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)
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)
