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ENPC 5th edition – QUESTIONS AND ANSWERS
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ENPC 5th edition – QUESTIONS AND ANSWERS
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ENPC 5th edition – QUESTIONS AND ANSWERSNeonate characteristics: Correct Answer - Birth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: Correct Answer - Nose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Toddler characteristics: Correct Answer - Babinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe
Most common cause of bradycardia in peds Correct Answer - hypoxia
When to begin chest compressions in peds Correct Answer - when HR is below 60bpm
Suctioning the neonate Correct Answer - increases the risk for decreased cerebral blood
flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose
Neonate first minute emphasis Correct Answer - ventilation not intubation
Lower glucose levels in Neonate Correct Answer - associated with potential for brain
injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24h 45 mg/dL
Neonatal CHD Correct Answer - compare pulse ox from right hand to either foot
(difference >3% suggest dx)
considered in infant presenting with respiratory distress or shock (with absence of fever)
s/s include shock, cyanosis, tachypnea, or pulmonary edema
Neonatal cyanosis Correct Answer - look inside the mouth at gum line for purple/blue
color of tongue and gums - central
look for hands and feet to change color - peripheral
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