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the following are appropriate methods for rewarming a hypothermic infnat
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40 week gestation infant born by c-section 18 hours later resp distress what is the cause
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| Question | Answer |
|---|---|
| the following are appropriate methods for rewarming a hypothermic infnat | incubator increase environmental air temp, place on top of an activated chemical thermal mattress after covered w cloth, and place on a radiant warmer on servo-control mode |
| 40 week gestation infant born by c-section 18 hours later resp distress what is the cause | pphn |
| hypoglycemia may result in an infant of a diabetic mother because of/ | mothers elevated glucose levels during pregnancy |
| bacterial sepsis suspected 1day old severe hypotension. bolus plus dopamine what order is correct? | dopamine 5 micrograms per kilo per min iv |
| pre and post-ductal sat monitoring ordered for an infant suspected pphn where will two probes be placed and what will be measuring? | right hand pre ductal left foot post ductal |
| function of brownian fat is to | generate hear when metabolized |
| term infant developes resp distress aspiration stomach. what problems? | pulmonary vascular resistance may increase cause right to left shunt, tissue hypoxia cell organ damage, increased glucose utilization cause hypoxemia, development of metabolic acidosis due to anaerobic |
| mother concerned infant overly sleepy increased bruising on scalp. what suspected | subgaleal hemorrhage |
| ETT ppv should be performed without delay if | unable to vent adequatly via bvm and infant is gasping |
| infant of diabetic mother | hyperinsulinism |
| sga | decresed glycogen stores |
| term newborn in cardiogenic shock | increased utilization of glucose and glycogen stores |
| lga | hyperinsulinism |
| premie | decreased glycogen stores |
| infant breathing 80 abg 7.20 co2 25 what suspected? | congenital heart disease such as coartication of aortic atresia |
| infanct is cyanotic at rest pinks w crying infant may have? | choanal artesia |
| neo experiencing severe resp distress in delivery room. BVM pt worstenes abd sunking what should be done now? | perform ett assist |
| cardiogenic shock may result because of? | hypoxia, bacterial infection, severe hypoglycemia |
| 8 hour old 38 wk 3.2 kilo infant bp 45/23 | low |
| 1 hour life term infant 1400 gm serum glucose of 10 what orders most appropriate? | 2.8 ml d10 iv slow push then begin infusion 5ml per hour |
| normal response to cold stress in infants | brown fat metabolism, pulmonary vasoconstriction, peripheral vasoconstriction |
| 39 week gestation infant delivered at home requires mouth to mouth what should be performed immidiatly? | move infant to warmer, and establish iv access by uvc admin 10ml/kilo bolus ns |
| pH 7.25 CO2 36 HCO3 15 interpretation | uncompensated metabolic acidosis |
| pH7.15 CO2 63 HCO3 21 interpretation | uncompensated respiratory acidosis |
| pH 7.0 CO2 55 HCO3 14 interpretation | uncompensated mixed metabolic and respiratory acidosis |
| pH 7.35 CO2 23 HCO3 12 interpretation | compensated metabolic acidosis |
| which organ is most likely to be adversely affected by severe persitent hypoglycemia | brain |
| a neonate with pneumothorax may exhibit which of the following symptoms | increased work of breathing, bradycardia, asymmetric appearing chest, cyanosis, decreased femoral pulses |
| a 3 kilo infant requires intubation for severe respiratory distress ett is taped at 9 cm at the lip. ett is most likely | in good position |
| infant born at 42 weeks gestation apgar 3 1 min 5 5min. pulse drops below 60 gasping respirations. infant intubated given assisted vent w o2 chest compressions started infant at risk for developing | hypoglycemia, acidosis, pneumothorax, seizures |
| infant breast feeding green spit. abdomen not distended irritable and crying. history most consistent w what diagnosis | malrotation with midgut volvulus |
| 18 hour 36 wk lethargic abdominal distension resp distress. +antibiotics ANC three consecutive cbc 8 hours apart are 3240, 1050, 540 interpretation | worrisome, indicated possible neutrophil depletion |
| immature to total ratio same three cbc obtained 8 hours apart are 0.36, 0.56, 0.83 this trend is | worrisome-because the numbers indicate an increasing proportion of immature neutrophils |
| 34 week gestation infant has rectal temp 87.8 degrees what signs might be observed with this body temp? | hypotension, bradycardia, slow resp |
| infant delivers unexpectly at home. emergency medical personnel arrive not small chin and jaw obstruction of the airway by tongue extreme resp distress. | pierre robin sequence |
| 38 week gestation infant delivered vaginally after difficult labor membranes ruptured 20 hours clear. 6 hours after birth appeared hypotonic mottled required o2 to maintain o2 sat greater 90 included tachypnea, nasal flaring, grunting, retractions. | bacterial sepsis |
| dopamine drug prescribed to treat hypotension may be admin via | peripheral vein or UVC |
| 4 hours old infant tachypeic hypotonic temp 38.4 c | disagree w healthcare practitioner because normal cbc may be observed when an infant is infected |
| which statements about hypothermia are true | hypothermia stimulates norepinephrine release increase metabolic rate, hypthermia causes peripheral vasoconstriction may lead to tissue hypoxia, hypothermia causes pulmonary vasoconstriction result right to left shunting |
| parents of transported infant ask you to explain pphn best explanation | the lung blood vessels are constucted which prevents adequate amounts of blood from entering the lungs. shunted through blood vessel called ductus arteriosus. causes problems w oxygenation of blood. |
Created by:
janeth4035