CCPR Study Workbook Questions |Questions with 100% Correct Answers | Verified

CCPR Study Workbook Questions |Questions with 100% Correct Answers | Verified The neonate has a limited ability to ________urine. - answerconcentrate The best time for alpha-fetoprotein screening is: - answer15-22 weeks Low or high levels of alpha-fetoprotein are associated with chromosomal anomalies? - answerLow Nuchal lucency screening is useful in diagnosing: - answertrisomy 21 risk True or false: A negative contraction stress test is more reassuring than a nonreactive non-stress test. - answerTrue The biophysical profile is determined by what 5 factors? - answerFetal tone, fetal HR, amniotic fluid volume, fetal breathing, fetal movement __________ decels result from cord compression. - answerVariable __________ decels are associated with utero-placental insufficiency. - answerLate _________ decels mirror uterine contractions in time of onset, duration and termination. - answerEarly List etiologies of fetal growth restriction: - answerpreeclampsia, placenta previa, maternal substance abuse, TORCH infections, chromosomal anomalies, congenital malformations Complications seen in infants of mothers with severe preeclampsia: - answerIUGR, Mag toxicity (hypotonia, resp depression), thrombocytopenia Neonates born to women receiving mag sulfate may have these rare abnormalities: - answerabnormalities in CA homeostasis, parathyroid abnormalities Apgar scoring elements: 5 - answerHR (absent/100/100), Respiratory effort, tone, grimace, color Difference between primary and secondary apnea: - answerPrimary: inability to immediately spontaneously breath but responds to stim. Secondary: no response to two attempts of tactile stim. Guidelines for initiation of chest compressions for infant: - answerHR60bpm after intubation & 30 seconds of ventilation with 100% fiO2 Correct rate & depth of compressions: - answer90/min, 3 compressions per breath (one and two and three and..) recommended dose and strength of epinephrine for neonatal resuscitation? - answer0.01- 0.03mg/kg IV, 0.03-0.1mg/kg ETT. 1:10,000 0.1mg/mL concentration One minute Apgar scores correlate with: - answerumbilical cord blood pH & index of intrapartum depression. 5/10 min Apgar scores correlate with: - answerinfants change in condition and adequacy of resuscitative effort When to discuss withholding/withdrawing treatment: - answerafter 10 min of aggressive resuscitative effort with no evidence for other causes of newborn compromise. Assess GA & wishes of parents 5 etiologies of non-immune hydrops fetalis: - answerhypoplastic L heart, parvovirus, extra thoracic tumors, chromosomal (trisomy 21/18), congenital lymphatic dysplasia Delivery room management for fetal hydrops: - answerIntubations supplies, thoracentesis, paracentesis, thoracotomy, line placement, & subspecialty presence 5 Risk factors of birth trauma: - answerprimiparity, small maternal stature, maternal pelvic anomalies, prolonged or precipitous labor, oligohydramnios ________ nerve palsy may result from lateral hyperextension of the neck. - answerPhrenic In Duchenne erb palsy, which reflexes are absent on the affected side? - answermoro, bicep, and radial reflexes (arm is adducted and internally rotated) Klumpke's palsy, what is absent? - answergrasp reflex What are two neonatal complications of maternal UTI? - answerpreterm birth & neonatal sepsis What are two neonatal complications of maternal cigarette smoking? - answerincreased perinatal mortality & IUGR What are some neonatal complications of maternal anemia? - answerstillbirth, IUGR, hydros fetalis, preterm birth, asphyxia What are some neonatal complications of maternal bleeding? - answerstillbirth, preterm birth, anemia Etiologies for SGA? - answerunderweight Mom, maternal HTN, placenta previa, single umbilical artery, congenital infections, chromosomal anomalies Etiologies for LGA? - answermaternal diabetes, large parents, post-term, syndromes (beckwith-wiedemann) Factors that increase risk for premature birth? - answerlow socioeconomic status, African American, 16yrs or 35years, placenta previa, abruption, IUGR, hydros What are the risks associated with oligohydramnios? - answerfetal demise, placental insufficiency, IUGR, renal agenesis, pulmonary hypoplasia, deformations What are the risks associated with multiple gestations? - answerIGUR, T-T transfusion, preterm birth, asphyxia, birth trauma What are the risks associated with polyhydramnios? - answeranencephaly, neuromuscular/CNS disorders, chylothorax, swallowing issues, neurotube defects Identify 5 problems associated with prematurity: - answerperinatal depression (apnea), RDS, PVL, IVH, hypotension & PDA Management of intrauterine growth restriction: - answerDetermine cause, monitor fetal wellbeing, offer glucocorticoids for lung maturity, deliver with NICU team Short term outcomes of SGA/IUGR infants: - answerincreased morbidity & mortality, poor postnatal growth, neurologic impairment, delayed cognitive development, poor academic achieveme