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COPR Review – Complete With Verified Solutions
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COPR Review – Complete With Verified Solutions
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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
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