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ENPC 5th edition(Emergency Nursing Pediatric Course 5th Edition)Answered!!
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ENPC 5th edition(Emergency Nursing Pediatric Course 5th Edition)Answered!!
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ENPC 5th edition(Emergency NursingPediatric Course 5th
Edition)Answered!!
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
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