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Book 3 Unit 8

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.

Which of the following signs most commonly indicates a newborn has a systemic infection?

A. A low body temperature
B. An increased body temperature
C. Persistent cough
D. Skin rash

Which of the following statements is true?

A. Medication is available to cure babies with congenital rubella.
B. An infected baby will always have a white blood cell count outside of reference range.
C. An infected baby may develop metabolic aci dosis.
D. Gentamicin should be administered via rapid intravenous push to obtain thera peutic blood levels.

Of the following procedures, what is the first thing that should be done for a baby suspected of having a systemic infection?

A. Begin antibiotic therapy.
B. Wash the baby with diluted hexachlorophene (pHisoHex).
C. Obtain blood cultures.
D. Administer intravenous "Y- globulin.

Which of the following procedures is most effective in controlling the spread of infection in the nursery?

A. Have everyone wear hospital scrub clothing.
B. Require handwashing between handling babies.
C. Put all babies in incubators.
D. Have everyone wear masks

What is one reason babies become infected more often than adults?

A. Have everyone wear hospital scrub clothing.A. The level of complement in the blood is excessively high.
B. They are exposed to more virulent organisms.
C. They have fewer white blood cells.
D. Their immune system is immature.

Babies with mild localized staphylococcal infections require only mild soap and water washes of the affected area and application of an antibiotic ointment .

True
False

An umbilical arterial catheter increases a baby's risk for infection

True
False

Neonatal group B 13-hemolytic streptococcal sepsis is rarely a life threatening infection

True
False

Even if a baby shows no sign of infection, congenital syphilis should be treated with intravenous antibiotics for 10 to 14 days.

True
False

Hepatitis B virus vaccine is recommended only for babies with mothers who test positive for hepatitis B surface anti gen.

True
False

Antiretroviral treatment of HIV-positive women during pregnancy and labor can dramatically reduce the number of babies who become infected with HIV.

True
False

Gonococcal conjunctivitis is a localized infection that requires sys temic antibiotic treatment

True
False

For each of the following conditions, determine if it places the baby at risk for devel oping an infection :

For each of the following conditions, determine if it places the baby at risk for devel oping an infection :



	Yes	No
Rupture of membranes 24 hours prior to delivery
Active labor for 24 hours
Father's skin colonized with staphylococcal epidermidis

For each of the following conditions, determine if it places the baby at risk for devel oping an infection :

For each of the following conditions, determine if it places the baby at risk for devel oping an infection :



	Yes	No
The baby was at risk for infection at the time of birth.
Reduced temperature is a clinical sign of infection in babies.
This baby probably has a localized infection .
The first actions to take are to begin supportive care and obtain cultures from this baby.
You should obtain blood cultures and promptly begin antibiotics.
Ampicillin alone is an appropriate treatment for this baby.