Exam (elaborations)
COPR Review – Complete With Verified Solutions
COPR Review – Complete With Verified Solutions
[Show more]
Content preview
COPR Review – Complete With Verified SolutionsWhat are symptoms of a pyrogenic reaction? Correct Ans - A high
fever and chills Dizziness or fainting Little or no urination Headaches, double
vision, or seizures
A stab wound above pelvis horizontally and posteriorly, what would it
puncture? Correct Ans - Kidneys
In a head injured patient, both pupils are dilated but sluggish. What is this a
sign of? Correct Ans - Damage still reversible
What is Direct Medical Control? Correct Ans - Provides immediate &
specific patient care resources
What should you suction first in a newborn? Correct Ans - Mouth then
nose
What are the four pre-birth questions? Correct Ans - Gestational age?
What colour is the amniotic fluid? How many babies? Any additional risk
factors?
A newborn <28WKs & <1KG receives what size of ETT? Correct Ans -
2.5mm
A newborn 28-34WKS & 1-2KG receives what size of ETT? Correct Ans -
3.0mm
A newborn 34-38WKS & 2-3KG receives what size of ETT? Correct Ans -
3.5mm
A newborn >38WKS revived what size of ETT? Correct Ans - 4.0mm
A healthy baby may take more than ______________ to achieve SPO2 greater than
90% Correct Ans - 10 minutes
What rate should you provided positive pressure ventilation at for a
newborn? Correct Ans - 40-60 breaths per minute
,What are the six corrective steps in ventilation for a newborn? Correct
Ans - Mask adjustment, reposition airway, suction mouth and nose, open
mouth, pressure increase, alternative airway (MR SOPA)
True or false, acrocyanosis indicates poor oxygenation. Correct Ans -
False.
Where should you place an SPO2 sensor on a newborn? Why? Correct Ans
- Right hand/Wrist. Provides a preductal reading.
What size of ETT blade for a newborn? Correct Ans - No. 1
Depth for compressions in a newborn? Correct Ans - 1/3 the chest
Size of catheter for needle decompression for infants? Correct Ans -
20g until 6 years, 18g over 10 years
After being born, a newborn has a heart rate below 100 per minute what is
your next step? Correct Ans - PPV @ room air
When do you give epinephrine to a newborn? Correct Ans - After first
round of compressions and HR remains below 60bpm
A newborn has laboured breathing, cyanosis and a heart rate above 100. What
are your next steps? Correct Ans - Position and clear airway, provide
supplementary O2 as needed, consider CPAP
Where do you IO in pediatrics? Correct Ans - Proximal tibia is
preferred site. Femur, humoral also an option.
Bulging fontanelle's in pediatrics is a sign of what? Correct Ans - ICP
What considerations should you have for babies born at less than 32 weeks?
Correct Ans - Do not dry, place in plastic bag to prevent heat loss
Most common side effect after suctioning a peds patient? Correct Ans -
Bradycardia
,Formula to determine tube size of ETT in peds? Correct Ans - 4+
(Age/4)
How do you determine depth of ETT in peds? Correct Ans - Tube size X
3
What is epiglotitis? Correct Ans - Acute inflammation of the epiglottis
caused by bacterial infection of the upper airway
A heart rate greater than 180 in peds is probably which rhythm? Correct
Ans - SVT
How long should you suction for a child? Correct Ans - No longer than
10 seconds
How long should you suction for an infant? Correct Ans - No longer
than five seconds
What is the treatment for a magnesium sulphate overdose? Correct Ans -
Calcium gluconate
A pregnant female has hypertension and edema and upper right quadrant
pain. What is this a indicative of? Correct Ans - Pre-eclampsia
Painless bright red bleeding with or without uterine contraction is indicative
of what in pregnancy? Correct Ans - Placenta previa
What is placenta previa? Correct Ans - Placenta covers uterine
segment, either partially or completely
In pregnancy, pelvic bleeding and pain is indicative of what? Correct Ans -
Abruptio placentae
What is a abruptio placente? Correct Ans - Partial or full detachment of
normally implanted placenta, usually greater than 20 weeks
In pregnancy which can cause no bleeding? Abruptio placente or placenta
previa? Correct Ans - abruptio placente
, How should you position a pregnant patient? Correct Ans - Left lateral
recumbent
Why do you apply manual counterpressure with a delivery? Correct Ans -
To prevent tears or an explosive delivery
Why do you lay a pregnant woman on her left side? Correct Ans - To
not compress the vena cava and prevent hypotension
What is frank breech presentation? Correct Ans - Frank Breech means
the buttocks is presenting. Feet are against the face.
A baby is being delivered, and the cord presents first. What is this? And what
is your treatment? Correct Ans - Collapsed cord. Place hand in vaginal
cavity and lift babies head off of cord. Place moist sterile dressing over
presenting cord.
What is shoulder dystocia? Correct Ans - Head is born, but anterior
shoulder cannot pass under pubic arch
What is the treatment for shoulder dystocia? Correct Ans - McRoberts
maneuver: Hyperflex the mothers legs tightly to her abdomen
Rubins maneuver: inserting fingers of one hand vaginally behind posterior
aspect of the shoulder and rotating
What is the apgar scale? Correct Ans - Appearance, pulse, grimace,
activity, respirations
True or False
An APGAR score of 2 for appearance means the newborn's fingers and toes
are bluish in color Correct Ans - False
The normal color all over for the newborn is pink; a pink baby earns a score of
2. A baby who is pink with pale blue toes/feet and fingers/hands will receive a
score of 1 on the APGAR test.
Apgar should be done at what intervals? Correct Ans - 1 & 5 minutes
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 LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$43.09. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81033 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now