SOLVED

11) Which of the following statements concerning suctioning the airway of the newborn is TRUE? A) In all newborns, the presence of thin, watery meconium staining requires aggressive suctioning with an endotracheal tube in place. B) Using a bulb syringe, first suction the nose, then the mouth. C) Vigorous newborns should not be suctioned unless there is meconium present. D). If the amniotic fluid is clear, no suction is required. 12) At 90 seconds after birth, based on the following findings, which newborn does NOT require resuscitative efforts beyond routine care? A) HR = 100, RR = 30, peripheral cyanosis, APGAR = 8 B) HR = 158, RR = 40, central cyanosis, APGAR = 6 C) HR = 75, RR = 25, central cyanosis, APGAR = 5 D) HR = 98, RR = 27, peripheral cyanosis, APGAR = 6 13) You have just assisted in the delivery of a 34-week-gestation infant in the office of a methadone clinic. The mother had been in the clinic with her boyfriend, who was there for his methadone. The infant has a 5-minute APGAR score of 5 after drying, warming, suctioning, stimulating, and providing bag-valve-mask ventilations. Your partner advises that the mother denies narcotic use but is lethargic and has constricted pupils. Which of the following is the MOST appropriate action to take at this point? A) Intubate the trachea, continue ventilations, contact medical control for consultation concerning intravenous access and administration of naloxone, and prepare to transport to a NICU. B) Intubate the trachea, administer 0.4 mg of naloxone through the endotracheal tube, ventilate, reassess, and prepare to transport to a NICU if no improvement. C) Continue bag-valve-mask ventilations, perform chest compressions for 1 minute, reassess, establish intravenous access, continue chest compressions if the heart rate remains less than 100, consult with medical control concerning administration of naloxone and transport destination. D) Continue bag-valve-mask ventilations, secure intravenous access, administer naloxone, reassess, and prepare for transport to a NICU regardless of improvement. 14) Which of the following guidelines applies to suctioning the newborn’s airway with an endotracheal tube to remove particulate meconium? A) Use a meconium aspirator, and use no more than 100 mmHg of vacuum. B) Use a meconium aspirator, and use no more than 100 cm H20 of vacuum. C) Use battery-operated portable suction only, and use no more than 100 cm H20 of vacuum. D) Use portable or wall-mounted suction, and use no more than 300 mmHg of vacuum. 15) Which of the following is TRUE of secondary apnea in newborns? A) Epinephrine is the preferred primary intervention. B) Secondary apnea only occurs in small-for-gestational-age newborns. C) This condition requires ventilatory assistance. D) The first intervention is “blow-by” oxygen held 1/2 inch from the newborn’s face. 16) Which of the following terms refers to babies during their first few hours of life? A) Newborns B) Pediatrics C) Infants D) Neonates 17) You are called to the home of a 72-hour-old infant whose mother is concerned because the infant has been “vomiting after she eats.” Based on this information, which of the following should you include in your history and physical assessment? 1. Asking whether the infant is “spitting up” or having forceful vomiting 2. Checking the blood glucose level 3. Asking whether there were any complications with the pregnancy or delivery 4. Cardiac monitoring 5. Assessing the fontanelles A) 2, 3, and 4 B) 1, 2, 3, 4, and 5 C) 1, 2, 3, and 5 D) 1, 3, and 5 18) Which of the following is the correct dosage for sodium bicarbonate in newborn resuscitation? A) 1 mEq/kg B) 1 mL/kg C) 1 mL/g D) 1mg/g 19) Which of the following is the correct dosage of naloxone for a 2,500-g newborn? A) 0.25 mg B) 2.5 mg C) 0.025 mg D) 25 mg 20) Which of the following is appropriate in establishing vascular access via the umbilical vessels? A) Use a large-bore catheter-over-the-needle system. B) Insert the tip of the catheter just past the point where the vessels enter the skin. C) Leave 2 to 3 inches of umbilical cord attached to the infant. D) Select the larger of the two umbilical arteries.