THE S.T.A.B.L.E. PROGRAM – 6TH EDITION
EXAM | NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
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 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 -
✔✔✔ Correct Answer > c) An upper gastrointestinal (UGI) exam to
evaluate for malrotation
A two-day old term infant beings to feed poorly and her exam is
significant for weak cry, hypotonia, tachypnea, palpable brachial pulses,
but absent femoral pulses, and a 6-second capillary refill time. A right
radial arterial blood gas is drawn with the following results: pH 7.19,
PCO2 60, HCO3 9.2, and base deficit -16. This presentation and blood
gas correlate with which one of the following diagnoses?
,a) Ductal-dependent congenital heart disease
b) Pneumonia
c) Inborn error of metabolism - ✔✔✔ Correct Answer > a) Ductal-
dependent congenital heart disease
Arterial blood gas result: pH 7.18, PCO2 63, HCO3 (bicarbonate) 23. The
correct interpretation of this blood gas is:
a) uncompensated metabolic acidosis
b) uncompensated mixed metabolic and respiratory acidosis
c) uncompensated respiratory acidosis - ✔✔✔ Correct Answer > c)
uncompensated respiratory acidosis
A mother is concerned because her 6-hour old infant is very sleepy and
she thinks there is an increase in scalp bruising. The delivery record
reveals vacuum assisted delivery and should dystocia. Apgars were 7 at
one minute and 8 at five minutes. Exam findings: CRT 5 seconds, weak
pulses, hypotonic muscle tone, difficulty arousing the baby; weak cry,
head circumference 37 cm (34 cm at birth). Swelling is palpated
crossing suture lines. Given this limited information, which of the
following should be strongly suspected?
a) Caput succedaneum
b) Cephalohematoma
, c) Subgaleal hemorrhage - ✔✔✔ Correct Answer > c) Subgaleal
hemorrhage
A mother has insulin dependent diabetes and elevated hemoglobin A1c
(HbA1c) levels throughout pregnancy. Her term newborn weighs 5.1 kg.
Which one of the following statements is TRUE?
a) Hemoglobin A1c reflects the average insulin level during the previous
3 months and transplacentally transferred insulin contributed to the
macrosomia.
b) Hemoglobin A1c should be interpreted with caution in pregnant
women because of the influence of pregnancy hormones on test
results.
c) The elevated hemoglobin A1c levels and infant's macrocosmic size
indicate the mother had poor glucose control during pregnancy. -
✔✔✔ Correct Answer > c) The elevated hemoglobin A1c levels and
infant's macrocosmic size indicate the mother had poor glucose control
during pregnancy.
A 41-week gestation infant is delivered after a prolonged labor and
vacuum assist for 20 minutes. Amniotic fluid was meconium stained.
Apgar scores were 6 at one minute and 9 at five minutes. The infant
appeared healthy and remained with his mother. At 3 hours of life, his
vital signs are: Temperature 36.3ºC (97.3ºF), Heart rate 175,
Respiratory rate 65. The nurse assists the new mother with the infant's
bath. Following the bath, he is noted to have acrocyanosis, nasal flaring,
grunting, and retractions. His vital signs are now: Temperature 35.3ºC
EXAM | NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
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 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 -
✔✔✔ Correct Answer > c) An upper gastrointestinal (UGI) exam to
evaluate for malrotation
A two-day old term infant beings to feed poorly and her exam is
significant for weak cry, hypotonia, tachypnea, palpable brachial pulses,
but absent femoral pulses, and a 6-second capillary refill time. A right
radial arterial blood gas is drawn with the following results: pH 7.19,
PCO2 60, HCO3 9.2, and base deficit -16. This presentation and blood
gas correlate with which one of the following diagnoses?
,a) Ductal-dependent congenital heart disease
b) Pneumonia
c) Inborn error of metabolism - ✔✔✔ Correct Answer > a) Ductal-
dependent congenital heart disease
Arterial blood gas result: pH 7.18, PCO2 63, HCO3 (bicarbonate) 23. The
correct interpretation of this blood gas is:
a) uncompensated metabolic acidosis
b) uncompensated mixed metabolic and respiratory acidosis
c) uncompensated respiratory acidosis - ✔✔✔ Correct Answer > c)
uncompensated respiratory acidosis
A mother is concerned because her 6-hour old infant is very sleepy and
she thinks there is an increase in scalp bruising. The delivery record
reveals vacuum assisted delivery and should dystocia. Apgars were 7 at
one minute and 8 at five minutes. Exam findings: CRT 5 seconds, weak
pulses, hypotonic muscle tone, difficulty arousing the baby; weak cry,
head circumference 37 cm (34 cm at birth). Swelling is palpated
crossing suture lines. Given this limited information, which of the
following should be strongly suspected?
a) Caput succedaneum
b) Cephalohematoma
, c) Subgaleal hemorrhage - ✔✔✔ Correct Answer > c) Subgaleal
hemorrhage
A mother has insulin dependent diabetes and elevated hemoglobin A1c
(HbA1c) levels throughout pregnancy. Her term newborn weighs 5.1 kg.
Which one of the following statements is TRUE?
a) Hemoglobin A1c reflects the average insulin level during the previous
3 months and transplacentally transferred insulin contributed to the
macrosomia.
b) Hemoglobin A1c should be interpreted with caution in pregnant
women because of the influence of pregnancy hormones on test
results.
c) The elevated hemoglobin A1c levels and infant's macrocosmic size
indicate the mother had poor glucose control during pregnancy. -
✔✔✔ Correct Answer > c) The elevated hemoglobin A1c levels and
infant's macrocosmic size indicate the mother had poor glucose control
during pregnancy.
A 41-week gestation infant is delivered after a prolonged labor and
vacuum assist for 20 minutes. Amniotic fluid was meconium stained.
Apgar scores were 6 at one minute and 9 at five minutes. The infant
appeared healthy and remained with his mother. At 3 hours of life, his
vital signs are: Temperature 36.3ºC (97.3ºF), Heart rate 175,
Respiratory rate 65. The nurse assists the new mother with the infant's
bath. Following the bath, he is noted to have acrocyanosis, nasal flaring,
grunting, and retractions. His vital signs are now: Temperature 35.3ºC
