ENPC 5TH EDITION QUESTIONS WITH
CORRECT ANSWERS 2026-2027
Neonate 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 ANSWERV-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 ANSWERV-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 ANSWERV-
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
Respiratory Distress in peds patient - CORRECT ANSWER -
characterized by increased respiratory rate
increased heart rate
CORRECT ANSWERS 2026-2027
Neonate 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 ANSWERV-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 ANSWERV-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 ANSWERV-
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
Respiratory Distress in peds patient - CORRECT ANSWER -
characterized by increased respiratory rate
increased heart rate
