1853740
Description
Question 1
Question
Neonatal hypoglycemia is defined as:
Answer
-
blood glucose < 40 mg/dL
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blood glucose < 35 mg/dL
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blood glucose < 45 mg/dL
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blood glucose < 50 mg/dL
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blood glucose < 30 mg/dL
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blood glucose < 55 mg/dL
Question 2
Question
Immediate screening for Neonatal Hypoglycemia is NOT indicated for which of the following:
Answer
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Jitteriness
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Respiratory Distress
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Poor feeding
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Infants born to diabetic mothers
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Cyanosis
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Tachypnea
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Weak cry
Question 3
Question
At risk newborns should be screened within:
Answer
-
30 minutes
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35 minutes
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25 minutes
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20 minutes
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40 minutes
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45 minutes
Question 4
Question
Which of the following is NOT a risk factor for Neonatal Hypoglycemia?
Answer
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Large for gestational age
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Small for gestational age
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Infants born to diabetic mothers
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pre term infants
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Apgars of 5 and 7
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Maternal Temperature >101
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Maternal infection
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No prenatal care
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Infants stressed due to prolonged or comlicated labor/delivery
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At the discretion of the nurse or provider
Question 5
Question
The next step with an inital POC glucose of 24 mg/dL is:
Answer
-
Feed immediately
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Obtain stat serum glucose and start IV glucose
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Call the Neonatologist
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Call your Attending
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Recheck in 30 minutes
Question 6
Question
How 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).
Answer
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30 minutes
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25 minutes
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35 minutes
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20 minutes
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40 minutes
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15 minutes
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45 minutes
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10 minutes
Question 7
Question
After rechecking an initial glucose that was below 25mg/dL, the recheck is still below 25mg/dL. The next best step is
Answer
-
Obtain stat serum glucose and start IV glucose
-
Feed immediately
-
Call your attending
-
Call the Neonatologist
-
Recheck in 30 minutes
Question 8
Question
Which of the following is NOT an appropriate next step in the management of a neonate with an initial POC glucose of 41mg/dL?
Answer
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Breast feed, nipple 15mL or formula or D5W a symptomatic neonate.
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Assess a symptomatic neonate for other reasons for symptoms (sepsis, hypthermia).
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Repeat POC glucose checks every 2-3 hours on a symptomatic neonate before feeding for 12 hours.
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Discontinue POC glucose checks on an asymptomatic low risk neonate.
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Obtain a STAT serum glucose for a symptomatic neonate.
Question 9
Question
Care of Late preterm and SGA neonates differs in that:
Answer
-
They should be fed every 2-3 hours, and screened before feeding for 24 hours
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They should be fed every 1-2 hours, and screened before feeding for 24 hours
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They should be fed every 2-3 hours, and screened before feeding for 12 hours
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They should be fed every 1-2 hours, and screened before feeding for 12 hours
Question 10
Question
Care for neonates born to mothers with diabetes and LGA neonates greater than 34w gestation differs in that:
Answer
-
They should be fed every 2-3 hours, and screened before feeding for 12 hours
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They should be fed every 2-3 hours, and screened before feeding for 24 hours
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They should be fed every 1-2 hours, and screened before feeding for 12 hours
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They should be fed every 1-2 hours, and screened before feeding for 24 hours
Question 11
Question
Routine feeding is resumed for a neonate who had previously low POC glucose once the POC glucose is greater than or equal to
Answer
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45mg/dL
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40mg/dL
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50mg/dL
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35mg/dL
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55mg/dL
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60mg/dL
Question 12
Question
Which of the following is INCORRECT management of a neonate with previously low POC glucose between 4 and 24 hours of life.
Answer
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feed every 2-3 hours and check POC glucose before each feed.
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if POC glucose is < 35mg/dL, feed and recheck in 1 hour.
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If glucose remains below 35mg/dL, start IV glucose
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Return to routine feeds once POC glucose is equal to or greater than 40mg/dL.
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