NEONATAL

Question 1

Anterior fontanels closes at _________months and posterior fontanels close at _________months.

Answer 1

Anterior closes 12-18 months
Posterior closes at 2 months.

Question 2

What is the calculation for systolic blood pressure in a neonate?
What is the diastolic

Answer 2

90 + (2 X Age in weeks) = normal BP
70 + (2x Age in weeks) = hypotension

Question 3

In neonates, less than 40 weeks use gestation in weeks as their minimum MAP. A 40-week neo MAP would be 40. T/F

Answer 3

True

Question 4

How would you calculate an ET tube for a 25-week gestation baby?

Answer 4

Move the decimal point back 1 space. 25= 2.5 ET Tube Double the size for NG,OG, and suction cath 2.5=5mm NG, OG, suction

Question 5

What is the chest tube size for a 25-week newborn?

Answer 5

x 4 from the ET Tube size 2.5x4=10 chest tube size

Question 6

What is the 2, 3, 4 rule

Answer 6

2 x the ET tube size is the size of the suction NG and foley
3 x the size of the ET tube is the ET-tune depth
4 x the ET-tube size is the chest tube in french.

Question 7

How do you calculate SVT or ST in a newborn?

Answer 7

220-AGE= max of sinus tach anything above that is considered SVT

Question 8

Your patient has sharp pain that radiated to the neck and back and is unable to lie on his back and 12 lead has shown elevation throughout the 12 lead.

Answer 8

Paricaridits

Question 9

Neonates will not demonstrate hypotension until _________ of volume is lost

Answer 9

25%

Question 10

circulating blood volume is ___________?

Answer 10

75-80 mls per kilo

Question 11

PALS remember IV access is limited to _________ attempts before going to __________

Answer 11

2 attempts or 90 seconds then go to IO

Question 12

What does STABLE stand for?

Answer 12

SUGAR
TEMPERATURE
AIRWAY
BLOOD PRESSURE
LAB VALUES
EMOTIONAL SUPPORT

Question 13

A HR of ________________ is our goal in newborn

Answer 13

> 100

Question 14

Study this

Question 15

what is the fluid maintenance for a 28 Kg patient?

Answer 15

68ml/hr
4cc for the first 10 kg= 40
2cc for the next 10 kg=20
1cc for the next 8=8
68ml/hr d10

Answer 16

4cc for the first 10 kg
2cc for the next 10 kg
1cc for the next 10 D10

Question 17

What is the number 1 cause of neonatal sepsis?

Answer 17

A group B strep mom that has had a vaginal birth.

Question 18

Septic neonates are bacterial in nature. T/F
What antibiotics would you want to use?

Answer 18

True
broad spectrum Ampicillin
Gentamycin

Question 19

Your patient presents with telescoping bowel with a palpable sausage mass in the abdomen and jelly stool and vomiting. What is your diagnosis? And Treatment?

Answer 19

Intussusception
Treatment is manual manipulation if unsuccessful bowel resection is needed.

Question 20

Your patient presents with forceful vomiting, electrolyte imbalances, dehydration olive shape mass in the RUQ gastric peristalsis ( ripples across the stomach).

Answer 20

Pyloric stenosis thickening of the pyloric valve.
treatment includes recession of thickened valve.

Question 21

What is volvulus?
Presents with?
Treatment?

Answer 21

looping of the valve upon its self
Bloody stool weakness and poor feeding
surgical recession NT tube NPO

Question 22

You arrive at the hospital and find Your patient presents with the bowls outside the abdominal wall. What is your diagnosis?
Treatment?

Answer 22

Gastroschisis
NPO, NG Tube and surgical closure

Question 23

Describe the difference between Omphalocele and gastroschisis.

Answer 23

In Omphalocele the liver and bowel are outside the abdominal wall.

Question 24

Your patient presents with abdominal distention within 48 hours of birth, vomiting gaseous dialated x-ray

Answer 24

Hirschsprung the give away is a dilated bowel a-ray and now bowel movement

Question 25

Describe meconium Ileus syndrome

Answer 25

Associated with cystic fibrosis, Trysomi 13-18 unable to pass the meconium in a bowel movement in the first 2 days of life. abdominal swelling on x-ry

Question 26

Your patient presents with copious oral secretions, coughing choking, and rattling respirations which worsen during feeding.

Answer 26

Tracheoesophageal Fistula

Question 27

Describe Choanal atresia

Answer 27

nasal passage narrow or blocked by bone, usually transported in a prone position