EXAM TWO

Question 1

Indication for Phototherapy

Answer 1

Bilirubin of 5-9 mg/100

Question 2

Assessment of newborn’s cry

Answer 2

Normal is lusty

Abnormal is shrill or high pitched

Question 3

Signs of respiratory distress

Answer 3

Grunting
Retracting
Nasal flaring
RR >60

Question 4

Conditions that cause shift of apical pulse

Answer 4

Pneumothorax

Atelectasis

Question 5

Conditions that cause cyanosis

Answer 5

Hypoxemia

Question 6

Condition that causes yellowish hue to skin

Answer 6

Jaundice/Hyperbilirubinemia

Question 7

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

Answer 7

Urinary tract or other anomalies

Question 8

Classification of newborns by weight

Answer 8

AGA
SGA
LGA

Question 9

Cause of Murmur

Answer 9

PDA or PFO

Question 10

Cause of Green/Dark green staining

Answer 10

Meconium aspiration

Question 11

Cause of Frothy secretions

Answer 11

TEF

Question 12

Cause of Pallor

Answer 12

Shock or anemia

Question 13

Cause of Retractions

Answer 13

Respiratory distress

Question 14

Cause of Abnormal facial features

Answer 14

Alcohol syndrome

Question 15

Cause of Scaphoid abdomen

Answer 15

Diaphragmatic hernia

Question 16

Cause of Abdominal distension

Answer 16

NEC

Question 17

Examples of factors assessed by the Dubowitz/New Ballard Score

Answer 17

Plantar creases
Square Window
Scarf sign
Heel to ear

Question 18

Purpose of the Dubowitz/New Ballard Score

Answer 18

Accurate gestational age

Question 19

Normal abdominal skin temperature

Answer 19

36-36.5 degrees Celsius

Question 20

Nebulizers used for CNT

Answer 20

Heart and HOPE

Question 21

Characteristics of periodic breathing

Answer 21

Intermittent respiratory pauses for up to 10 seconds

Question 22

Assessment of Fontanel

Answer 22

Want it to be FIRM but SOFT

*Bulging means Increased ICP

Question 23

Appropriate Size ETT

Answer 23

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

Question 24

Proper position (high and low) of UAC

Answer 24

High T8

Low L3-4

Question 25

Use of Non-rebreather mask

Answer 25

Administer Helium/Oxygen or specific FiO2

Question 26

Methods of providing oxygen in Neonatal Resuscitation

Answer 26

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

Question 27

Initiation of positive pressure ventilation in Neonatal Resuscitation

Answer 27

Apnea Gasping HR<100

Question 28

Initiation of chest compressions in Neonatal Resuscitation

Answer 28

HR< 60 with adequate ventilation

Question 29

Methods used to perform chest compressions in Neonatal Resuscitation

Answer 29

2 fingers or both thumbs (preferred)

Question 30

Procedure for intubation in Neonatal Resuscitation

Answer 30

See worksheet

Question 31

Procedure for suctioning in Neonatal Resuscitation

Answer 31

See worksheet

Question 32

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

Answer 32

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

Question 33

Rate of compressions to breaths in Neonatal Resuscitation

Answer 33

3: 1 15: 2 for cardiac babies

Question 34

Targeted preductal SpO2 after 10 minutes in Neonatal Resuscitation

Answer 34

85-95%

Question 35

Recent changes in NRP

Answer 35

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

Question 36

Effectiveness of HME's

Answer 36

Less effective with uncuffed tubes

Question 37

Use of DPIs

Answer 37

Must be 6yo or above

Question 38

Good APGAR score VS Good Silverman-Anderson score

Answer 38

Good APGAR-10 | BAD Silverman-Anderson-10

Question 39

Factors that decrease insensible water loss

Answer 39

Perinatal Pediatric Review Sheet

Question 40

Define Tachypnea

Answer 40

RR>60

Question 41

Determine APGAR given

Answer 41

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