Chapter 41 Quiz

Front 1

Which of the following is true of secondary apnea in newborns?

Back 1

This condition requires ventilatory assistance.

Front 2

Which of the following is an appropriate beginning dosage of dopamine per minute for a 5 kg neonate?

Back 2

25 mcg

Front 3

Which of the following is the correct dosage of epi in neonatal resuscitations?

Back 3

0.1 to 0.3 ml/kg of a 1:10,000 solution

Front 4

Which of the following statements regarding the viability of preterm infants is true?

Back 4

An infant delivered at 23 to 24 weeks gestation can survive

Front 5

Which of the following terms refers to babies during the first few hours of life?

Back 5

Newborns

Front 6

Which of the following terms refers to babies during their first month of life?

Back 6

Neonates

Front 7

Based solely on a 1-minute APGAR score of 7, which of the following actions should you take?

Back 7

Dry, Warm, position, suction, stimulate, give oxygen as needed, reevaluate

Front 8

You have just delivered a newborn who was initially apneic and cyanotic. After suctioning, drying, warming and stimulating the infant and administering blow by oxygen, you find that the infant has a respiratory rate of 35 with signs of resp distress, a weak brachial pulse of 70, and contiuing central cyanosis. Which of the following should you do next?

Back 8

Perform ventilations with a bag valve mask device and supplemental oxygen

Front 9

You have been dispatched with the neonatal resuscitation team to an outlying hospital to stabilize and then transport a 30-week-gestation newborn to a neonatal intensive care unit. Which of the following methods should you use to maintain this newborns body temperature?

Back 9

Wrap the newborn in receiving blankets, covering the body and head but leaving the face exposed, and place 104 degree hot water bottles next to him

Front 10

At 90 seconds after birth, based on the following findings, which newborn does NOT require resuscitative efforts beyond routine care?

Back 10

HR 100, RR 30 peripheral Cyanosis, APGAR 8

Front 11

You have arrived at a residence just as a 30 year old woman has delivered her first baby 6 weeks before her due date. Assessment of the newborn reveals central cyanosis, apnea, and absence of a brachial pulse. Which of the following should you do next?

Back 11

Suction the newborn's mouth and nose with a bulb syringe and stimulate him by drying off with a towel from the ob kit

Front 12

You are caring for a newly born infant delivered approximately 8 mins ago. The infant had a 1 minute apgar of 6, which improved to 7 at 5 mins. Despite drying, warming, suctioning, and stimulating the infant, he continues to have central cyanosis. His heart rate 132, and his resp are 50. Which of the following is the best action in this situation?

Back 12

Administer blow by oxygen

Front 13

Which of the following endotracheal tubes described is appropriate for a full-term infant weighing over 3000 grams

Back 13

4.0 uncuffed

Front 14

Which of the following conditions may result in persistant fetal circulation?

Back 14

Hypoxia

Front 15

Which of the following statements concerning functional residual volume in newborn resuscitation is true?

Back 15

You should maintain 2 to 4 centimeters of water of PEEP with ventilations to maintain adequate functional residual volume

Front 16

You are assessing a newborn who presents with resp distress, heart sounds auscultated over the right chest, and a small, flat abdomen. Which of the following is appropriate in his care?

Back 16

Elevation of the head and chest, endotracheal intubation

Front 17

Which of the following is an intrapartum risk factor for newborn distress?

Back 17

Prolonged labor

Front 18

Which of the following sets of vital signs is normal for a newborn?

Back 18

HR 175, RR 60

Front 19

Which of the following in NOT an antepartum or intrapartum risk factor for newborn distress?

Back 19

Maternal age between 16 and 35 years

Front 20

In which of the following situations would the administration of epi be indicated in a newborn?

Back 20

HR less then 60 after ventilations and chest compressions