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| 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
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| 40 week gestation infant born by c-section 18 hours later resp distress what is the cause | pphn
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| hypoglycemia may result in an infant of a diabetic mother because of/ | mothers elevated glucose levels during pregnancy
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| bacterial sepsis suspected 1day old severe hypotension. bolus plus dopamine what order is correct? | dopamine 5 micrograms per kilo per min iv
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| 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
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| function of brownian fat is to | generate hear when metabolized
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| 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
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| mother concerned infant overly sleepy increased bruising on scalp. what suspected | subgaleal hemorrhage
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| ETT ppv should be performed without delay if | unable to vent adequatly via bvm and infant is gasping
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| infant of diabetic mother | hyperinsulinism
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| sga | decresed glycogen stores
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| term newborn in cardiogenic shock | increased utilization of glucose and glycogen stores
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| lga | hyperinsulinism
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| premie | decreased glycogen stores
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| infant breathing 80 abg 7.20 co2 25 what suspected? | congenital heart disease such as coartication of aortic atresia
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| infanct is cyanotic at rest pinks w crying infant may have? | choanal artesia
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| neo experiencing severe resp distress in delivery room. BVM pt worstenes abd sunking what should be done now? | perform ett assist
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| cardiogenic shock may result because of? | hypoxia, bacterial infection, severe hypoglycemia
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| 8 hour old 38 wk 3.2 kilo infant bp 45/23 | low
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| 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
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| normal response to cold stress in infants | brown fat metabolism, pulmonary vasoconstriction, peripheral vasoconstriction
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| 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
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| pH 7.25 CO2 36 HCO3 15 interpretation | uncompensated metabolic acidosis
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| pH7.15 CO2 63 HCO3 21 interpretation | uncompensated respiratory acidosis
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| pH 7.0 CO2 55 HCO3 14 interpretation | uncompensated mixed metabolic and respiratory acidosis
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| pH 7.35 CO2 23 HCO3 12 interpretation | compensated metabolic acidosis
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| which organ is most likely to be adversely affected by severe persitent hypoglycemia | brain
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| a neonate with pneumothorax may exhibit which of the following symptoms | increased work of breathing, bradycardia, asymmetric appearing chest, cyanosis, decreased femoral pulses
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| 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
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| 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
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| infant breast feeding green spit. abdomen not distended irritable and crying. history most consistent w what diagnosis | malrotation with midgut volvulus
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| 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
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| 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
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| 34 week gestation infant has rectal temp 87.8 degrees what signs might be observed with this body temp? | hypotension, bradycardia, slow resp
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| 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
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| 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
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| dopamine drug prescribed to treat hypotension may be admin via | peripheral vein or UVC
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| 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
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| 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
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| 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.
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