ENPC 5th Edition Exam Prep 2024 Questions And all Correct Answers
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Course
ENPC
Institution
ENPC
ENPC 5th Edition Exam Prep 2024
Questions And all Correct Answers
Neonate characteristics: - answerBirth 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 characteris...
ENPC 5th Edition Exam Prep 2024
Questions And all Correct Answers
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
tx with dexamethasone and racemic epi (nebulized epinephrine)
tx with antipyretics for fever
Pertussis (whooping cough) - answer✔✔acute bacterial infection of the respiratory tract that is
highly contagious
characterized by spasmodic, hacking cough followed by whooping noise upon breath intake
tx with erythromycin, azithromycin, clarithromycin or trimethoprim-sulfamethoxazole
cystic fibrosis (CF) - answer✔✔genetic condition r/t exocrine dysfunction
result in thick mucous production
persistent productive cough, hyperinflated lungs, diminished pulmonary function and increased
susceptibility to ch. bacterial resp infections
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