A term newborn at 1 minute of life has a heart rate of 110, weak cry with some flexion, grimaces with stimulation, and acrocyanosis. What is the Apgar score?
Shared Competencies Neonatal Pediatric
Question · Easy
A 4-year-old child requires endotracheal intubation. Using the standard formula for an uncuffed tube, what size ETT should be selected?
Laboratory panel that measures the number and size of red cells, white cells, platelets, hemoglobin, and hematocrit.
Diagnostic results
Guess the Term
Chapter 1: Neonatal and Pediatric Patient Assessment
1.1 Maternal, Obstetric & Perinatal History
Study guide
A 5 kg infant is being intubated with a 4.0 mm uncuffed ETT. What is the correct insertion depth at the lip?
Read the clue and guess the term in 6 tries.
Game
A newborn has a preductal SpO2 of 95% and a postductal SpO2 of 82%. What does this finding most likely indicate?
Question · Medium
Condition in which the lungs' blood vessels keep a high resistance after birth, causing a severe reduction in blood flow and often right-to-left shunting.
Respiratory compromise
Which oxygen delivery device can reliably provide an FiO2 of 0.60-0.90 to a cooperative pediatric patient?
What is the normal respiratory rate range for a healthy term newborn?
Chronic condition in which the airways become inflamed and narrowed at times, making it harder to breathe out.
1.2 Fetal Surveillance & Antepartum Diagnostics
When using a small-volume nebulizer for a 2-year-old child, what is the recommended interface?
Swap tiles to line up three of the same term.
Term Match
A 6-year-old asthmatic is prescribed albuterol via MDI with a valved holding chamber. What is the most important instruction for proper technique?
Noninvasive test that measures airway inflammation in diseases such as asthma by measuring a gas in the breath.
Pulmonary status
Which transcutaneous monitor is most useful for trending ventilation in a neonate on mechanical ventilation?
A capillary blood gas on a stable preterm infant shows pH 7.34, PCO2 42, PO2 38, HCO3 22. How should the PO2 be interpreted?
Breathing device passed through the vocal folds and connected to a ventilator to deliver air directly to the airways.
Airway management
1.3 Gestational Age & Baseline Neonatal Examination
A respiratory therapist is preparing to suction a neonate with a 3.5 mm ETT. What suction catheter size is most appropriate?
Flip two cards at a time to find matching terms.
Term Pairs
An infant born at 30 weeks gestation is now 8 weeks old chronologically. What is the corrected gestational age?
Airway clearance method in which the patient breathes out against a fixed resistor, creating resistance during exhalation.
Airway clearance
A 3-year-old with stridor and barking cough receives racemic epinephrine 2.25%. What is the correct dose for a 15 kg child?
Using the Pediatric Assessment Triangle, which three components are evaluated?
Inhaled rescue medicine used as needed for quick relief of asthma symptoms, such as albuterol.
Medications
1.4 Apgar, Respiratory Distress & Thoracic Assessment
Following NRP 8th edition guidelines, what initial PPV pressure should be used for a term newborn requiring resuscitation?
Critical Care Neonatal Pediatric
Find five hidden terms in a grid of letters.
Term Search
An apneic newborn has a heart rate of 50 after 30 seconds of effective PPV (preferably through an advanced airway). What is the next step per NRP 8e?
Course that teaches an evidence-based approach to caring for a newborn at birth and facilitates effective team-based care at delivery.
Delivery room care
What is the recommended IV epinephrine dose during neonatal resuscitation per NRP 8e?
A 1.2 kg preterm infant with RDS is to receive Curosurf (poractant alfa). What is the initial dose?
Question · Hard
Surveillance measure for babies and children on mechanical breathing support that flags worsening respiratory status after a period of stability or improvement.
Care protocols
1.5 Pediatric Assessment Triangle & Vital Signs
Which surfactant administration technique uses a thin catheter while the infant remains on CPAP?
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On HFOV for a 28-week neonate, the clinician notes chest wiggle that ends at the umbilicus. The amplitude should be:
Emergency technique of chest compressions and rescue breaths used when a person's heart has stopped beating.
Patient education
A neonate with PPHN is started on inhaled nitric oxide. What is the recommended starting dose?
Calculate the oxygenation index (OI) for a neonate with mean airway pressure 18 cmH2O, FiO2 0.90, and PaO2 45 mmHg.
Newborn assessment reported at 1 and 5 minutes after birth that totals five scored signs into a maximum of 10.
Newborn assessment
1.6 Neurologic Assessment, Respiratory Failure & Triage
A 32-week neonate with RDS is on CPAP 6 cmH2O and FiO2 0.25 with stable WOB and SpO2 92%. What is the next appropriate step?
A 6-month-old with RSV bronchiolitis requires escalation from low-flow nasal cannula. According to AAP guidance and current evidence, the most appropriate next step is:
Low-density gas blend used to reduce turbulent airflow and the work of breathing during an asthma exacerbation.
Specialty gases
A 25 kg child with status asthmaticus is started on continuous albuterol. What is the appropriate dose?
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