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Book 1 UNIT 5
Select the one best answer to each question (unless otherwise instructed).
Which of these babies needs resuscitation?
A. A baby with meconium-stained amniotic fluid, normal breathing, and good muscle tone
B. A baby who is cyanotic but breathing regularly
C. A term baby with gasping respirations and poor muscle tone
D. A preterm baby who has marked acrocyanosis
If epinephrine is administered during a delivery room resuscitation, which of the following routes is preferred?
A. Umbilical artery
B. Extremity vein
C. Umbilical vein
D. Endotracheal tube
Which of the following is the most appropriate rate to provide assisted ventilation to a newborn (who does not need chest compressions)?
A. 20 breaths/min
B. 40 breaths/min
C. 80 breaths/min
D. 120 breaths/min
If a baby does not begin spontaneously breathing after delivery, which of the following things would you do first?
A. Stimulate the baby by drying.
B. Start chest compressions.
C. Administer epinephrine.
D. Insert an umbilical venous catheter.
Match the following actions with the appropriate medication from the list on the right.
Match the following actions with the appropriate medication from the list on the right.
Epinephrine
Physiological (normal) saline solution
Sodium bicarbonate
None of them
Counteracts narcotic drugs
Epinephrine
Physiological (normal) saline solution
Sodium bicarbonate
None of them
Improves heart rate
Epinephrine
Physiological (normal) saline solution
Sodium bicarbonate
None of them
Treats low blood volume
Epinephrine
Physiological (normal) saline solution
Sodium bicarbonate
None of them
Which of the following babies must be intubated immediately in the delivery room if resuscitation is required?
A. A baby born to a mother whose membranes ruptured 30 hours before delivery
B. A baby suspected of having a diaphragmatic hernia
C. A baby with a 1-minute Apgar score of 6
D. A baby with Turner syndrome
Which of the following concentrations of epinephrine is appropriate to use for newborns?
A. 10 mg/ml
B. 1 mg/ml
C. 0.10 mg/ml
D. 0.01 mg/ml
A newborn has been quickly rubbed dry after delivery and given tactile stimulation to breathe but remains blue and limp, with gasping respirations and a heart rate of 80 beats/min. Which of the following actions is recommended?
A. Give the baby free-flow oxygen.
B. Administer naloxone hydrochloride.
C. Insert an umbilical arterial catheter .
D. Begin assisted ventilation
Which of the following concentrations of oxygen for resuscitation does the American Academy of Pediatrics recommend for a baby born at term who requires positive pressure ventilation?
A. 21%
B. 30% to 50%
C. 40% to 60%
D. 100%
Which of the following ranges of oxygen concentration for resuscitation does the American Academy of Pediatrics recommend to start positive-pressure ventilation with a preterm baby whose gestational age is less than 35 weeks?
A. 21%to30%
B. 30% to 50%
C. 40% to 60%
D. 60% to 100%
Which of the following problems is least likely to happen to a baby who required prolonged resuscitation at birth?
A. Hypercalcemia
B. Low urine output
C. Seizures
D. Low blood pH level
Bag-and-mask ventilation is appropriate for all of the following babies except those
A. Who do not breathe after stimulation
B. With an Apgar score of 2 and a respiratory rate of 10
C. With a cleft lip who are not breathing
D. With a sunken abdomen at birth
A baby will soon be delivered at term via emergency cesarean delivery because of a bleeding placenta previa. Which medication would you anticipate the baby is most likely to need?
A. Naloxone hydrochloride
B. Normal saline solution
C. Sodium bicarbonate, 0.5 mEq/mL
D. Vitamin K
Meconium aspiration may occur in utero minutes, hours, or days before delivery.
True
False
Initial positive-pressure inflation pressure of 40 to 45 cm H20 is preferred.
True
False
Babies who require resuscitation for as long as 20 minutes may have normal mental and physical development.
True
False
To avoid confusion, it is best if one person performs all resuscitation procedures.
True
False
A carbon dioxide detector is the recommended way to confirm endotracheal tube placement.
True
False
A limp, meconium-stained baby with weak respiratory efforts should have the mouth and nose cleared with suction and receive drying and stimulation.
True
False
Nearly all babies who require assisted ventilation should also receive chest compressions.
True
False
Overheating a compromised baby may worsen the extent of hypoxic brain injury.
True
False
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