ENPC 5th edition Questions and Answers with 100% Complete and Verified solutions

Neonate characteristics: - CORRECT ANS 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 ANS Nose breather until 6months And muscle to breathe Metabolic rate 2x adult (increased need for oxygen and glucose) Toddler characteristics: - CORRECT ANS Babinski réflex normal until walking Plantar réflex at 2 years And muscles to breathe Most common cause of bradycardia in peds - CORRECT ANS hypoxia When to begin chest compressions in peds - CORRECT ANS when HR is below 60bpm Suctioning the neonate - CORRECT ANS increases the risk for decreased cerebral blood flow decreased pulmonary oxygenation bradycardia suction mouth then nose Neonate first minute emphasis - CORRECT ANS ventilation not intubation Lower glucose levels in Neonate - CORRECT ANS 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 ANS 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 ANS 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 ANS characterized by increased respiratory rate increased heart rate skin color changes increased WOB (grunting, nasal flaring, head bobbing, accessory muscle use) wheezing diaphoresis abnormal upper airway (sounds such as stridor) change in mentation (irritable or agitated) ENPC 5t