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Which of the following is the true regarding newborn protein requirements?

The family of a term female infant is declining Vitamin K (phytonadione) for their infant. The baby had an uncomplicated delivery and mother’s prenatal labs were negative. The family explains that they do not want to vaccinate their baby but have allowed erythromycin eye ointment. In counseling this family about declining Vitamin K, it will be important to address which of the following?

A 37 week hydropic infant is resuscitated in the delivery room and transferred to the NICU. Initial vital signs are HR 203, RR 30, BP 40/20 (30). What is the first treatment you would provide?

A term infant has been diagnosed with Group B Strep meningitis. The infant received initial treatment with ampicillin and gentamicin. The antibiotic of choice for the duration of therapy is:

Which of the following statements is true regarding TPN amino acids?

A 33 0/7 week female infant is admitted to the NICU and has normal vital signs with the exception of a blood pressure of 38/20 (29). Her physical exam is remarkable for mild respiratory distress, hypoperfusion, and clitoromegaly. Her point of care glucose is 30. The infant is treated with vasopressors but ultimately requires hydrocortisone before blood pressures normalize. Her blood sugar increases to 50 after a D10 bolus and IV fluids at 80 mL/kg/day. A BMP at 72 hours of life shows hyponatremia, hyperkalemia, and a serum glucose of 45. Which of the following is an appropriate next step in the evaluation of this infant?

A term LGA male infant with Trisomy 21 is admitted to the NICU for poor oral feeding on day of life 1. The infant develops hyperbilirubinemia and is treated with phototherapy for 5 days before bilirubin levels decrease substantially. In caring for this infant which of the following laboratory evaluations should be prioritized?

You are called to assess a 36 day old preterm female who was born at 27 weeks gestation. Her medical history is significant for respiratory distress syndrome, PDA, and feeding intolerance requiring TPN support. She remains on CPAP. She has had a PICC line in place since DOL 5. On your exam, she has a decreased level of activity and she has had increasing apnea and bradycardia events today by nursing report. What type of infection are you most concerned about? What is the most appropriate choice for empiric antibiotic therapy for this infant?

Which of the following infants should receive TPN? Select all that apply.

Problem 5 (10 Points) Calculate the angle “a”, the perimeter of the outside shaded region, and the area of the shaded region in the diagram below.