OME Newborn Management

Question 1

Preparation

Answer 1

Towels
Warmer: ON
Respiratory Equipment
GxPy
GA, Prenatal

Question 2

Stimulation: Minute 0 to Minute 1

Answer 2

Primary Apnea:
Rub back with towels
Tapping Feet

Oxygen: Secondary Apnea
SpO2 60-65%
Sunctioning: Mouth then nose
PPV
Intubated?

HR:
Want >100
If less than 100 than do PPV (positive pressure ventilation)

Question 3

APGAR 1: Minute 1 to Minute 5

Answer 3

Want 7-10
Under 7- do something

O2:
SpO2: 80-85%
FiO2%
PPV
Intubate?

HR:
HR>100
If 60-100 PPV
If less than 60: CPR (3:1 and epi in umbilical vein)

Question 4

APGAR 2 Min 5 to Min 10

Answer 4

APGAR 7-10
O2
SpO2 90-95%
FiO2%

PPV

HR:
HR>100
If 60-100 PPV
If less than 60: CPR (3:1 and epi in umbilical vein)

Question 5

APGAR stands for

Answer 5

Appearance: pink 2 Blue is 0

Pulse: over 100 is 2. Absent is 0

Grimace: Achieved with little stimulation is 2. Absent is 0

Activity: Resist extension is 2. Absent is 0

Respiration: Strong is 2. Absent is 0.

Appearance: Acrocyanosis is 1

Pulse: under 100, but present

Grimace: with increased stimulation

Activity: Flex, but not extension

Respiration: Present but irregular.

Question 6

Transient Tachypnea Newborn

Answer 6

Path: Self- limiting (C-section).
Pt: (near) Term Grunting
Dx: hyperextended lungs. Wet
Tx: PPV

Question 7

Respiratory Distress Syndrome

Answer 7

Path: Developmental Surfacant

Pt: Premature Prenatal Distress.

Dx hyperextended
atelectasis

Tx; intubation
Surfactants.

Question 8

Hypoglycemia in Newborn

Answer 8

LGA- DM mom
SGA- IUGR

Pt: decrease BG- ASX or SX with jittery, tremor, lethargy, seizures.

Dx: Clx, infxn

Tx Asx-Feed
Sx- 2 mL/kg D50
Refractory: IV D5, D10

Question 9

Well Child Visit

Answer 9

Measure:
Weight, Length, Head Circumference

Cord: 2 aa, 1 vein, clamp near baby

Shots and Drops: Vit K, Hep B (Vaccine, IVIG).
PPX: Erythromycin
Tx: Dz specific

Fontenelles (hematoma)

Red Reflex

Crepitus (clavicle)

Murmurs

Lung sounds (for no abnl bowel movement)

Cord: Bowel Problems

Genitalia Gender: hypo (ventral)/epispadias (dorsal) (prohibit circumcision)

Imperforated anus: failure to pass meconium.

Baby’s skin for jaundice.

Ortolani and Barlow: Ortho