S.T.A.B.L.E. Pretest Questions & Correct Solutions
A preemie has a temperature of 87.8F. What is a sign commonly associated
with this body temperature? Right Ans - hypotension
bradycardia
bradypnea
A newborn developed respiratory distress (tachypnea, grunting, nasal flaring,
and retractions). O2 was administered via mask but SPO2 remained 80%. ET
tube had to be inserted. What is your diagnosis? Right Ans - bacterial
sepsis, congenital heart disease
A 3kg infant requires intubation for severe respiratory distress. The ET tube is
taped at 12 centimeters of the lip. The ET tube is most likely? Right Ans -
too low
An infant comes in from a delivery in a car. Infant is limp and cyanotic. He is
intubated and receiving PPV. He is gasping and has no IV. What should be
performed first? Right Ans - Clinically evaluate that the ET tube is in
correctly and is secured. Check the heart rate and apply a pulse oximeter.
Arterial blood gas reports:
pH 7.18
PCO2 63
HCO3 23
What do you interpret? Right Ans - uncompensated metabolic acidosis
An infant has suspected pneumonia and is on a ventilator. Arterial blood gas
reveals severe metabolic and respiratory acidosis and low arterial oxygen
tension. What is a FALSE statement regarding this? Right Ans - Sodium
bicarbonate should be given immediately to treat the acidosis
Pre and post ductal saturation monitoring is ordered for an infant with
suspected persistent pulmonary hypertension. Where will the two pulse
oximeters be placed and what will each probe be measuring? Right Ans -
Right hand (pre ductal saturation)
Left foot (post ductal saturation)
, An infant develops respiratory distress. Right hand SPO2 reads 70%. When
infant cries SPO2 raises to 96%. When not crying SPO2 drops. What is her
condition? Right Ans - Choanal atresia
Arterial blood gas result:
pH 7.25
PCO2 36
HCO3 15
Interpretation? Right Ans - uncompensated metabolic acidosis
A infant whose birthweight is at the 95th percentile for weight is at risk for?
Right Ans - hypoglycemia due to hyperinsulinism
A few hours after delivery a newborn is unresponsive, has tachypnea,
hypothermia, hypotonia, and cyanosis. What is your concern? Right Ans -
bacterial sepsis
Infants of diabetic mothers are at increased risk for becoming hypoglycemic
because they have? Right Ans - increased levels of insulin
An infant is
96.8F
170bpm
respiratory rate of 65
Should you bathe the infant at this time? Right Ans - No, the vital signs are
not in a normal range
Babies born between 34-36 weeks are at risk for: Right Ans - temp
instability
hypoglycemia
respiratory distress
apnea
hyperbilirubinemia
feeding difficulties
A 39 week gestation baby is born in the 4th weight percentile. Mother had
hypertension and too no medication to treat it. Dex is 20mg. Why does the
A preemie has a temperature of 87.8F. What is a sign commonly associated
with this body temperature? Right Ans - hypotension
bradycardia
bradypnea
A newborn developed respiratory distress (tachypnea, grunting, nasal flaring,
and retractions). O2 was administered via mask but SPO2 remained 80%. ET
tube had to be inserted. What is your diagnosis? Right Ans - bacterial
sepsis, congenital heart disease
A 3kg infant requires intubation for severe respiratory distress. The ET tube is
taped at 12 centimeters of the lip. The ET tube is most likely? Right Ans -
too low
An infant comes in from a delivery in a car. Infant is limp and cyanotic. He is
intubated and receiving PPV. He is gasping and has no IV. What should be
performed first? Right Ans - Clinically evaluate that the ET tube is in
correctly and is secured. Check the heart rate and apply a pulse oximeter.
Arterial blood gas reports:
pH 7.18
PCO2 63
HCO3 23
What do you interpret? Right Ans - uncompensated metabolic acidosis
An infant has suspected pneumonia and is on a ventilator. Arterial blood gas
reveals severe metabolic and respiratory acidosis and low arterial oxygen
tension. What is a FALSE statement regarding this? Right Ans - Sodium
bicarbonate should be given immediately to treat the acidosis
Pre and post ductal saturation monitoring is ordered for an infant with
suspected persistent pulmonary hypertension. Where will the two pulse
oximeters be placed and what will each probe be measuring? Right Ans -
Right hand (pre ductal saturation)
Left foot (post ductal saturation)
, An infant develops respiratory distress. Right hand SPO2 reads 70%. When
infant cries SPO2 raises to 96%. When not crying SPO2 drops. What is her
condition? Right Ans - Choanal atresia
Arterial blood gas result:
pH 7.25
PCO2 36
HCO3 15
Interpretation? Right Ans - uncompensated metabolic acidosis
A infant whose birthweight is at the 95th percentile for weight is at risk for?
Right Ans - hypoglycemia due to hyperinsulinism
A few hours after delivery a newborn is unresponsive, has tachypnea,
hypothermia, hypotonia, and cyanosis. What is your concern? Right Ans -
bacterial sepsis
Infants of diabetic mothers are at increased risk for becoming hypoglycemic
because they have? Right Ans - increased levels of insulin
An infant is
96.8F
170bpm
respiratory rate of 65
Should you bathe the infant at this time? Right Ans - No, the vital signs are
not in a normal range
Babies born between 34-36 weeks are at risk for: Right Ans - temp
instability
hypoglycemia
respiratory distress
apnea
hyperbilirubinemia
feeding difficulties
A 39 week gestation baby is born in the 4th weight percentile. Mother had
hypertension and too no medication to treat it. Dex is 20mg. Why does the
