Author Question: Which of the following are signs of intraventricular hemorrhage (IVH)? (Select all that apply.) ... (Read 59 times)

mwit1967 · **on:** Jun 27, 2018

Which of the following are signs of intraventricular hemorrhage (IVH)? (Select all that apply.)

a. Hypotonia
b. Bradycardia
c. Sudden deterioration in condition
d. Hypoglycemia
e. Metabolic alkalosis
f. Sudden decrease in oxygen saturation

Question 2

A 1-month-old infant is admitted to the Emergency Department with severe diarrhea. Which assessment suggests the infant is severely dehydrated?

1. Skin moist and flushed; mucous membranes dry
2. Low specific gravity of urine; skin color pale
3. Fontanelles depressed; capillary refill greater than 3 seconds
4. High specific gravity of urine; moist mucous membranes

deja · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, C, F
Signs of intraventricular hemorrhage include sudden decrease in oxygen saturation, sudden deterioration in condition, hypotonia, bradycardia, hyperglycemia, and metabolic acidosis. Additional signs include tense, bulging anterior fontanel; significant decrease in hematocrit level; seizures; and apnea.

Answer to Question 2

3
Rationale:
1. Moist, flushed skin is not a sign of dehydration. Dry mucous membranes are signs of mild, not severe, dehydration.
2. Low specific gravity of urine and pale skin color are not signs of dehydration.
3. Two signs of severe dehydration are depressed fontanelles and capillary refill time greater than 3 seconds.
4. High specific gravity of urine and moist mucous membranes are not signs of severe dehydration.