The S.T.A.B.L.E. Program - 6th edition
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1. c) All are cor- A neonate with a pneumothorax may exhibit which of the following signs?
rect (Increased 1) Increased work of breathing
work of breath- 2) Bradycardia
ing, bradycardia, 3) Asymmetric appearing chest
asymmetric ap- 4) Cyanosis
pearing chest, 5) Decreased femoral pulses
cyanosis, de-
creased femoral a) 1, 2, 4
pulses) b) 1, 3, 5
c) All are correct
2. b) You are con- During a routine evaluation of a four-hour-old term infant, the nurse discovers the
cerned because infant is tachypneic, tachycardic, and hypotonic. The infant's temperature is 38.6ºC
the infant's clin- (101.5ºF). A complete blood count (CBC) is ordered with the following results:
ical presentation
is not being WBC 9,200
adequately con- Hemoglobin 15 g/dL
sidered; work-up Hematocrit 46%
and treatment Platelets 290,000
for possible infec- Lymphocytes 51%
tion is indicated. 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 ade-
, The S.T.A.B.L.E. Program - 6th edition
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quately 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.
3. c) An up- A term infant is breastfeeding when his mother asks you to come and assess him
per gastrointesti- because he vomited. You notice the color of the emesis is lime green. The mother
nal (UGI) exam to reveals that this is the third time the infant vomited green-colored emesis. The
evaluate for mal- infant's abdomen is not distended, and he is irritable and crying. Which one of
rotation 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
4. b) Insert an IV A term infant weighing 1400 grams (3 pounds, 1.5 ounces) is born to an un-
then give a 2.8 derweight mother. A bedside glucose test at 30 minutes of life is 10 mg/dL (0.6
mL bolus of mmol/L). The infant does not have any apparent signs of hypoglycemia at the time
D10W, followed the lab test was drawn. Which of the following orders is the most appropriate
by an IV infusion therapy for this infant?
of D10W at 80
mLs per kilogram a) Gavage feed 7 mLs (equals 5 mLs per kg) of breast milk or formula; recheck the
per day; recheck glucose 30 to 60 minutes after the feeding is given.
the glucose 15 to b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of
30 minutes after D10W at 80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after
the bolus. 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.
5. a) Generate heat The function of brown fat is to:
when it is metab-
olized. a) Generate heat when it is metabolized.
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1. c) All are cor- A neonate with a pneumothorax may exhibit which of the following signs?
rect (Increased 1) Increased work of breathing
work of breath- 2) Bradycardia
ing, bradycardia, 3) Asymmetric appearing chest
asymmetric ap- 4) Cyanosis
pearing chest, 5) Decreased femoral pulses
cyanosis, de-
creased femoral a) 1, 2, 4
pulses) b) 1, 3, 5
c) All are correct
2. b) You are con- During a routine evaluation of a four-hour-old term infant, the nurse discovers the
cerned because infant is tachypneic, tachycardic, and hypotonic. The infant's temperature is 38.6ºC
the infant's clin- (101.5ºF). A complete blood count (CBC) is ordered with the following results:
ical presentation
is not being WBC 9,200
adequately con- Hemoglobin 15 g/dL
sidered; work-up Hematocrit 46%
and treatment Platelets 290,000
for possible infec- Lymphocytes 51%
tion is indicated. 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 ade-
, The S.T.A.B.L.E. Program - 6th edition
Study online at https://quizlet.com/_68az0k
quately 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.
3. c) An up- A term infant is breastfeeding when his mother asks you to come and assess him
per gastrointesti- because he vomited. You notice the color of the emesis is lime green. The mother
nal (UGI) exam to reveals that this is the third time the infant vomited green-colored emesis. The
evaluate for mal- infant's abdomen is not distended, and he is irritable and crying. Which one of
rotation 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
4. b) Insert an IV A term infant weighing 1400 grams (3 pounds, 1.5 ounces) is born to an un-
then give a 2.8 derweight mother. A bedside glucose test at 30 minutes of life is 10 mg/dL (0.6
mL bolus of mmol/L). The infant does not have any apparent signs of hypoglycemia at the time
D10W, followed the lab test was drawn. Which of the following orders is the most appropriate
by an IV infusion therapy for this infant?
of D10W at 80
mLs per kilogram a) Gavage feed 7 mLs (equals 5 mLs per kg) of breast milk or formula; recheck the
per day; recheck glucose 30 to 60 minutes after the feeding is given.
the glucose 15 to b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of
30 minutes after D10W at 80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after
the bolus. 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.
5. a) Generate heat The function of brown fat is to:
when it is metab-
olized. a) Generate heat when it is metabolized.
