BKAT Basic Questions & Answers
Signs of adequate nourishment - ANSWER1) baby should regain birthweight by 2
weeks
2) 6+ wet diapers/day
AnswerBreastfeeding Tips - ANSWER1) put baby to breast ASAP to stimulate milk
production
2) colostrum can still be used to provide nourishment
AnswerPost-Cranial Bleed - ANSWERLift legs to change diaper but not over-head
AnswerAxillary Temperature - ANSWERplace thermometer in armpit and hold snugly
against baby's body; normal 36.5-37.5
AnswerFeeding Baby PO - ANSWERpacing to prevent baby from taking too big of
volumes/endless sucking
AnswerGavage Continuous Feed - ANSWERchange bag q24 hours, unless breastmilk
AnswerGavage Feeding & Vitamin - ANSWERMix in with feeding if using NGT to
prevent upset stomach/vomiting
AnswerSIDS Prevention - ANSWERABC--baby must sleep alone, on its back, in a crib
AnswerRisk of antibiotics (general) - ANSWERdeveloping a fungal
infection/superinfection
AnswerLasix main adverse effect - ANSWERhypokalemia
AnswerGentamicin Risks - ANSWERhearing loss, harm to kidneys
AnswerCaffeine monitoring - ANSWERheart rate (tachycardia), also NEC
AnswerMorphine toxicity - ANSWERrespiratory depression--irregular shallow
respirations
AnswerSupplement for breastfed babies - ANSWERVitamin D
AnswerFirst intervention for apnea of prematurity - ANSWERmild tactile stimulation
Answerbacterial sepsis--gold standard lab test - ANSWERblood cultures from 2
different sites
, AnswerSigns of cold stress - ANSWERtachycardia, respiratory distress, hypoglycemia
AnswerIDM Baby Management - ANSWERencourage PO feeding, routinely check
blood sugars
AnswerJaundiced baby anticipation - ANSWERstarting bili lights, also on a coombs
positive baby
AnswerMoro Reflex - ANSWERindex finger and thumb come together to make a C
(startle)
AnswerOxygen Therapy Assessments - ANSWERfrequently check skin/nares; attempt
to wean if possible
AnswerPIV Assessment - ANSWERMinimally q1 hour
AnswerAbnormal newborn weight loss - ANSWERgreater than 10% of birthweight
AnswerTechnique to weigh infant - ANSWERlevel bed, zero scale
AnswerNormal pH - ANSWER7.35-7.45
AnswerNormal CO2 - ANSWER35-45 mmHg
AnswerNormal HCO3 - ANSWER22-26 mEq/L
AnswerNormal Base Excess - ANSWER-2 to +2
AnswerNormal PaO2 - ANSWER80-100
AnswerObtaining blood culture - ANSWERvenous stick, arterial stick, NOT heel stick
blood must be free flowing
AnswerBradycardia on an EKG - ANSWERless than 100
AnswerBest identifier of infant kidney function - ANSWERserum creatinine
AnswerSerum creatinine trend - ANSWERgradually decreases over first 2 weeks of life
from 1.1 to 0.4, if not--indicates renal impairment
AnswerSerum glucose optimum range - ANSWER60-100
AnswerThreshold for intervention for glucose levels - ANSWER40--feed infant then
recheck
AnswerNormal serum uric acid - ANSWER2.4-7
Signs of adequate nourishment - ANSWER1) baby should regain birthweight by 2
weeks
2) 6+ wet diapers/day
AnswerBreastfeeding Tips - ANSWER1) put baby to breast ASAP to stimulate milk
production
2) colostrum can still be used to provide nourishment
AnswerPost-Cranial Bleed - ANSWERLift legs to change diaper but not over-head
AnswerAxillary Temperature - ANSWERplace thermometer in armpit and hold snugly
against baby's body; normal 36.5-37.5
AnswerFeeding Baby PO - ANSWERpacing to prevent baby from taking too big of
volumes/endless sucking
AnswerGavage Continuous Feed - ANSWERchange bag q24 hours, unless breastmilk
AnswerGavage Feeding & Vitamin - ANSWERMix in with feeding if using NGT to
prevent upset stomach/vomiting
AnswerSIDS Prevention - ANSWERABC--baby must sleep alone, on its back, in a crib
AnswerRisk of antibiotics (general) - ANSWERdeveloping a fungal
infection/superinfection
AnswerLasix main adverse effect - ANSWERhypokalemia
AnswerGentamicin Risks - ANSWERhearing loss, harm to kidneys
AnswerCaffeine monitoring - ANSWERheart rate (tachycardia), also NEC
AnswerMorphine toxicity - ANSWERrespiratory depression--irregular shallow
respirations
AnswerSupplement for breastfed babies - ANSWERVitamin D
AnswerFirst intervention for apnea of prematurity - ANSWERmild tactile stimulation
Answerbacterial sepsis--gold standard lab test - ANSWERblood cultures from 2
different sites
, AnswerSigns of cold stress - ANSWERtachycardia, respiratory distress, hypoglycemia
AnswerIDM Baby Management - ANSWERencourage PO feeding, routinely check
blood sugars
AnswerJaundiced baby anticipation - ANSWERstarting bili lights, also on a coombs
positive baby
AnswerMoro Reflex - ANSWERindex finger and thumb come together to make a C
(startle)
AnswerOxygen Therapy Assessments - ANSWERfrequently check skin/nares; attempt
to wean if possible
AnswerPIV Assessment - ANSWERMinimally q1 hour
AnswerAbnormal newborn weight loss - ANSWERgreater than 10% of birthweight
AnswerTechnique to weigh infant - ANSWERlevel bed, zero scale
AnswerNormal pH - ANSWER7.35-7.45
AnswerNormal CO2 - ANSWER35-45 mmHg
AnswerNormal HCO3 - ANSWER22-26 mEq/L
AnswerNormal Base Excess - ANSWER-2 to +2
AnswerNormal PaO2 - ANSWER80-100
AnswerObtaining blood culture - ANSWERvenous stick, arterial stick, NOT heel stick
blood must be free flowing
AnswerBradycardia on an EKG - ANSWERless than 100
AnswerBest identifier of infant kidney function - ANSWERserum creatinine
AnswerSerum creatinine trend - ANSWERgradually decreases over first 2 weeks of life
from 1.1 to 0.4, if not--indicates renal impairment
AnswerSerum glucose optimum range - ANSWER60-100
AnswerThreshold for intervention for glucose levels - ANSWER40--feed infant then
recheck
AnswerNormal serum uric acid - ANSWER2.4-7
