SOLVED

31) You are assessing a 1-minute APGAR score on a patient who has peripheral cyanosis and a heart rate of 98, who cried spontaneously after delivery, is actively moving his extremities, and has a strong cry. What is the APGAR score of this patient? A) 9 B) 7 C) 8 D) 10 32) Which of the following is an appropriate beginning dosage of dopamine per minute for a 5-kg neonate? A) 15 mcg B) 5 mcg C) 25 mcg D) 50 mcg 33) Which of the following statements concerning functional residual volume in newborn resuscitation is TRUE? A) You should maintain a PEEP of 2 to 4 centimeters of water with ventilations to maintain adequate functional residual volume. B) It is impossible to maintain functional residual volume without a cuffed endotracheal tube to prevent air from escaping around the tube. C) Functional residual volume can be maintained only with a mechanical ventilator. D) A manually triggered, oxygen-powered ventilation device enhances functional residual volume. 34) Which of the following statements BEST describes secondary apnea in newborns? A) Primary apnea is due to respiratory failure, while secondary apnea is due to cardiac arrhythmia. B) Primary apnea occurs only at birth, while secondary apnea occurs anytime during the first month of life. C) Secondary apnea results from primary apnea. D) Secondary apnea is a less serious condition and responds well to tactile stimulation and an oxygen-enriched atmosphere. 35) The appearance of your newborn patient leads you to suspect that he has Pierre Robin syndrome. Which of the following should be your most immediate concern? A) Upper airway obstruction B) Lower airway obstruction C) Compression of the lungs by the abdominal contents D) Shunting of blood through a patent foramen ovale 36) Which of the following conditions may result in persistent fetal circulation? A) Failure to cut the umbilical cord B) Down syndrome C) Hypoxia D) Overaggressive administration of blow-by oxygen 37) Which of the following describes the appropriate administration of intravenous fluids in a newborn? A) Normal saline or lactated Ringer’s solution 40 mL/kg using a pressure infuser B) Normal saline, 10 mL/kg, slow IV push C) 10 percent dextrose in water, 20 mL/kg, slow IV push D) 5 percent dextrose in 0.45 percent saline solution, 30 mL/kg 38) Which of the following is likely to occur due to prolonged and/or deep suctioning of the newborn’s airway? A) Hypoxia, tachycardia B) Hypoxia, bradycardia C) Hypoxia, ventricular fibrillation D) Vagal stimulation, tachycardia 39) Which of the following may occur secondary to suctioning the airway of an infant? A) Clearing the airway B) Bradycardia C) Hypoxia D) All of the above 40) Which of the following parameters is the most important indicator of neonatal distress? A) Decreased respiratory rate B) Increased respiratory rate C) Increased heart rate D) Decreased heart rate