Table for Two (and the kids table) Flashcards
Pre-eclampsia management
Rest, hydrate, tocolytics
- fluid bolus
- MgSO4 4 gm/ 100 ml over 20 min
Eclampsia management (class, route, dose units)
If the initial medication fails to terminate seizures, you should administer:
MgSO4 4 gm/ 100 ml over 20 minutes; smooth muscle relaxer (sulfate/ inorganic salt)
Versed, midazolam, benzodiazepine, 2 mg IV/ IN/IO/ IM
Postpartum hemorrhage (Trade & generic name, class, route, dose units)
baby to breast
fundal massage
Pitocin/ oxytocin 20 U/ 1 L NS wide open
Turtle’s sign is indicative of:
Shoulder dystocia
Stages of Labor (3)
- Start of labor - full dilation & effacement of cervix
- Full dilation to delivery of infant
- Infant delivery to completion of placental delivery
A patient was diagnosed with tetralogy of Fallot. Which defects are associated with this congenital heart condition?
Ventricular septal defect
Overriding aorta
Pulmonic stenosis (PS)
Right ventricular hypertrophy
The ductus arteriosus is a fetal structure that functions to:
A. Shunts the combined cardiac output from the pulmonary artery to the aorta going to the lungs
B. Shunts the combined cardiac output from the pulmonary artery to the systemic circulation
C. Shunts the combined cardiac output from the aorta to the pulmonary artery and later to the pulmonary veins
D. Shunts the combined cardiac output from the aorta to the pulmonary artery to the right ventricle
B:
A blood vessel connecting the pulmonary artery to the proximal descending aorta. It allows most of the blood from the right ventricle to bypass the fetus’s fluid-filled non-functioning lungs.
You assess a preterm newborn infant for respiratory distress syndrome. Which would you expect initially?
A. Hypotension and Bradycardia
B. Tachypnea and retractions
C. Acrocyanosis and grunting
D. The presence of a barrel chest with grunting
B. Tachypnea and retractions
You are called to complete an IFT for a 43-week-gestation newborn with Apgar scores of 1 and 4. Your highest priority should be to:
A. Prepare to ventilate
B. Turn on the apnea alarm
C. Initiate an IV and 100 ml bolus
D. Prepare for compressions
A. Prepare to ventilate
A 3 year old infant has urticaria and stridor. You administer (dose/ medication) in which muscle site and needle size (appropriate anatomical terminology)?
0.2 mg/ 0.2 ml [1:1,000] IM
IM Vastus lateralis
22-25 ga, 1-1.25 “
You respond to a 2-hour old neonate post home delivery for acrocyanosis. You should:
A. initiate ventilations
B. Start chest compressions
C. Maintain warmth
D. Initiate an IV and bolus
E. Request a doctor commo
C. Maintain warmth- acrocyanosis is a normal finding in the first 24 hours.
A 3-year-old is obtunded. You should:
Start CPR
You are called to a 5-year-old choking. Upon arrival, the patient is apneic and pulseless.
Interpretation:
-What is the estimated weight:
-First defibrillation dose:
-Epi dose:
-Second defibrillation dose:
-1st Amio dose:
- ETT size
V Fib
20 kg
40 J (50 J)
[1: 10,000] 0.2 mg/ 2 ml
80 J (100 J)
(5 mg/kg) 100 mg- 2 ml
5.0-5.5
What is assessed during the APGAR?
- Appearance/skin color
- Pulse
- Grimace/response to stimulation
- Activity/muscle tone
- Respiration effort
What is the most common complication of a post-term (> 42 weeks) newborn?
Hypoglycemia due to not enough glycogen stores.
