SOLVED

21) Your assessment of a newborn reveals respiratory distress; heart sounds auscultated over the right chest; and a small, flat abdomen. What is your field diagnosis for this patient? A) Agenesis of the abdominal organs B) Tension pneumothorax C) Tetralogy of Fallot D) Diaphragmatic hernia 22) Which of the following is NOT an option for prehospital vascular access in the newborn? A) Cannulation of a peripheral vein in an extremity B) Intraosseous needle placed in the proximal tibia C) Femoral vein cannulation D) Scalp vein cannulation 23) You have just assisted in the delivery of an approximately 4-kg newborn whose mother is a rather petite primapara. On assessment, you note that there is no spontaneous movement of the infant’s right arm at the shoulder, but he moves the elbow and wrist. He otherwise exhibits vigorous movement and has a 1-minute APGAR score of 9. Which of the following should you suspect? A) Neonatal abstinence syndrome B) Spinal cord damage C) Fractured clavicle D) Caput succedaneum 24) Which of the following is NOT a consequence of respiratory insufficiency in the newborn? A) Hypoxia B) Hyperglycemia C) Bradycardia D) Acidosis 25) Which of the following statements regarding the viability of preterm infants is TRUE? A) Infants delivered before 30 weeks gestation cannot survive. B) Gestational age does not matter as long as the infant weighs over 1,000 grams. C) An infant delivered at 23 to 24 weeks gestation can survive. D) The lower limit of viability is 20 weeks. 26) Based solely on a 1-minute APGAR score of 7, which of the following actions should you take? A) Dry, warm, position, suction, stimulate, give oxygen as needed, reevaluate B) Bag-valve-mask ventilations with supplemental oxygen for 60 seconds C) Chest compressions at 120/minute, reevaluate after 30 seconds D) Allow the mother to nurse the infant, if she desires 27) Which of the following terms refers to babies during their first months of life? A) Infants B) Neonates C) Toddlers D) Newly born infants 28) You have been resuscitating a newborn and find that after ventilation by bag-valve-mask device with supplemental oxygen for 30 seconds that his heart rate is 78 per minute. Which of the following should you do next? A) Start an IV using the umbilical vein. B) Continue ventilations and reassess in another 30 seconds. C) Intubate the trachea. D) Begin chest compressions at a rate of 100 per minute. 29) Which of the following is the correct dosage of epinephrine in neonatal resuscitation? A) 0.1 to 0.3 mg/kg B) 0.01 to 0.03 mg/kg C) 0.01 to 0.03 mL/kg of a 1:10,000 solution D) 1 to 3 mg/kg of a 1:1,000 solution 30) Which of the following statements is TRUE of prehospital newborn care? A) It is impossible to anticipate which deliveries may result in the need for newborn resuscitation. B) Newborns weighing over 2,500 grams are at higher risk of respiratory compromise. C) Sixty percent of newborns delivered outside a hospital require some form of resuscitation. D) The incidence of complications is inversely related to birth weight.