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18 Cards in this Set

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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.