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Low Risk Neonate Test

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15-16mEq/L -PaCo2 level 40-45mmHg -adequate spontaneous or assisted ventilation -cause of acidosis is being assessed & treated signs of respiratory distress - Answer--tachypnea, retractions, flaring or grunting persist beyond 1 hour after birth -any time severe or worsening tachypnea, retractions, flaring, or grunting develop -any time cyanosis or low SpO2 is present what part of the baby's body should you examine to determine if the baby is cyanotic - Answer-lips a baby, 30 mins after birth is pink but shows mild grunting & nasal flaring. you check the baby vital signs & they are normal. what would you do next? - Answer-attach a pulse ox and observe the baby at 3 hours after birth, a 1,900g (4#3) baby develops mild grunting, intercostal retractions, and nasal flaring, and RR 80bpm, but is pink all over. it is 0400. what should you do? - Answer--take the baby's V/s -attach a cardiac monitor -attach a pulse ox Respiratory distress syndrome (RDS) is caused by - Answer-lack of lung surfactants many times, correction of underlying non-pulmonary problems can significantly diminish or completely eliminate a baby's respiratory distress - Answer- baby usually breathe through their noses. they usually cannot breathe through their mouths - Answer-true what causes respiratory distress syndrome? - Answer-immaturity of the baby's lungs & the resulting lack of surfactants needed to keep the alveoli open what causes respiratory distress? - Answer--blockage in airway between the nose & lungs -immaturity of baby lungs & resulting lack of surfactants needed to keep alveoli open -inhalation of amniotic fluid into the lungs -low blood


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