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Neo-Ped Midterm

Neo-Ped- Midterm

QuestionAnswer
Disease or condition suspected in an infant in respiratory distress and a physical exam has scaphoid abdomen Diaphragmatic hernia
Another name for Persistent Fetal Circulation Persistent Pulmonary hypertension
If delivered infant presents with acrocyanosis only and heart rate of 140 and respiratory rate of 60 Observe the infant, no intervention
Clincal signs of RDS Grunting, nasal flaring, and retractions, but not acrocyanosis
Respiratory disease resulting from the absence of both airflow and ventilatory effort Central Sleep Apnea
The main source of respiratory acidocis Hypoventilation
A disease that occurs primarily in infants how are delivered via c-section and often followed for rule out pneumonia and have high respiratory rates, AKA RDS type II Transient tachypnea of the newborn
A disease seen at times in infants who present with greenish tinted amniotic fluid on delivery Meconium Aspiration Syndrome
Reduce alveolar recruitment Decreased pulmonary compliance, increased pulmonary resistance, and decrease functional residual capacity
A typical RDS pattern on chest x-ray Ground glass appearance
Because of it, infants do better nowadays with recovering from RDS Surfactant
Not a complication of ARD Choanal atresia
Pierre Robin syndrome An infant with small jaw
The primary factor in the development of Retinopath of Prematurity Oxygen delivery
Infant appears with a distended abdomen that bowel loops can be felt and guaiac positive stools. As a clinician, the priamary consideration of differential diagnosis is Necrotizing enterocolitis
A defect that occurs most commonly as a direct protrusion from the umbilical cord Omphalocele
Purpose of Ballard and Dubowitz assessments Gestational age
Reason an infant would have less pulmonary reserve than an adult Large abdomen
The narrowest part of an infant's airway Cricoid cartilage
Not true of an infant's airway/breathing Tongue smaller
Greater that 90th percentile and Large for gestational age describe LGA
Adequate mean blood pressure can be calculated in a neonate with the formula Gestational age + 5
Not a "red flag" in the neonatal patient Respiratory rate greater than 40, but less than 60
Vernix describes a cheese-like appearance
Laguno describes Fine hair
Indicative of Polycythemia Ruddy appearance
Indicative of Meconium Green staining
Indicative of respiratory distress Head bobbing
Another name for huff coughing Forced exhalation technique
Technique whereby the patient is instructed to breathe at 3 different lung levels with huff coughing interspersed Autogenic drainage
Side of the diaphragm where the majority of diaphragmatic patients have the hernia Left
Causes of obstruction of mucus in the airway Infection, atelectasis, infalmmation, air trapping
The final step to chest physiotherapy Coughing
Infant is 35 weeks gestation and weighs 2500 CPT indicated
Chest tube located in left lower lobe, if CPT ordered to upper right lobe for pneumonia CPT incicated
Contrary to normal coughing, during forced expiratory technique Glottis remains open
Ideal range of pressure patient should generate 10 to 20 cmH20
Visible secretions in the ETT, patient with deterioration condition Signs of suctioning in intubated patient
accicdental extubation, atelectatsis mucosal damage, hypoxemia Hazards of suctioning
Proper position of oxygen analyzer to appropriately read FiO2 Close to infant's face/head
With high flow nasal cannula unable to determine CPAP
Resuscitator bag that can deliver free flow oxygen through the mask port Flow inflating
Mask good to deliver both humidification and a precise FiO2 Venturi mask
Approximate PaO2 when oxygen saturation monitor reads 90% 60 torr
Term refering to abnormally low levels of oxygen in the tissue Hypoxia
Location of the fetal oxyhemoglobin curve reside in comparison with the normal adult oxyhemoglobin The fetal curve lies ot the left of the adult curve
Delivery device most suitable for the administration of heliox Nonrebreather mask
Excess condensate present in aerosol tubing will increase the FiO2
Created by: bhilaire