Exam (elaborations)
FLUID AND ELECTROLYTE MANAGEMENT RNC NIC EXAM QUESTIONS AND ANSWERS
- Course
- Institution
FLUID AND ELECTROLYTE MANAGEMENT RNC NIC EXAM QUESTIONS AND ANSWERS...
[Show more]
Content preview
FLUID AND ELECTROLYTE MANAGEMENTRNC NIC EXAM QUESTIONS AND
ANSWERS
Magnesium Homeostasis: ANSWER 1.5-2.5 mg/dl; essential for muscular
contractions and enzymatic activity.
When should urine production be measured to ensure maximum accuracy? -
ANSWER immediately after it occurs; infants on radiant warmers may lose
volume owing to evaporation before diaper is weighed.
Sodium - A significant extracellular cation that plays an important function in
fluid homeostasis.
What is the most significant fluid change for the neonate upon birth? -
ANSWER decrease in extracellular volume when diuresis is established within
the first week of life; this results in weight loss of roughly 10-15% to 20% in
premature infants.
Foetal nephrones are underdeveloped until what week of gestation? - Answer:
34 weeks.
The posterior pituitary produces the antidiuretic hormone ADH, which is
synthesised in ANSWER to hypotension (low fluid volume) and
hyperosmolality.
What is a neonate's normal urine output? - ANSWER: 1-4 ml/kg/hour.
, Insensible Water Loss IWL: ANSWER Unmeasurable fluid loss that typically
happens through the skin and pulmonary system in the newborn.
TEWL (transepidermal water loss) is a type of insensible water loss. TEWL
What is the leading cause of IWL in premature infants? - ANSWER TEWL
TEWL ____________ reduces as gestational age increases.
When is TEWL at its highest? - ANSWER The first day following birth;
improves as the skin barrier matures.
What is the usual fluid maintenance rate (ml/kg/day) during the first 3 to 5 days
of life? - ANSWER: 60-100 mL/kg/day
What weight is used while calculating fluid maintenance? - ANSWER:
Typically, birth weight is not current weight until birth weight is re-established.
For babies weighing less than one kilogramme, what percentage of dextrose is
advised and why? - ANSWER 5%; to avoid hyperglycemia
Describe the clinical manifestations of fluid loss in a neonate. - Symptoms
include decreased urine output (<1 or <0.5 ml/kg/hr), elevated urine specific
gravity, weight loss, and impaired skin turgor (a late indicator). Dry mucous
membranes.
What haemodynamic alterations are associated with fluid depletion in the
neonate? - ANSWER Low blood pressure; weak pulses; sluggish cap filling
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller luzlinkuz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.59. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73918 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now