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ENPC 5TH EDITION WITH 100% CORRECT ANSWERS 2023
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  • ENPC

Neonate characteristics: Birth to 4 weeks If preterm neonate until original due date plus 28 days Loses 5-10% weight by 3-4th day of life Flexion normal posture Limited glycogen store Nose breathers Infant characteristics: Nose breather until 6months And muscle to breathe Metabolic ...

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  • November 3, 2023
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • enpc 5th edition

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  • ENPC
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ENPC 5TH EDITION WITH 100%
CORRECT ANSWERS 2023
Neonate characteristics: - answer Birth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers


Infant characteristics: - answer Nose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)


Toddler characteristics: - answer Babinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe


Most common cause of bradycardia in peds - answer hypoxia


When to begin chest compressions in peds - answer when HR is below 60bpm


Suctioning the neonate - answer increases the risk for decreased cerebral blood flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose

, Neonate first minute emphasis - answer ventilation not intubation


Lower glucose levels in Neonate - answer associated with potential for brain injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24h 45 mg/dL


Neonatal CHD - answer compare pulse ox from right hand to either foot (difference >3% suggest
dx)
considered in infant presenting with respiratory distress or shock (with absence of fever)
s/s include shock, cyanosis, tachypnea, or pulmonary edema


Neonatal cyanosis - answer look inside the mouth at gum line for purple/blue color of tongue
and gums - central
look for hands and feet to change color - peripheral


Respiratory Distress in peds patient - answer characterized by increased respiratory rate
increased heart rate
skin color changes
increased WOB (grunting, nasal flaring, head bobbing, accessory muscle use)
wheezing
diaphoresis
abnormal upper airway (sounds such as stridor)
change in mentation (irritable or agitated)


Laryngotracheobronchitis (Croup) - answer viral illness that account 90% peds stridor
inflammation, exudates and edema of larynx l/d narrowing of upper airway

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