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Perinatal pretest

jshupe 12 questions 4.0 (1 rating)

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Questions in this quiz (12)

  1. 1Neonatal hypoglycemia is defined as:
    1. Ablood glucose < 40 mg/dL
    2. Bblood glucose < 35 mg/dL
    3. Cblood glucose < 45 mg/dL
    4. Dblood glucose < 50 mg/dL
    5. Eblood glucose < 30 mg/dL
    6. Fblood glucose < 55 mg/dL
  2. 2Immediate screening for Neonatal Hypoglycemia is NOT indicated for which of the following:
    1. AJitteriness
    2. BRespiratory Distress
    3. CPoor feeding
    4. DInfants born to diabetic mothers
    5. ECyanosis
    6. FTachypnea
    7. GWeak cry
  3. 3At risk newborns should be screened within:
    1. A30 minutes
    2. B35 minutes
    3. C25 minutes
    4. D20 minutes
    5. E40 minutes
    6. F45 minutes
  4. 4Which of the following is NOT a risk factor for Neonatal Hypoglycemia?
    1. ALarge for gestational age
    2. BSmall for gestational age
    3. CInfants born to diabetic mothers
    4. Dpre term infants
    5. EApgars of 5 and 7
    6. FMaternal Temperature >101
    7. GMaternal infection
    8. HNo prenatal care
    9. IInfants stressed due to prolonged or comlicated labor/delivery
    10. JAt the discretion of the nurse or provider
  5. 5The next step with an inital POC glucose of 24 mg/dL is:
    1. AFeed immediately
    2. BObtain stat serum glucose and start IV glucose
    3. CCall the Neonatologist
    4. DCall your Attending
    5. ERecheck in 30 minutes
  6. 6How long should you wait after feeding at the breast, 5mL/kg of formula or D5W to recheck the glucose level (assuming the inital glucose was low).
    1. A30 minutes
    2. B25 minutes
    3. C35 minutes
    4. D20 minutes
    5. E40 minutes
    6. F15 minutes
    7. G45 minutes
    8. H10 minutes
  7. 7After rechecking an initial glucose that was below 25mg/dL, the recheck is still below 25mg/dL. The next best step is
    1. AObtain stat serum glucose and start IV glucose
    2. BFeed immediately
    3. CCall your attending
    4. DCall the Neonatologist
    5. ERecheck in 30 minutes
  8. 8Which of the following is NOT an appropriate next step in the management of a neonate with an initial POC glucose of 41mg/dL?
    1. ABreast feed, nipple 15mL or formula or D5W a symptomatic neonate.
    2. BAssess a symptomatic neonate for other reasons for symptoms (sepsis, hypthermia).
    3. CRepeat POC glucose checks every 2-3 hours on a symptomatic neonate before feeding for 12 hours.
    4. DDiscontinue POC glucose checks on an asymptomatic low risk neonate.
    5. EObtain a STAT serum glucose for a symptomatic neonate.
  9. 9Care of Late preterm and SGA neonates differs in that:
    1. AThey should be fed every 2-3 hours, and screened before feeding for 24 hours
    2. BThey should be fed every 1-2 hours, and screened before feeding for 24 hours
    3. CThey should be fed every 2-3 hours, and screened before feeding for 12 hours
    4. DThey should be fed every 1-2 hours, and screened before feeding for 12 hours
  10. 10Care for neonates born to mothers with diabetes and LGA neonates greater than 34w gestation differs in that:
    1. AThey should be fed every 2-3 hours, and screened before feeding for 12 hours
    2. BThey should be fed every 2-3 hours, and screened before feeding for 24 hours
    3. CThey should be fed every 1-2 hours, and screened before feeding for 12 hours
    4. DThey should be fed every 1-2 hours, and screened before feeding for 24 hours

Information

Description
Per Neonatal Hypoglycemia procedures 11/2013 at my institution - you should consult your procedures or another clinical reference as I make no guarentee, waranty or other about the accuracy of this information.
Author
jshupe
Language
English
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56
Rating
4.0 out of 5 · 1 rating
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