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423-Perinatal/Pediatric > EXAM TWO > Flashcards

EXAM TWO Flashcards

1
Q

Indication for Phototherapy

A

Bilirubin of 5-9 mg/100

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2
Q

Assessment of newborn’s cry

A

Normal is lusty

Abnormal is shrill or high pitched

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3
Q

Signs of respiratory distress

A

Grunting
Retracting
Nasal flaring
RR >60

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4
Q

Conditions that cause shift of apical pulse

A

Pneumothorax

Atelectasis

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5
Q

Conditions that cause cyanosis

A

Hypoxemia

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6
Q

Condition that causes yellowish hue to skin

A

Jaundice/Hyperbilirubinemia

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7
Q

Abnormality usually associated with an abnormal number of vessels in the cord

A

Urinary tract or other anomalies

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8
Q

Classification of newborns by weight

A

AGA
SGA
LGA

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9
Q

Cause of Murmur

A

PDA or PFO

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10
Q

Cause of Green/Dark green staining

A

Meconium aspiration

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11
Q

Cause of Frothy secretions

A

TEF

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12
Q

Cause of Pallor

A

Shock or anemia

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13
Q

Cause of Retractions

A

Respiratory distress

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14
Q

Cause of Abnormal facial features

A

Alcohol syndrome

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15
Q

Cause of Scaphoid abdomen

A

Diaphragmatic hernia

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16
Q

Cause of Abdominal distension

A

NEC

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17
Q

Examples of factors assessed by the Dubowitz/New Ballard Score

A

Plantar creases
Square Window
Scarf sign
Heel to ear

18
Q

Purpose of the Dubowitz/New Ballard Score

A

Accurate gestational age

19
Q

Normal abdominal skin temperature

A

36-36.5 degrees Celsius

20
Q

Nebulizers used for CNT

A

Heart and HOPE

21
Q

Characteristics of periodic breathing

A

Intermittent respiratory pauses for up to 10 seconds

22
Q

Assessment of Fontanel

A

Want it to be FIRM but SOFT

*Bulging means Increased ICP

23
Q

Appropriate Size ETT

A

<1000g = 2.5
1000-1500g = 3.0
1500-2500g = 3.5
Normal Newborn = 3.5-4

24
Q

Proper position (high and low) of UAC

A

High T8

Low L3-4

25
Q

Use of Non-rebreather mask

A

Administer Helium/Oxygen or specific FiO2

26
Q

Methods of providing oxygen in Neonatal Resuscitation

A

FiO2 with blow-by at 5 liters-1/2 in 80%-1 in 60%-2 in 40%

27
Q

Initiation of positive pressure ventilation in Neonatal Resuscitation

A

Apnea
Gasping
HR<100

28
Q

Initiation of chest compressions in Neonatal Resuscitation

A

HR< 60 with adequate ventilation

29
Q

Methods used to perform chest compressions in Neonatal Resuscitation

A

2 fingers or both thumbs (preferred)

30
Q

Procedure for intubation in Neonatal Resuscitation

A

See worksheet

31
Q

Procedure for suctioning in Neonatal Resuscitation

A

See worksheet

32
Q

Indications for administration of epinephrine and Narcan (naloxone) in Neonatal Resuscitation

A

During resuscitatioin with both positive-pressure ventilation and chest compressions.

HR remains below 60-Administer Epi

Repeat every 3-5 minuntes

*Naloxone for respiratory depression–no longer recommended

33
Q

Rate of compressions to breaths in Neonatal Resuscitation

A

3: 1
15: 2 for cardiac babies

34
Q

Targeted preductal SpO2 after 10 minutes in Neonatal Resuscitation

A

85-95%

35
Q

Recent changes in NRP

A
  1. Exhaled CO2 should be used to confirm endotracheal intubation
  2. Pulse oximetry with probe attached to right upper extremity should be used to assess any need for supplementary oxygen
  3. Neonates should be suctioned with bulb syringe as necessary
  4. LMA should be considered if face-mask ventilation proves unsuccessful
  5. Intubation before compressions
  6. All bags used with manometers
  7. Term infants use 21% O2-Premies use somewhat higher
36
Q

Effectiveness of HME’s

A

Less effective with uncuffed tubes

37
Q

Use of DPIs

A

Must be 6yo or above

38
Q

Good APGAR score VS Good Silverman-Anderson score

A

Good APGAR-10

BAD Silverman-Anderson-10

39
Q

Factors that decrease insensible water loss

A

Perinatal Pediatric Review Sheet

40
Q

Define Tachypnea

A

RR>60

41
Q

Determine APGAR given

A

**

423-Perinatal/Pediatric (3 decks)

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