LESSON 18 part 1

Question 1

Formerly known as HYALINE MEMBRANE DISEASE; common in preterms, infant of diabetics moms, CS birth, meconium aspiration

Answer 1

Respiratory Distress Syndrome

Question 2

A ‘hyaline-like fibrous membrane’ formed from a exudates of the infant blood

Answer 2

Respiratory Distress Syndrome

Question 3

What is the cause of Respiratory Distress Syndrome

Answer 3

lack of surfactant

Question 4

Surfactant forms on the _____ week of gestation

Answer 4

34th

Question 5

Its chest x-ray diffuse pattern of ‘radiopaque areas resembling ground glass’

Answer 5

Respiratory Distress Syndrome

Question 6

It is immediately given after birth (to prevent RDS)

Answer 6

Synthetic surfactant

Question 7

Position of the Synthetic surfactant

Answer 7

Tippled to an upright position

Question 8

It is administered to maintain correct PO2 and ph levels following surfactant administration

Answer 8

Oxygen administration

Question 9

It ‘causes pulmonary vasodilation without decreasing systemic vascular tone’ by dilating pulmonary arterioles

Answer 9

Nitric Oxide

Question 10

ECMO means

Answer 10

Extracorporeal Membrane Oxygenation

Question 11

‘Blood remove by gravity using a venous catheter’ in the right atrium of the heart

Answer 11

ECMO / Extracorporeal Membrane Oxygenation

Question 12

Current used in SEVERE HYPOXEMIA related to meconium aspiration, RDS, pneumonia

Answer 12

ECMO

Question 13

It is given to a mother at 12 and 24 hours to HASTEN LUNG MATURITY

Answer 13

Betamethasone

Question 14

Use of pleurocarbons which picks up O2

Answer 14

Liquid ventilation

Question 15

At birth, RR reaches 80 bpm; after 1 hour, ‘RR slows down to 30-60 bpm’

Answer 15

Transient Tachypnea of the NB

Question 16

A sudden unexplained death in infancy

Answer 16

Sudden Infant Death Syndrome

Question 17

There is a blood-flecked sputum or vomitus in the mouth of the dead infant

Answer 17

Sudden Infant Death Syndrome

Question 18

The autopsy reveals ‘petechiae in the lungs and mild inflammation and congestion of the respiratory tract’

Answer 18

Sudden Infant Death Syndrome

Question 19

It is a ‘pause in respiration longer than 20 seconds’ with accompanying bradycardia and beginning cyanosis

Answer 19

Apnea

Question 20

One of management of this is ‘gently shaking or flicking the sole of the foot often stimulates breathing’

Answer 20

Apnea

Question 21

It is given to NB with apnea; may be given to ‘stimulate respirations’ by increasing sensitivy to CO2

Answer 21

Theophylline or Caffeine Sodium Benzoate or Methylxanthines

Question 22

An elevated level of bilirubin in the blood resulting from RBC hemolysis

Answer 22

Hyperbilirubinemia

Question 23

Is the mother RH (+) or (-)

Answer 23

-

Question 24

Is the baby RH (+) or (-)

Answer 24

+

Question 25

Mother is RH -, exposure to fetal RH + blood will stimulate the mother to form antibodies against the D antigen

Answer 25

Rh Incompatibility

Question 26

Maternal blood is O and fetal blood type is A, B, or AB

Answer 26

ABO Incompatibiity

Question 27

What type of blood of given to NB with hyperbilirubinemia

Answer 27

Type O

Question 28

From ‘lack of Vitamin K’ essential for ‘formation of prothrombin’

Answer 28

Hemorrhage Disease of the Newborn

Question 29

‘Occur in monozygotic twins’ and if abnormal arteriovenous shunts

Answer 29

Twin-to-twin transfusion

Question 30

Twin-to-twin transfusion occurs in _/3 of all identical twins

Answer 30

1/3

Question 31

Episode where the infant is discovered cyanotic and limp but have ‘survived after mouth to mouth resuscitations’

Answer 31

Apparent Life Threatening Event