Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
1. Next step in evaluation of a newborn who is born floppy, blue, and has responded poorly to initial resuscitation efforts?
|
a. Evaluate for HR and respirations.
b. If no respirations are found or if HR is < 100 bpm, initiate positive-pressure ventilation by bag and mask. |
|
2. Tx of baby with above issue if mother received meperidine during labour process?
|
a. Give Naloxone (Narcan).
|
|
3. Narcosis?
|
a. The condition of deep stupor or unconsciousness produced by a chemical substance such as a drug or anaesthesia.
|
|
4. Perinatal hypoxia?
|
a. Inadequate oxygenation of a neonate that, if severe, can lead to brainstem depression and secondary apnea unresponsive to stimulation.
|
|
5. Positive-Pressure Ventilation (PPV)?
|
a. Mechanical breathing using a bag and mask.
|
|
6. How do neonates w/narcosis usually present w/respect to ABCs?
|
a. Usually have a good HR response but poor respiratory effort in response to bag and mask ventilation.
|
|
7. What is the therapy for narcotic-related depression!?!?
|
a. IV, IM, subQ (SQ), or endotracheal administration of naloxone (Narcan).
b. Repeated doses may be required should respiratory depression recur. |
|
8. 1 minute apgar score helps to determine?
|
a. Fetal well being.
|
|
9. What does the 5 minute apgar score help to indicate?
|
a. How successful the resuscitation efforts were.
|
|
10. Heart rate 0, 1, 2 scores?
|
a. 0: Absent
b. 1: < 100 bpm c. 2: > 100 bpm |
|
11. Respiratory effort 0, 1, 2 scores?
|
a. 0: Absent
b. 1: Slow, irregular c. 2: Good, crying |
|
12. Muscle tone 0, 1, 2 scores?
|
a. 0: Limp
b. 1: Some flexion of extremities c. 2: Flexed, active motion |
|
13. Reflex irritability (response to catheter in nose) 0, 1, 2 scores?
|
a. 0: No response
b. 1: Grimace c. 2: Cough or sneeze |
|
14. Colour 0, 1, 2 scores?
|
a. 0: Blue, pale
b. 1: Body pink, acrocyanosis c. 2: Extremities blue |
|
15. Presentation of diaphragmatic hernia?
|
a. Immediate respiratory distress
b. Scaphoid abdomen c. Cyanosis d. Heart Sounds displaced to right side of chest |
|
16. Tx of newborn if HR is <60 despite PPV w/100% O2?
|
a. Chest compressions for 30 seconds
b. If still <60, then Epi is indicated |
|
17. Choanal atresia?
|
a. Identified by passing a feeding tube through each nostril or by identification of mist on cold metal held under the infant’s nose.
b. Choanal atresia results in respiratory distress when a child stops crying c. Infants are obligate nose breathers. When crying they can breathe through their mouth, but they must have a patent nose when quiet. |
|
18. Tx of Choanal atresia?
|
a. Immediate treatment is intubation until surgical correction can be completed.
|