MCN Ch 26: High-Risk Newborn Resuscitation and Newborn Priorities Quiz

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Questions and Answers

What is the primary cause of most deaths occurring within the first 48 hours after birth?

  • Respiratory acidosis
  • Meconium aspiration syndrome
  • Extracorporeal membrane oxygenation
  • Cerebral hypoxia (correct)

What is the primary consequence of a newborn failing to draw in a first breath spontaneously?

  • Failure of the blood pH and bicarbonate buffer system
  • Respiratory acidosis (correct)
  • Increased need for oxygen
  • Inadequate newborn defense mechanisms

What is the primary purpose of using a bulb syringe on a newborn who does not draw in a first breath spontaneously?

  • To stimulate the newborn's skin and initiate respirations
  • To provide extracorporeal membrane oxygenation
  • To increase the newborn's body temperature
  • To remove mucus and prevent aspiration (correct)

What is the primary consequence of a newborn having to attempt to raise body temperature due to chilling?

<p>Increased need for oxygen (B)</p> Signup and view all the answers

Which of the following conditions can lead to asphyxia in utero?

<p>Cord compression, maternal anesthesia, placenta previa, preterm separation of the placenta (B)</p> Signup and view all the answers

What is the primary function of extracorporeal membrane oxygenation (ECMO) in the treatment of newborns with respiratory distress syndrome?

<p>To provide oxygenation and carbon dioxide removal for the newborn's respiratory system (A)</p> Signup and view all the answers

What is the first step in the resuscitation process of a high-risk newborn?

<p>Establish and maintain an airway (C)</p> Signup and view all the answers

Which of the following is NOT one of the eight priority needs of all newborns in the first few days of life?

<p>Administration of medication (C)</p> Signup and view all the answers

In a high-risk newborn, what is a crucial factor that determines the prognosis?

<p>Initiation and maintenance of respirations (B)</p> Signup and view all the answers

What is an indication that a newborn is having difficulty transitioning from intrauterine to extrauterine life?

<p>Low Apgar score (A)</p> Signup and view all the answers

Which of the following is NOT a part of the therapeutic management for high-risk newborns?

<p>Administration of antibiotics (C)</p> Signup and view all the answers

What is a key component in managing a high-risk newborn with respiratory distress?

<p>Extracorporeal membrane oxygenation (ECMO) (B)</p> Signup and view all the answers

What can happen if a newborn's amniotic fluid was meconium stained?

<p>The infant should be given oxygen by mask without pressure (A)</p> Signup and view all the answers

What is the primary reason why a patent ductus arteriosus can lead to ineffective heart function in a newborn?

<p>The ductus arteriosus allows blood to circulate from the aorta to the pulmonary artery, creating an ineffective pump action (B)</p> Signup and view all the answers

What is the recommended technique for suctioning a newborn who requires deeper suctioning than a bulb syringe?

<p>Place the infant in a neutral position and use a suction catheter, suctioning for no more than 10 seconds at a time (B)</p> Signup and view all the answers

What is a potential complication of vigorous suctioning in a newborn?

<p>Bradycardia and cardiac arrhythmias (C)</p> Signup and view all the answers

How can a newborn's use of available serum glucose be affected by respiratory distress?

<p>Respiratory distress can cause the newborn to use up available serum glucose quickly, leading to hypoglycemia (B)</p> Signup and view all the answers

What is the purpose of administering warmed, blow-by oxygen by face mask or positive-pressure mask in a newborn with respiratory distress?

<p>To provide supplemental oxygen and support respiratory function (A)</p> Signup and view all the answers

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