NM705 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Clinical signs of hypoglycemia include:
jitteriness, tremors, irregular breathing, apnea, cyanosis, poor feeding, hypotonia, high-
pitched cry, lethargy, irritability, hypothermia and seizures.
CNM management for blood glucose, capillary value of 40-45 mg/dL is
feed the infant and repeat the sampling in 30 minutes. This sampling is done via venous
stick and if the glucose is not increased-refer.
accepted lower level of normal for plasma glucose
40mg/dL
" Plain-old" Physiologic Jaundice Time of onset (TSB > 7mg/dl)
after 36hrs
" Plain-old" Physiologic Jaundice: Usual time of peak
3-4 days formula fed
Asian, Asian-American - peak slightly later
5-7 days breastfed
" Plain-old" Physiologic Jaundice: Peak serum total bili
,5-12 mg/dl
7-14 mg/dl breastfed and Asian or Asian-American infants
" Plain-old" Physiologic Jaundice: Age when total bili is < 3 mg/dl
1-2 weeks
may be longer in breastfed and Asian or Asian-American infants
" Plain-old" Physiologic Jaundice: incidence in full term neonates
50-60%
Breastfeeding Assoc. Jaundice Time of onset (TSB > 7mg/dl)
2-4 days
Breastfeeding Assoc. Jaundice: Usual time of peak
3-6 days
Breastfeeding Assoc. Jaundice: Peak serum total bili
>12
Breastfeeding Assoc. Jaundice: Age when total bili is < 3 mg/dl
> 3 weeks
Breastfeeding Assoc. Jaundice: incidence in full term neonates
12-13%
Breast Milk Jaundice Time of onset (TSB > 7mg/dl)
4-7 days
Breast Milk Jaundice: Usual time of peak
5-15 days
,Breast Milk Jaundice: Peak serum total bili
>10mg/dL
Breast Milk Jaundice: Age when total bili is < 3 mg/dl
9 weeks
Breast Milk Jaundice: incidence in full term neonates
2% - 4%
benefit of bilirubin
antioxidant
Renal maturation is more a function of _________________ than ______________
age
post-birth than gestational
About 95% void within the first_________hours, and the rest void by
___________hours unless there is a problem
24, 48
A newborn urinary system assessment should include
- Presence of urine prior to 48 hours (patent urethra)
- Force and direction of the stream (rule-out obstructions)
Is urine color a useful assessment in newborns?
No, b/c can't concentrate urine well
gut closure
Normal Newborn Hct
43-63%
, Normal Newborn Hemoglobin
14-20 g/dl
normal newborn WBC
10,000-30,000/mm3
Newborn normal platelets
150,000-400,000
With increasing oxygenation: the umbilical artery
constricts
With increasing oxygenation: the ductus arteriosis
closes
With increasing oxygenation: the pulmonary arteries
dilate
Newborns can create heat by
non shivering thermogenesis, shivering, increasing activity
Gluconeogenesis is the production of glucose from
lactate and amino acids
What helps facilitate removal of lung fluid prior to birth?
Catecholamines, Cortisol, Surfactant
A newborn glucose of 30, one hour following birth
Is considered part of normal adaption
What glucose value defines neonatal hypoglycemia?
there is none
Plasma glucose levels are typically ______ than whole blood values
SOLUTIONS VERIFIED LATEST UPDATE
Clinical signs of hypoglycemia include:
jitteriness, tremors, irregular breathing, apnea, cyanosis, poor feeding, hypotonia, high-
pitched cry, lethargy, irritability, hypothermia and seizures.
CNM management for blood glucose, capillary value of 40-45 mg/dL is
feed the infant and repeat the sampling in 30 minutes. This sampling is done via venous
stick and if the glucose is not increased-refer.
accepted lower level of normal for plasma glucose
40mg/dL
" Plain-old" Physiologic Jaundice Time of onset (TSB > 7mg/dl)
after 36hrs
" Plain-old" Physiologic Jaundice: Usual time of peak
3-4 days formula fed
Asian, Asian-American - peak slightly later
5-7 days breastfed
" Plain-old" Physiologic Jaundice: Peak serum total bili
,5-12 mg/dl
7-14 mg/dl breastfed and Asian or Asian-American infants
" Plain-old" Physiologic Jaundice: Age when total bili is < 3 mg/dl
1-2 weeks
may be longer in breastfed and Asian or Asian-American infants
" Plain-old" Physiologic Jaundice: incidence in full term neonates
50-60%
Breastfeeding Assoc. Jaundice Time of onset (TSB > 7mg/dl)
2-4 days
Breastfeeding Assoc. Jaundice: Usual time of peak
3-6 days
Breastfeeding Assoc. Jaundice: Peak serum total bili
>12
Breastfeeding Assoc. Jaundice: Age when total bili is < 3 mg/dl
> 3 weeks
Breastfeeding Assoc. Jaundice: incidence in full term neonates
12-13%
Breast Milk Jaundice Time of onset (TSB > 7mg/dl)
4-7 days
Breast Milk Jaundice: Usual time of peak
5-15 days
,Breast Milk Jaundice: Peak serum total bili
>10mg/dL
Breast Milk Jaundice: Age when total bili is < 3 mg/dl
9 weeks
Breast Milk Jaundice: incidence in full term neonates
2% - 4%
benefit of bilirubin
antioxidant
Renal maturation is more a function of _________________ than ______________
age
post-birth than gestational
About 95% void within the first_________hours, and the rest void by
___________hours unless there is a problem
24, 48
A newborn urinary system assessment should include
- Presence of urine prior to 48 hours (patent urethra)
- Force and direction of the stream (rule-out obstructions)
Is urine color a useful assessment in newborns?
No, b/c can't concentrate urine well
gut closure
Normal Newborn Hct
43-63%
, Normal Newborn Hemoglobin
14-20 g/dl
normal newborn WBC
10,000-30,000/mm3
Newborn normal platelets
150,000-400,000
With increasing oxygenation: the umbilical artery
constricts
With increasing oxygenation: the ductus arteriosis
closes
With increasing oxygenation: the pulmonary arteries
dilate
Newborns can create heat by
non shivering thermogenesis, shivering, increasing activity
Gluconeogenesis is the production of glucose from
lactate and amino acids
What helps facilitate removal of lung fluid prior to birth?
Catecholamines, Cortisol, Surfactant
A newborn glucose of 30, one hour following birth
Is considered part of normal adaption
What glucose value defines neonatal hypoglycemia?
there is none
Plasma glucose levels are typically ______ than whole blood values
