SOLVED

41) You are transporting a 28-week-gestation newborn who was delivered at home. En route, the infant experiences a seizure. Which of the following possibilities should you investigate? 1. Hypoxic-ischemic encephalopathy 2. Hypoglycemia 3. Drug withdrawal 4. Intraventricular hemorrhage A) 1 and 3 B) 2 and 4 C) 2, 3, and 4 D) 1, 2, 3, and 4 42) Which of the following is an intrapartum risk factor for newborn distress? A) Gestational diabetes B) Inadequate prenatal care C) Post-term gestation D) Prolonged labor 43) The most common cause of bradycardia in the newborn is ________, which should be treated with ________. A) hypoxia; basic resuscitation procedures such as tactile stimulation, oxygen, and ventilation B) hypoxia; aggressive suctioning, intubation, and ventilation C) increased vagal tone; atropine D) maternal narcotic use; naloxone 44) Which of the following should be considered in the neonate whose parents report that he has diarrhea? 1. Lactose intolerance 2. Cystic fibrosis 3. Pyloric stenosis 4. The number of bowel movements that are normal in infants 5. Whether the infant is breast fed or receives formula A) 2, 3, 4, and 5 B) 1, 2, 4, and 5 C) 1, 4, and 5 D) 1 and 4 45) You have just delivered a newborn who was initially apneic and cyanotic. After suctioning, drying, warming, and stimulating the infant and administering blow-by oxygen, you find that the infant has a ventilatory rate of 35 with signs of respiratory distress, a weak brachial pulse of 70, and continuing central cyanosis. Which of the following should you do next? A) Start an IV using the umbilical vein and administer a 20 mL/kg fluid bolus. B) Begin chest compressions at a rate of 120 per minute and reevaluate after 1 minute. C) Perform ventilations with a bag-valve-mask device and supplemental oxygen. D) Intubate and instill 0.04 mg of epinephrine diluted in saline into the tube. 46) You have just delivered a newborn who has a meningomyelocele. How should you position this patient? A) In a lateral recumbent position with a pressure bandage over the defect B) Supine, head and chest elevated C) Prone D) Supine, head lower than body 47) Which of the following endotracheal tubes described is appropriate for a full-term infant weighing over 3,000 grams? A) 4.0, cuffed B) 4.0, uncuffed C) 3.0, cuffed D) 3.0, uncuffed 48) Which of the following sets of vital signs is normal for a newborn? A) HR = 125, RR = 65 B) HR = 175, RR = 60 C) HR = 190, RR = 35 D) HR = 180, RR = 30 49) Which of the following types of congenital anomalies is most common? A) Neural tube defects B) Diaphragmatic hernia C) Heart defects D) Cleft lip and cleft palate 50) Which of the following is appropriate for suctioning thick meconium from the airway of a full-term infant? A) 2.5-mm endotracheal tube B) Bulb syringe C) 30-cc syringe