PEDS Flashcards
What does APGAR stand for in neonatal assessment?
Appearance, Pulse, Grimace, Activity, and Respiration.
What are the scoring criteria for Appearance in the APGAR scale?
0 points: Blue, pale; 1 point: Body pink, extremities blue; 2 points: Completely pink.
How is Pulse assessed in APGAR scoring?
0 points: Absent; 1 point: Slow (less than 100 bpm); 2 points: Greater than or equal to 100 bpm.
What score range indicates a healthy newborn?
A score between 7 and 10.
What steps should be taken during a breech presentation delivery?
Allow buttocks and trunk to deliver spontaneously; support the body while the head is delivered. If the head isn’t delivered within 3 minutes, support the body and encourage pelvic rotation.
How do you manage a prolapsed umbilical cord during childbirth?
With a gloved hand, gently push the baby up the vagina several inches; do not attempt to push the cord back.
What is the recommended transport position for a third-trimester pregnant woman if delivery is not imminent?
Transport on the left side with a pillow under the right hip or tilt the spine board 6 inches to keep uterine pressure off the inferior vena cava
What is the normal heart rate for a neonate (0-1 month)?
140 bpm
What is the normal systolic blood pressure (SBP) for a child aged 1-5 years?
70-90mmHG
What is the normal respiratory rate for a child aged 6-12 years?
18-22 breaths per minute
What is the recommended dose of Epinephrine (1:10,000) for pediatric cardiac arrest?
0.01 mg/kg IV/IO, repeated every 3-5 minutes.
What is the maximum dose of Fentanyl for pain management in pediatric patients via IM or IN routes?
4 micrograms per KG
How much D10 should be administered for neonates with glucose less than 40 mg%?
5ML/KG
What is the recommended endotracheal tube (ET) size for a neonate weighing 3-4.9 lbs?
2.5mm cuffed ET tube
What is the apneic oxygenation flow rate for children?
5 liters/min for neonates and up to 10 liters/min for older children.
What is the appropriate I-Gel airway size for a child weighing 15-21.9 lbs?
Pink 1.0 size
What steps are taken if a neonate’s heart rate is less than 60 bpm?
Begin chest compressions and ventilations with a 3:1 ratio (90 compressions and 30 ventilations per minute).
How should persistent central cyanosis be managed after 2 minutes of birth resuscitation?
Provide positive pressure ventilation with 100% oxygen.
What is the initial fluid challenge dosage for pediatric patients with acute blood loss or hypotension?
10 mL/kg of normal saline or lactated Ringer’s solution.
When is tracheal suction indicated during neonatal resuscitation?
If amniotic fluid is meconium-stained and there is no chest rise with bag-valve-mask (BVM) ventilation.
What is the dosage of Adenosine for pediatric supraventricular tachycardia (SVT) for the first dose?
0.1 mg/kg IV/IO.
What is the recommended dosage of Diphenhydramine (Benadryl) for allergic reactions in pediatric patients?
1 mg/kg IV, IO, or IM.
What is the preferred route and dosage for Glucagon in pediatric hypoglycemia when IV access is not available?
0.02 mg/kg IM.
What is the initial defibrillation dose for pediatric patients in ventricular fibrillation?
4 j/kg
