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

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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?

Increased need for oxygen Signup and view all the answers

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

Cord compression, maternal anesthesia, placenta previa, preterm separation of the placenta 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?

To provide oxygenation and carbon dioxide removal for the newborn's respiratory system Signup and view all the answers

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

Establish and maintain an airway 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?

Administration of medication Signup and view all the answers

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

Initiation and maintenance of respirations Signup and view all the answers

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

Low Apgar score Signup and view all the answers

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

Administration of antibiotics Signup and view all the answers

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

Extracorporeal membrane oxygenation (ECMO) Signup and view all the answers

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

The infant should be given oxygen by mask without pressure 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?

The ductus arteriosus allows blood to circulate from the aorta to the pulmonary artery, creating an ineffective pump action Signup and view all the answers

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 Signup and view all the answers

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

Bradycardia and cardiac arrhythmias Signup and view all the answers

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 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?

To provide supplemental oxygen and support respiratory function Signup and view all the answers

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

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