Chapter 18 Emergent Management of the Newborn

Question 1

RESPIRATORY DISTRESS:

Answer 1

nasal flaring, tacypnea, grunting, subcostal/intercostal retractions, cyanosis, thoracic breathing.

Question 2

term infants do not tolerate continuous positive airway pressure(CPAP) very well.

Answer 2

intubation may be necessary if oxygenation / ventilation is inadequate.

Question 3

meconium aspiration syndrome

Answer 3

1/7 pregnancies, about 5% will develop MAS.

Question 4

Meconium aspiration syndrome (MAS) is a life threatening condition at birth. healthy fetus normally does not pass stool in utero, but a stressed fetus may pass meconium.

Answer 4

true.

Question 5

meconium can cause

Answer 5

inflammatory reaction in airways and alveolar space when inhaled.

Question 6

suctioning at the perineum has NOT been shown to be beneficial. nonsuctioning is as safe as routine suctioning at the perineum for infants born with meconium stained amniotic fluid.

Answer 6

true

Question 7

management of meconium stained amniotic fluid:

Answer 7

NO suctioning at the perineum. oropharyngeal suctioning with bulb / suction cath may cause apnea, bradycardia, or poor respiratory recovery.

Question 8

if nonvigorous infant with mec,

Answer 8

endotracheal intubation and suctioning are recommended.

Question 9

amnioinfusion to dilute the meconium in amniotic fluid has NOT BEEN PROVEN to be effective in reducing morbidity of MAS

Answer 9

true.

Question 10

POSTPARTUM management of vigorous newborn with THICK MECONIUM does NOT require immediate intubation and endotracheal suctioning.

Answer 10

true