CCPR Study Workbook Questions

CCPR Study Workbook Questions The neonate has a limited ability to ________urine. - concentrate The best time for alpha-fetoprotein screening is: - 15-22 weeks Low or high levels of alpha-fetoprotein are associated with chromosomal anomalies? - Low Nuchal lucency screening is useful in diagnosing: - trisomy 21 risk True or false: A negative contraction stress test is more reassuring than a nonreactive non-stress test. - True The biophysical profile is determined by what 5 factors? - Fetal tone, fetal HR, amniotic fluid volume, fetal breathing, fetal movement __________ decels result from cord compression. - Variable __________ decels are associated with utero-placental insufficiency. - Late _________ decels mirror uterine contractions in time of onset, duration and termination. - Early List etiologies of fetal growth restriction: - preeclampsia, placenta previa, maternal substance abuse, TORCH infections, chromosomal anomalies, congenital malformations Complications seen in infants of mothers with severe preeclampsia: - IUGR, Mag toxicity (hypotonia, resp depression), thrombocytopenia Neonates born to women receiving mag sulfate may have these rare abnormalities: - abnormalities in CA homeostasis, parathyroid abnormalities Apgar scoring elements: 5 - HR (absent/100/100), Respiratory effort, tone, grimace, color Difference between primary and secondary apnea: - Primary: inability to immediately spontaneously breath but responds to stim. Secondary: no response to two attempts of tactile stim. Guidelines for initiation of chest compressions for infant: - HR60bpm after intubation & 30 seconds of ventilation with 100% fiO2 Correct rate & depth of compressions: - 90/min, 3 compressions per breath (one and two and three and..) recommended dose and strength of epinephrine for neonatal resuscitation? - 0.01-0.03mg/kg IV, 0.03-0.1mg/kg ETT. 1:10,000 0.1mg/mL concentration One minute Apgar scores correlate with: - umbilical cord blood pH & index of intrapartum depression. 5/10 min Apgar scores correlate with: - infants change in condition and adequacy of resuscitative effort When to discuss withholding/withdrawing treatment: - after 10 min of aggressive resuscitative effort with no evidence