BOOKLET CODE: 012 17. A nurse wants to initiate feeding for 1.5kg neonate admitted in neonata intensive care unit. The infant had a very week sucking reflex and on risk for necrotized enterocolitis. What is the most appropriate initial step in this patient 's care? (A) Pouring the expressed breast milk via NG tube continuousl y as demanded (B) Inject 4 .Sml expressed breast milk using 10ml syringe at a time per feeding (C) Give bolus 3ml expressed breast milk via NG tube over 20-25 min per feeding (D)Give bolus the expressed breast milk using 10ml syringe over 5.-10min per feeding 18. A nurse assessed the progress of a two-year-old child who was on phase one management of severe acute malnutrition The child was improved clinically with an evidence of reduced edem to grade two and complications were completely treated. What is the most likely additional finding used to proceed to the transition phase? (A) The edema has to be reduced to grade for a day (B) The edema has to be lost completely for consecutive days (C) Improved appetite evidenced by finishing F-75 food easily (D) Improved appetite evidenced by finishing F-100 food easily 19. A 16-hour-old preterm neonate who was born at home was admitted to the NICU due to inability to feed and lethargy.On examination the neonate had body temperature of 36.2^circ C pulse rate 140/min and blood glucos level of 35mg/dl. What is the best nursing intervention to manage the neonate'problem? (A) Provide intravenous glucose (B) Put skin-to-skin with mother (C) Provide milk through NG tube (D) Warm the child using hot water bottle SUBJECT CODE: 02 A nurse who is giving immediate newborn care dries and stimulates the newborn Unfortunately the newhom do not cry. What is the most appropriate next step for this newborn? (A) Suck fluid from the nose (C) Observe and evaluate breathing (B) Bag and mask ventilation (D) Back rubbing and flicking soles A six-day-old neonate was admitted to a hospital for management of breathing difficulty. The neonate had spontaneous breathing at birth but breathing difficulty started on second day of birth and worsened on the fourth day. The neonate was put on Continuous Positive Airway Pressure Ventilation. What is the best and safest method of checking the progress of this neonate? (A) Pulse oximetry (C) Pulmonary function test (B) Blood gas analysis (D) Carbon dioxide monitoring