18 Questions
What is the primary cause of most deaths occurring within the first 48 hours after birth?
Cerebral hypoxia
What is the primary consequence of a newborn failing to draw in a first breath spontaneously?
Respiratory acidosis
What is the primary purpose of using a bulb syringe on a newborn who does not draw in a first breath spontaneously?
To remove mucus and prevent aspiration
What is the primary consequence of a newborn having to attempt to raise body temperature due to chilling?
Increased need for oxygen
Which of the following conditions can lead to asphyxia in utero?
Cord compression, maternal anesthesia, placenta previa, preterm separation of the placenta
What is the primary function of extracorporeal membrane oxygenation (ECMO) in the treatment of newborns with respiratory distress syndrome?
To provide oxygenation and carbon dioxide removal for the newborn's respiratory system
What is the first step in the resuscitation process of a high-risk newborn?
Establish and maintain an airway
Which of the following is NOT one of the eight priority needs of all newborns in the first few days of life?
Administration of medication
In a high-risk newborn, what is a crucial factor that determines the prognosis?
Initiation and maintenance of respirations
What is an indication that a newborn is having difficulty transitioning from intrauterine to extrauterine life?
Low Apgar score
Which of the following is NOT a part of the therapeutic management for high-risk newborns?
Administration of antibiotics
What is a key component in managing a high-risk newborn with respiratory distress?
Extracorporeal membrane oxygenation (ECMO)
What can happen if a newborn's amniotic fluid was meconium stained?
The infant should be given oxygen by mask without pressure
What is the primary reason why a patent ductus arteriosus can lead to ineffective heart function in a newborn?
The ductus arteriosus allows blood to circulate from the aorta to the pulmonary artery, creating an ineffective pump action
What is the recommended technique for suctioning a newborn who requires deeper suctioning than a bulb syringe?
Place the infant in a neutral position and use a suction catheter, suctioning for no more than 10 seconds at a time
What is a potential complication of vigorous suctioning in a newborn?
Bradycardia and cardiac arrhythmias
How can a newborn's use of available serum glucose be affected by respiratory distress?
Respiratory distress can cause the newborn to use up available serum glucose quickly, leading to hypoglycemia
What is the purpose of administering warmed, blow-by oxygen by face mask or positive-pressure mask in a newborn with respiratory distress?
To provide supplemental oxygen and support respiratory function
Test your knowledge on the organized process of resuscitating high-risk newborns in MCN Chapter 26. Understand the importance of establishing and maintaining an airway, expanding the lungs, and initiating effective ventilation. Learn about the eight priority needs for all newborns in the first few days of life.
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