Exammate

An extremely premature infant nearing discharge has an elevated alkaline phosphatase level. What should the nurse include in discharge education? A. Avoid kangaroo care B. Handle the infant as carefully as possible C. Recommend a soy-based formula - ANS-B. Handle the infant as carefully as possible. Rationale:The infant's history (extreme prematurity) and laboratory findings (elevated alkaline phosphatase) suggest metabolic bone disease. The infant's bones are fragile and can be easil...

Which statement about cord blood gases is correct? A. There is no difference between venous and arterial cord blood gasses B. The cord arterial pH is normally higher than venous pH C. The cord arterial blood is the best indicator of the fetal metabolic condition before delivery - ANS-C! Rationale: When evaluating cord blood gases, the arterial cord blood reveals the metabolic status of the fetus before delivery and strongly correlates with perinatal asphyxia. Reference(s):Barry, J., Dea...

The nurse should be aware that the primary risk factor for the development of necrotizing enterocolitis is which of the following? A. Bacterial Infection B. Prematurity C. Maternal substance abuse - ANS-B. Prematurity. Necrotizing enterocolitis (NEC) is primarily a disease of the premature infant. The perfusion of the gastrointestinal (GI) tract of the premature infant can be affected by hypoxia, hypotension, patent ductus arteriosus, hypothermia, and the presence of umbilical catheter...

A 12-day-old former 27-week-gestation infant is advancing on enteral feeding, receiving nasal continuous airway pressure +6 cm with oxygen 25% to 40% and had two apneic events overnight. Current capillary blood gas (CBG) shows pH 7.28, PaCO2 44, PaO2 55, bicarbonate 14 with a base deficit of -7. Yesterday the CBG was pH 7.31, PaCO2 43, PaO2 60, bicarbonate 19 with a base deficit of -5. On examination, there is a 1 ml bilious residual. The nurse should consider which of the following as t...

Contraindications to kangaroo care include: A. Mechanical ventilation B. Maternal preeclampsia requiring magnesium sulfate therapy C. infection of the skin of the chest of the kangaroo care provider. - ANS-C! Infection of the skin of the chest of the kangaroo care provider. Rationale: Skin infection on the chest of the kangaroo care provider could potentially be transmitted to the infant, so kangaroo care should be avoided until the skin is clear. Unless the mother is too groggy to f...

GIR - ANS-6-8mcg/kg/min caloric intake D10 Bolus - ANS-2mL/kg Fluid Volume Bolus - ANS-10mL/kg Term Parenteral Fluid Requirement - ANS-80mL/kg/day Enteral 100-150 mlk/kg/day Preterm Parenteral Fluid Requirement - ANS-120 Enteral 150-200ml/kig/day GIR Calculation - ANS-(%dextrose x IV rate) / (6 x wt in kg) I/T ratio - ANS-%Metas + Bands / %Metas + Bands + Segs I/T ratio greater than >0.2 to >.25 suggestive of infection >0.8 associated with shock

1. Which statement regarding the sodium–potassium pump is correct? 1. The cell’s plasma membrane is more soluble to sodium ions than potassium ions. 2. The concentration of sodium ions should be higher inside the cell compartment. 3. The concentration of potassium ions should be higher outside the cell compartment. 4. The active transport involves pumping out three sodium ions and pumping in two potassium ions. 2. In the absence of oxygen, which cellular function creates the same amo...

1. Most, but not all, changes in accounting principle are reported using the retrospective approach. True False 2. Prior years' financial statements are restated when the prospective approach is used. True False 3. The after-tax cumulative effect on income is no longer required for changes in accounting principles. True False 4. Most changes in accounting principle require a disclosure justifying the change in the first set of financial statements after the change is made. True False ...

1. A woman gave birth to an infant boy 10 hour*s ago. Where would the nurse expect to locate this woman’s fundus? a. One centimeter above the umbilicus ANS: A Within 12 hours after delivery fundus-approximately 1 cm above umbilicus. fundus descends about 1-2 cm every 24 hours. By 6th postpartum week-fundus normally halfway between symphysis pubis and umbilicus. 2. Which woman is most likely to experience strong afterpains? b. A woman who is a gravida 4, para 4-0-0-4 ANS: B Afterpains-m...

1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation >92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12