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Rnc Questions And Answers With Verified Solutions 100% Correct!!!
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Rnc Questions And Answers WithVerified Solutions 100% Correct!!!
Beginning maintenance formula kcal/kg/day - ANSWER✔✔50-70 kcal/kg/day
Apgar categories/scoring - ANSWER✔✔Color, heart rate, reflex irritability,
muscle tone, respiratory effort
0-2 for each category, total out of 10
If 5-minute score < 7, repeat every 5min until 20 min
target spO2 at birth (1-10 min) - ANSWER✔✔1 min: 60-65%
2 min: 65-70%
3 min: 70-75%
4 min: 75-80%
5 min: 80-85%
10 min: 85-90%
NRP compression rate - ANSWER✔✔compression ventilation ratio of 3:1
(90 compressions: 30 ventilations/ minute)
NRP PPV rate - ANSWER✔✔40-60 breaths/min
NRP criteria for use of epi - ANSWER✔✔1. Heart rate less than 60 bpm despite
(a) 30 seconds effective ventilation (b) another 45-60 seconds coordinated
ventilation and compressions
,NRP epi dosing (IV/ETT) - ANSWER✔✔IV: 0.1-0.3 mL/kg of 1:10,000
concentration
ETT: 0.5-1 mL/kg of 1:10,000 concentration
repeat every 3-5 minutes
NRP Na Bicarb dosing - ANSWER✔✔2 mEq/kg of 4.2% solution (0.5 mEq/mL)
IV, given at rate of 1 mEq/kg/min
(rapid admin can cause IVH)
Gestational age for polyethylene wrap - ANSWER✔✔< 29 weeks
NRP: HR > 100 bpm, spontaneous respirations with persistent cyanosis or signs of
respiratory distress - ANSWER✔✔CPAP
Pharmacokinetics in newborn - ANSWER✔✔1. GI motility
2. Stomach pH
3. GI enzyme activity- deficient in pancreatic enzymes
4. Bacterial flora
5. GI tract perfusion
6. Total body water (decreases with age)
7. Body fat (increases with age)
8. Serum albumin levels
9. Immature liver
10. Renal blood flow, limited GFR
Digoxin - ANSWER✔✔Inhibits Na-K pump, increases intracellular Ca
, Increases myocardial contractility
Decreases SA and AV nodes, slows ventricular rate in tachyarrhythmias
Epi, dopa, dobutamine, isoproterenol - ANSWER✔✔Contraction of vascular
smooth muscle and constriction of blood vessels
Suppressed sympathetic nervous system activity- decreased GI tone and motility
Increased strength and rate of myocardial contraction
Vascular smooth muscle dilation and bronchial muscle relaxation
Antiarrhythmics - ANSWER✔✔adenosine, digoxin, esmolol, lidocaine
Antihypertensives/vasodilators - ANSWER✔✔Captopril, propranolol
Diuretics
Hydralazine
Digoxin + furosemide - ANSWER✔✔Potentiates toxic response to digoxin
Normal CXR - ANSWER✔✔Lungs expand to 8th rib on inspiration
Ground glass on CXR - ANSWER✔✔microatelectasis
TTN CXR - ANSWER✔✔Symmetrical perihilar streakiness
Mild-mod overaeration, streaky densities
Possible fluid in horizontal fissure and oblique lobar fissure
Mildly enlarged cardiothymic silhouette
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