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STABLE TEST 2025.........., Exams of Nursing

Chamberlain College of NursingNursing

STABLE TEST 2025................

Typology: Exams

2024/2025

Available from 04/10/2025

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STABLE TEST 2025
Intestinal ileus - ANSWER -Peristalsis or motility diminishes dramatically or
stops completely
-Abdominal distension and risk for aspiration
Intestinal injury from hypoxia - ANSWER -Brain shunts blood away from non-
vital organs
-Vulnerable to ischemic damage
-Give the bowel adequate time to recover from the injury that has occurred
(bowel rest)
Signs of bowel obstruction - ANSWER -Maternal history of polyhydramnios
-Abdominal distension
-Bilious emesis
Which of the following statements is true?
A. The majority of the glycogen is deposited in the earlier portion of the third
trimester
B. The majority of the glycogen is deposited in the latter portion of the third
trimester
C. Both glycogen deposited in the earlier portion and latter portion of the third
trimester are equal - ANSWER B.
Late preterm infant definition - ANSWER 34.0-36.6
Hypoglycemia general signs - ANSWER -Weak or high-pitched cry that is
abnormal
-Trouble feeding, weak suck, incoordinate suck
-Hypothermia
-Diaphoresis
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STABLE TEST 2025

Intestinal ileus - ANSWER - Peristalsis or motility diminishes dramatically or stops completely

  • Abdominal distension and risk for aspiration Intestinal injury from hypoxia - ANSWER - Brain shunts blood away from non- vital organs
  • Vulnerable to ischemic damage
  • Give the bowel adequate time to recover from the injury that has occurred (bowel rest) Signs of bowel obstruction - ANSWER - Maternal history of polyhydramnios
  • Abdominal distension
  • Bilious emesis Which of the following statements is true? A. The majority of the glycogen is deposited in the earlier portion of the third trimester B. The majority of the glycogen is deposited in the latter portion of the third trimester C. Both glycogen deposited in the earlier portion and latter portion of the third trimester are equal - ANSWER B. Late preterm infant definition - ANSWER 34.0-36. Hypoglycemia general signs - ANSWER - Weak or high-pitched cry that is abnormal
  • Trouble feeding, weak suck, incoordinate suck
  • Hypothermia
  • Diaphoresis

Hypoglycemia neurological signs - ANSWER - Jitteriness

  • Irritability
  • Hypotonia
  • Lethargy
  • Seizure Hypoglycemia cardiorespiratory findings - ANSWER - Tachypnea
  • Respiratory depression
  • Apnea
  • Cyanosis Check the blood sugar within ____ after delivery or when the baby becomes sick - ANSWER 1-2 hours Continue to monitor each ____ in relation to the glucose levels, interventions administered, and infant's health status - ANSWER 1-3 hours Extended the duration of monitoring based on the infant's risk factors and treatment response, and maintain the blood sugar level within ______ - ANSWER 50- 110 What is the highest concentration of dextrose which can be infused safely via peripheral IV? - ANSWER D12. Conductive heat loss - ANSWER Heat transfer between two solid bodies in contact with one another
  • Infant on a solid surface like a table Convection heat loss - ANSWER Convection heat loss occurs when body heat of the infant is carried away by currents of air Transient tachypnea of the newborn (TTN) - ANSWER - Late preterm or term infants
  • Risk factors: csection (specifically without labor), precipitous delivery, diabetes in mother, twins, male gender

Choanal atresia - ANSWER - Blockage of one or both nares by a bony septum or soft tissue membrane

  • Usually with an associated abnormality
  • Cyanosis at rest improving and saturation rising with crying and mouth breathing Tip to lip rule - ANSWER Add 6 to baby's weight in kilograms Negative c02 color - ANSWER Purple PEEP - ANSWER - Positive end expiratory pressure
  • Increases functional residual capacity and prevents collapse of alveoli at the end of each breath Positive c02 color - ANSWER Yellow Peak Inspiratory Pressure (PIP) - ANSWER - Controls the tidal volume for each breath
  • With each squeeze of the bag or delivery of a breath via t-respirator you're delivering tidal volume/PIP
  • Give PUP enough to gradually elevate the chest Inspiratory time - ANSWER - Time it will take to deliver inspiratory pressure
  • 0.35 reasonable Pmeumothorax - ANSWER - May occur spontaneously in un-intubated infants or as a complication of CPAP
  • Air occupies the pleural space
  • If enough air enters can compress lung
  • May compromise cardiac output if bad
  • Signs: worsening respi distress, cardiovascular decompensation (tachycardic, brady, hypotension, weak pulses, long cap refill) Pneumopericardium - ANSWER - Rarely occurs without mechanical ventilation
  • Air becomes trapped in the pericardial sac around the heart and compresses it
  • Symptoms: sudden onset of severe cyanosis, muffled but not audible heart sounds, tachycardia that advances to bradycardia, poor perfusion
  • Life threatening Metabolic acidosis (c02 retention) causes - ANSWER - Late stages of shock, severe hypothermia, severe hypoglycemia
  • Lung disease, pneumothorax, airway obstruction, poor resp effort Nasal continuous positive airway pressure is a mode of oxygen support commonly used for the augmentation of functional residual capacity. Infant with ____ cannot be a candidate for CPAP A. Choanal atresia B. Pneumonia C. RDS - ANSWER Choanal atresia Normal pulse pressure in term infant - ANSWER 25- 30 Normal pulse pressure in preterm infant - ANSWER 15- 25 Causes of low pulse pressure - ANSWER - Cardiac tamponade, lung hyperinflation with heart compensation, tension pneumo, heart failure Wide pulse pressure causes - ANSWER PDA, truncus arteriosus, arteriovenous malformation Which of the following statements about shock is true? A. Tachycardia, increased capillary refill time, and decreased level of consciousness are signs of shock B. In an infant in shock, cardiac contractility and stroke volume increase enough to enhance tissue perfusion C. In an infant in shock, the blood pressure will always be below normal - ANSWER A