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Book 3 Unit 5
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of the following babies should receive intravenous (IV) therapy?
Which of the following babies should receive intravenous (IV) therapy?
Yes
No
A 1,590-g (3 lb 8 oz), vigorous baby on the first day after birth
A 3,175-g (7 lb) baby with Apgar scores of 6 at 1 minute and 9 at 5 minutes
A 3,620-g (8 lb) baby with suspected sepsis who has ingested 120 ml (4 oz) of formula during the past 24 hours
A 2,720-g (6 lb), vigorous baby whose mother was hospitalized with bacterial pneumonia at 20 weeks of gestation
An umbilical venous catheter is appropriately inserted when a baby weighing 1,900 g (4 lb 3 oz) needs
A. Frequent blood gas determinations
B. An exchange transfusion
C. 10 days of IV antibiotics
D. IV fluids to supplement oral intake
Which IV fluid should be used during the first 24 hours after birth for a baby with no specific complications?
A. 10% dextrose in water with 10% sodium bicarbonate added
B. Lactated Ringer injection
C. 10% dextrose in 1,4 normal physiological (normal) saline with 20 mEq of potas sium chloride (KCI) added to each 1,000 ml
D. 10% dextrose in water
How much fluid does a term baby need after the first 48 hours of postnatal age?
A. 80 mL/kg per 24 hours
B. 100 mL/kg per 24 hours
C. 120 mL/kg per 24 hours
D. 180 mL/kg per 24 hours
At 2 days of age, a baby's sodium level is 150 mEq/L. This may indicate that the baby is receiving too much fluid.
True
False
A baby who is designated to receive nothing by mouth has been receiving IV therapy for 4 days. Which test(s) should this baby routinely receive?
A. Blood electrolyte values
B. Hemoglobin and hematocrit values
C. Complete blood cell count
D. Serum bilirubin level
A 6-day-old, 2,500-g (5 lb 8 oz) baby is receiving the targeted amount of IV and/or oral fluid. How much would you expect the baby's daily urine output to be?
A. 40 ml
B. 100 ml
C. 140 ml
D. 200 ml
Approximately how much IV fluid should a 2,700-g (5 lb 15 oz) baby receive during the third day after birth?
A. 225 ml per 24 hours
B. 275 ml per 24 hours
C. 325 ml per 24 hours
D. 375 ml per 24 hours
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