Swift River Paediatrics Exam Questions and Answers 100% Correct.
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Course
Swift River Paediatrics
Institution
Swift River Paediatrics
Baby Harris - ANSWER-4-hour old newborn male, weight 6.6lbs with a length of 18in and approx gestational age of 36 weeks. Late prenatal care. Mom has history of meth and heroin addiction. In addition, the mom admits to smoking 1 pack per day through pregnancy. Urine drug test on baby positive for h...
Swift River Paediatrics Exam
Questions and Answers 100% Correct.
Baby Harris - ANSWER-4-hour old newborn male, weight 6.6lbs with a length of 18in and
approx gestational age of 36 weeks. Late prenatal care. Mom has history of meth and heroin
addiction. In addition, the mom admits to smoking 1 pack per day through pregnancy. Urine
drug test on baby positive for heroin and meth. VS: T 98.1 HR 178 R 70 PaO2 96%
Baby Strickland - ANSWER-1-hour old newborn female, 37 week gestational age born via C-
section, weight 9.9lbs. Mom has history of diabetes, not well controlled.
Educational needs- increased
Health- Increased
LOC- Normal
Pain- Normal
Psych- Normal
Safety- Increased
, Risk for altered thermoregulation- true
Risk for blood glucose instability- true
Scenario 2
Initiate NAS protocol of morphine 0.5mg PO and Phenobarbital every 4 hours - ANSWER-1.
Swaddle baby tightly
2. Calculate dose and administer meds
3. Reassess vital signs every 1 hour
4. Reassess NAS score every 2 hours
5. Document findings
Scenario 3
Baby appears jittery, RR 75 Temp 97.4 HR 180 - ANSWER-1. Place baby under radiant
warmer
2. Assess BG via heel stick. BG is 34
3. Notify lab
4. OG feed baby 10ml formula
5. Reassess BG level in 15mins
Scenario 4
Baby starts grunting and exhibiting substernal retractions with respirations due to recent
diagnosis of patent duct arteriosus - ANSWER-1. Place O2 sensor on baby
2. Place oxyhood over baby
3. Initiate IV fluids
4. Administer inhaled nitrous oxide
5. Reassess vital signs
Baby Strickland - ANSWER-Hypoglycemia, risk for- true
Impaired gas exchange- true
Impaired skin integrity- false
Ineffective breathing pattern, risk for- true
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