Javascript is required to load this page.
Page Loaded
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?
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
Give the baby supplemental oxygen.
Do a gestational age and size examination.
Perform a blood glucose screening test.
Start an intravenous line and administer 8 ml of 10% glucose.
Repeat vital sign checks frequently.
It is quite likely this baby is
It is quite likely this baby is
Yes
No
Small for gestational age
Preterm
Large for gestational age
Post-term
The baby is at risk for developing
The baby is at risk for developing
Yes
No
Hypoglycemia
Diarrhea
Meconium aspiration
Respiratory distress syndrome
Neonatal diabetes mellitus
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?
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
Start oral feedings (breast or bottle).
Begin antibiotic therapy.
Place the baby under phototherapy lights.
Repeat blood glucose screening tests
Give the baby supplemental oxygen.
Treat this baby like she is a healthy baby.
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 .
For each item, mark the line in the one most appropriate column .
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
Perform a blood glucose screening test.
Administer epinephrine 0.5 ml (1:10,000).
Connect an oximeter to the baby.
Assist ventilation with bag and mask.
Stimulate the baby with warm water.
Obtain a hematocrit value
Check the baby's blood pressure.
Perform a blood gas analy sis.
Take the baby's temperature .
What are the possible reasons for this baby's difficulties?
What are the possible reasons for this baby's difficulties?
Yes
No
Common problem of preterm birth
Sepsis
Hypoglycemia
Aspirated formula
Blood oxygen level too high
Powered by Qualtrics