baby is stable, weighs 1,500 g (3 lb 5 oz), has no respiratory distress, and is returning to your nursery for further weight gain. Which of the following things should be done for this baby?
A preterm baby requires assisted ventilation and several weeks of intensive care at a regional perinatal center. Now the baby is stable, weighs 1,500 g (3 lb 5 oz), has no respiratory distress, and is returning to your nursery for further weight gain. Which of the following things should be done for this baby?
Yes
No
Measure the baby's head circumference once a week.
Start the baby on phenobarbital.
Weigh the baby daily.
Administer iron dextran intramuscularly.
Check the baby's hematocrit value at least once a week.
Attach the baby to a cardiac or respiratory monitor.
A 4,540-g (10 lb) baby has seizures that are controlled with a certain drug dose. By the time the baby reaches 9,070 g (20 lb), he should be receiving twice as much medication
True
False
When a preterm baby reaches 1,500 g (3 lb 5 oz) and her respiratory disease has resolved, it is safe to assume the baby will not have an apneic spell.
True
False
Nipple feedings should be used for any baby who has a gag reflex and can suck on a nipple.
True
False
Babies with chronic lung disease can grow completely new, healthy lung tissue.
True
False
After a baby with hydrocephalus has a shunt placed, it is no longer necessary to measure the baby's head circumference .
True
False
It is a good sign if a baby with congenital heart disease gains 60 g (2 oz) or more per day for several days in a row.
True
False
Babies who require caffeine to control apneic spells may have the drug stopped and be sent home the next day, as long as they have reached a weight of 1,800 g (3 lb 15Yz oz).
True
False
Any baby with short bowel syndrome will need an ostomy (colostomy or ileostomy) for the rest of their life.
True
False
All of the following findings are common causes of anemia in preterm babies except
A. Blood taken from the baby for laboratory tests
B. Drop in hemoglobin level or hematocrit value after birth
C. Bronchopulmonary dysplasia
Which of the following things should you do when supplementing a baby's nipple feedings with tube feedings given through a nasogastric or an orogastric tube?
A. Feed the baby as much as he or she will take by nipple, and then insert a feeding tube and give the remainder of the feeding through the tube.
B. Feed the baby as much as he or she will take by nipple while a feeding tube is in place, and then give the remainder of the feeding through the tube.
All of the following steps are important in weaning a baby from an incubator except
A. Putting a stocking cap on the baby's head
B. Wrapping the baby in blankets
C. Recording the baby's daily weight during the weaning period
D. Adjusting the room temperature to a neutral thermal environment during the weaning period
Indicate which of the following things should be routinely checked for a hospitalized baby with congenital heart disease and congestive heart failure:
Indicate which of the following things should be routinely checked for a hospitalized baby with congenital heart disease and congestive heart failure:
Yes
No
Blood electrolytes
Volume of urine output
Stool pH level
Hematocrit value
Weight gain
Blood calcium level
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