As CO2  rises, chemoreceptors send signals to the _____________________ to ____________________ventilation.   

Your one minute Apgar is 1. The neonates five minute Apgar is 3 (2 for heart rate, 1 for color). You have intubated the infant with 3.5 endotracheal tube and providing ventilation with a PIP of 24, a PEEP of 5, and a rate of 40. The OB notes a true knot in the umbilical cord. The cord pH is 7.01. The infant is transferred to the NICU. Your first ABG reveals: 6.9/40/35/14/-16   How would you  interpret this ABG?

A student nurse is reviewing a clinical assignment with the instructor. The patient is a 77-year-old female with kyphosis, CHF, and COPD.  The student correctly verbalizes understanding of the cardiac and pulmonary relationship when he explains to his instructor which of the following?

A nurse in an emergency department is assisting with the care of a client who is unconscious and has trauma to multiple systems following a motor vehicle crash. Which of the following actions should the nurse take first?  

Interpret the following arterial blood gases result and indicate which issue is present based on these results: pH          7.25 pCO2        47  HCO3       26  

A 42 week infant with perinatal asphyxia is anuric with a low sodium and normal potassium. What is your fluid management plan?

A 40 week infant is 250 grams above birthweight on DOL 3 and remains on the ventilator support for management of congenital pneumonia. His urine output is 1.2 ml/kg/hr for the last 24 hours. He is on TPN and has a UAC with normal saline infusing. Total fluids are 70 ml/kg/day. His sodium today is 131. You recognize that his sodium is low secondary to:

Infants of diabetic mothers are prone to develop:

A 23 week female is in a heated, humidified isolette with total fluids of 150 ml/kg/day on DOL 3. Her urine output was 7 ml/kg/hr overnight. Her sodium is 154 this morning. How will you treat her sodium level?

A term, AGA infant had severe hypoglycemia in the first 24 hours of life and is requiring a glucose infusion rate of 13 mg/kg/min with continued low glucose levels on DOL 5. The infant was previously eating normally in newborn nursery before developing hypotonia, apnea, and cyanosis, then a seizure. The septic workup was negative. What do you suspect the cause of the hypoglycemia is?