The S.T.A.B.L.E. Program - 6th edition With Complete Solutions.
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S.T.A.B.L.E.
c) All are correct (Increased work of breathing, bradycardia, asymmetric appearing chest, cyanosis, decreased femoral pulses)
A neonate with a pneumothorax may exhibit which of the following signs?
1) Increased work of breathing
2) Bradycardia
3) Asymmetric appearing chest
4) Cyanosis
5) Decr...
The S.T.A.B.L.E. Program - 6th edition With Complete Solutions.
c) All are correct (Increased work of breathing, bradycardia, asymmetric appearing chest, cyanosis, decreased femoral pulses) - Answer A neonate with a pneumothorax may exhibit which of the following signs?
1) Increased work of breathing
2) Bradycardia
3) Asymmetric appearing chest
4) Cyanosis
5) Decreased femoral pulses
a) 1, 2, 4
b) 1, 3, 5
c) All are correct
b) You are concerned because the infant's clinical presentation is not being adequately considered; work-up and treatment for possible infection is indicated. - Answer During a routine evaluation of a four-hour-old term infant, the nurse discovers the infant is tachypneic, tachycardic, and hypotonic. The infant's temperature is 38.6ºC (101.5ºF). A complete blood count (CBC) is ordered with the following results:
WBC 9,200
Hemoglobin 15 g/dL
Hematocrit 46%
Platelets 290,000
Lymphocytes 51%
Segmented neutrophils 41%
Band neutrophils 5%
Monocytes 3%
You discuss the patient and CBC results with the infant's medical staff provider who responds by saying, "The CBC is normal which reassures me that the baby is fine. I don't think we need to do anything more than keep a close eye on the baby." Your assessment of this response is:
a) You agree that close observation is all that is necessary at this time because the CBC and CRP are normal, which reassures you that the infant is well.
b) You are concerned because the infant's clinical presentation is not being adequately considered; work-up and treatment for possible infection is indicated.
c) You are concerned because you think a CBC and CRP should also be re-evaluated in 8 to 12 hours.
c) An upper gastrointestinal (UGI) exam to evaluate for malrotation - Answer A term infant is breastfeeding when his mother asks you to come and assess him because he vomited. You notice the color of the emesis is lime green. The mother reveals that this is the third time the infant vomited green-colored emesis. The infant's abdomen is not The S.T.A.B.L.E. Program - 6th edition With Complete Solutions.
distended, and he is irritable and crying. Which one of the following should be performed emergently?
a) A barium enema to evaluate for colonic obstruction
b) A swallow study with contrast to evaluate for trachea-esophageal fistula
c) An upper gastrointestinal (UGI) exam to evaluate for malrotation
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at
80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus. - Answer A term infant weighing 1400 grams (3 pounds, 1.5 ounces) is born to an underweight mother. A bedside glucose test at 30 minutes of life is 10 mg/dL (0.6 mmol/L). The infant does not have any apparent signs of hypoglycemia at the time the lab test was drawn. Which of the following orders is the most appropriate therapy for this infant?
a) Gavage feed 7 mLs (equals 5 mLs per kg) of breast milk or formula; recheck the glucose 30 to 60 minutes after the feeding is given.
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at
80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
c) Send a confirmatory plasma glucose to the lab and if low, insert an IV and give a 2.8 mL bolus of D10W followed by an IV infusion of D10W at 80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
a) Generate heat when it is metabolized. - Answer The function of brown fat is to:
a) Generate heat when it is metabolized.
b) Provide a rapidly available source of glucose in the first day of life.
c) Provide an insulating layer of fat in the first month of life.
c) Tracheoesophageal fistula - Answer An infant is delivered to a healthy woman with good prenatal care. Within minutes of birth, the infant developed respiratory distress (retractions and nasal flaring). Blow-by oxygen, then CPAP was initiated. The infant further deteriorated so bag/mask positive pressure ventilation was given. You observe a
shift in the point of maximal impulse (PMI) to the right, a barrel chest, and a sunken abdomen. Which of the following respiratory illnesses is most likely causing these signs?
a) Diaphragmatic hernia
b) Tension pneumothorax
c) Tracheoesophageal fistula
b) CBC with differential, c-reactive protein and blood culture. - Answer An infant is delivered to a mother whose membranes were ruptured for 24 hours. He is healthy at birth and is breast feeding well; however, the next day, you are concerned because the
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