Pcep logo
Book 3 Unit 9

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
A 4,000-g (8 lb 13 oz) baby girl is born in your hospital to a woman who was diag­ nosed with glucose tolerance outside reference range at 24 weeks of gestation. She underwent cesarean delivery at 36 weeks because of stress test results outside reference range. The Apgar scores of the baby were 8 at 1 minute and 9 at 5 minutes. The baby is pink and active, with the following vital signs: pulse, 140 beats per minute; respirations , 40 breaths per minute and unlabored; temperature, 36.5°C (97.7°F); blood pressure, 46/36 mm Hg. What should be done for this baby?
   
Yes No
 
 
 
 
 
It is quite likely this baby is
   
Yes No
 
 
 
 
The baby is at risk for developing
   
Yes No
 
 
 
 
 
At 2 hours of age, the baby's vital signs are within reference ranges. and she con­ tinues to look well. By this time. assuming that no further information is available, which of the following actions should have been taken already or would now be appropriate to take?
   
Yes No
 
 
 
 
 
 
An 1,800-g (3 lb 151h oz). 3-day-old baby with an estimated gestational age of 33 weeks has been in your care in the nursery. She has been feeding well, has had no respiratory problems, and is appropriate size for gestational age. Because of her size and gestational age, she has been continuously connected to a cardiorespiratory monitor. Between feedings, she suddenly becomes apneic, cyanotic, and limp, with a heart rate of 50 beats per minute. She does not resume breathing with vigorous stimulation . <br>For each item, mark the line in the one most appropriate column .
   
Do Immediately Do in Next Several Minutes Not Indicated
 
 
 
 
 
 
 
 
 
What are the possible reasons for this baby's difficulties?
   
Yes No