elaborated) ACTUAL EXAM 2025 TESTS!!
GIR
Ans: 6-8mcg/kg/min caloric intake
Quiz D10 Bolus
Ans: 2mL/kg
Quiz Fluid Volume Bolus
Ans: 10mL/kg
Quiz Term Parenteral Fluid Requirement
Ans: 80mL/kg/day
Enteral 100-150 mlk/kg/day
Quiz Preterm Parenteral Fluid Requirement
,Ans: 120
Enteral 150-200ml/kig/day
Quiz GIR Calculation
Ans: (%dextrose x IV rate) / (6 x wt in kg)
Quiz 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
Quiz Absolute Neutrophil COUNT
Ans: WBC x (%) Segmented neutrophils + band neutrophils + metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Quiz Mature WBCs
,Ans: Poly, Segs, Neutrophils
Quiz Immature WBCs
Ans: Meta, Bands, Stabs
Quiz Platelet Range
Ans: 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible association with bacterial sepsis or viral infection, but
usual onset does not occur until 1 to 3 days after infection onset (late indicator). May also occur with
maternal HELLP syndrome ( h emolysis, e levated l iver function test results, and l ow p latelet count),
pregnancy-induced hypertension, and intrauterine growth restriction, as well as some syndromes such
as trisomies 13, 18, and 21, Turner's syndrome, and hemolytic disease.
Quiz CRP level
Ans: CRP level usually <1.6 for the first two days of life
Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged rupture of
membranes.
Quiz Most common pathogens
Ans: Currently, GBS
E. coli
, Quiz Candidas
Ans: -Diaper dermatitis presents with intense erythema and satellite lesions.
-Congenital candidiasis presents with widespread erythematous maculopapular rash, and preterm
infants may present with pneumonia.
Quiz Congenital CMV infection
Ans: congenital infection include: intrauterine growth restriction, hepatosplenomegaly, jaundice,
purpura, pneumonitis, microcephaly, hydrocephalus, intracerebral calcifications, hearing loss,
chorioretinitis, and optic atrophy.
Quiz Endotracheal Measurement
Ans: 6 + wt in kg
Proper placement on an endotracheal tube is midway between the thoracic inlet and the carina.
Quiz Polyethelane Wrap for Infant < 29 weeks
Ans: Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment