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