RCP 700 - Neonates & Neuro || with 100% Accurate
Solutions.
High-risk pregnancy factors correct answers Maternal factors
Age: younger than 16 or older than 35
Diabetes
Substance abuse: Drugs, alcohol, tobacco
Hypertension
Lack of prenatal care
Previous pregnancy complications
Previous c-sections
Baby with respiratory disorder or congenital abnormalities Hypertension
Lack of prenatal care
High risk factors for the baby correct answers Premature rupture of membranes
Premature delivery: < 38 weeks
Postpartum delivery: > 42 weeks
Meconium or amniotic fluid
Prolapsed umbilical cord
Abnormal fetal presentation: breech
Placenta previa: blockage of the cervix
Placenta abruption: separation of the placenta before birth Polyhydramnios: excessive amount of
amniotic fluid
APGAR - Know it! correct answers What do the scores indicate?
1 minute
0-3: Requires immediate resuscitation
4-6:Stimulation and oxygen administration
7-10:Routine observation, Sx upper airway with bulb syringe, dry and place under warmer
5 minute
Response to interventions
Score < 6 = major complications.. Heading to the NICU!
What does the silverman score assess? correct answers Determines the severity of respiratory
distress
,0: No distress
1-3: Mild
4-6: Moderate
> 7: Impending resp failure
10: Severe
What does the ballard score assess? correct answers Estimates baby's gestational age
Normal is 38-42 weeks
Assesses neuromuscular and external physical characteristics Posture, muscle tone, skin, plantar
surface, and physical maturity
Points are totaled and plotted on a graph with the birth weight
AGA: appropriate for gestational age
SGA: small for gestational age / birth weight < 10th percentile LGA: large for gestational age /
birth weight > 90th percentile
Normal vital signs correct answers Heart rate - best assessed by listening with a stethoscope
Bradycardia = less than 100 bpm
Normal heart rate = 110 - 160bpm
Tachycardia = greater than 170 bpm
Respiratory rate
Newborn 40-60 bpm
Newborn to 6 months 30-60 bpm
6 to 12 months 24-30 bpm
1 to 5 years 20-30 bpm
6 to 12 years 12-20 bpm
Temperature
97.6 axillary
99.6 rectal
ABGs correct answers Peripheral artery puncture
Draw from one of several arteries
Radial, brachial, temporal, or posterior tibial
, 25- or 26-gauge needle
35- or 45-degree angle
Radial: Use of transilluminator is needed to find artery
Arterialized capillary blood sampling
Obtained from the heel using a lancet
Warm foot for 5 - 10 minutes to create vasodilation
Puncture lateral aspect of the heel
Use heparinized glass tube to collect the blood
Careful not to squeeze the foot!
May cause damage to foot or contaminate sample with venous blood
Normal PcO2: 40 - 50 mmHg
When would I draw an ABG from the right arm? correct answers To get pre-ductal saturations
and pulse ox reading
Pre-ductal reading is more than 15 mmHg higher than post-ductal = shunt
When would I use the UAC? correct answers Umbilical artery (UAC): It's like an A-line
Inserted into one of the two umbilical arteries, check with an X-ray
Tip of catheter placed in the descending aorta
T6 - T10: Thoracic aorta
L3 - L4: Lumbar aorta
Secure in place with umbilical tape or sutures (umbilical stump)
Tape catheter to abdomen
Do not leave in longer than 7-10 days
Right radial reading more than 15 mmHg higher than UAC = shunt
Oxygen devices / Oxyhood correct answers Oxygen hood: Not commonly used anymore
Ranges 21% - 100%
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FullyFocus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
