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Book 3: Maternal and Fetal Care
UNIT 10: PREPARATION FOR NEONATAL TRANSPORT

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
A 1,500-g (3 lb 5 oz) baby is born with Apgar scores of 5 at 1 minute and 9 at 5 minutes, and the decision is made to transport her to a regional perinatal center. While you are waiting for the regional center transport team to arrive, she develops severe respiratory distress with retractions and cyanosis. Which of the following actions should happen within the next several minutes?
   
Yes No
 
 
 
 
 
 
The baby continues to retract with respirations. Arterial blood gas results show Pao2 below 35 mm Hg, Paco2 of 70 mm Hg, pH level below 7.15, and HC0 3- of 22 mEq/L. Which of the following actions is most appropriate?
A baby is born with choanal atresia. An oral airway was immediately inserted, and the baby's vital signs are now within reference ranges and stable. Before transfer to a regional perinatal center, which of the following actions should be taken for this baby?
   
Yes No
 
 
 
 
 
You suspect a baby has sepsis. You have obtained blood cultures and started the baby on anti biotics. Which of the following actions should also occur for this baby?
A 1,200-g (2 lb 10Y2 oz) baby is born in your delivery room . Apgar scores are 8 at 1 minute and 9 at 5 minutes, vital signs and color are within reference ranges, and there is no evidence of respiratory distress. Because of the baby's small size, plans are made to have the baby transported to a regional perinatal center. Which of these actions should be taken in your hospital by your staff, before the transport team arrives?
   
Yes No
 
 
 
 
 
 
The arterial blood gas analysis in a baby receiving 40% inspired oxygen shows Paco2 of 30 mm Hg, Pao2 of 42 mm Hg, pH level of 7.18, and HC0 3- of 11 mE q/L. What should be done for this baby?
   
Yes No
 
 
 
 
A preterm baby is born after the amniotic membranes have been ruptured for 30 hours. At the time of rupture, amniotic fluid was foul smelling. The baby has Apgar scores of 5 at 1 minute and 7 at 5 minutes. At 30 minutes of age, the baby has a severe apneic episode that requires resuscitation. A decision is made to trans­ port the baby to a regional perinatal center. Which of the following steps should be done now, before the regional center transport team arrives?
   
Yes No
 
 
 
 
 
 
 
 
A 4,500-g (9 lb 15 oz) baby is born to a woman with glucose tolerance outside refer­ ence range. He has Apgar scores of 9 at 1 minute and 10 at 5 minutes. At 45 min­ utes of age, the baby has a blood glucose screening test result of Oto 25 mg/dl . A peripheral intravenous infusion of 10% dextrose is started, with improvement in the baby's condition . Plans are made to have the baby transported to a regional perinatal center. Which of the following actions should take place prior to arrival of the trans­ port team?
   
Yes No
 
 
 
 
Babies who have experienced severe perinatal compromise require large amounts of fluid.