The growth pattern for an infant whose head circumference, length, and weight all fall below the 10th percentile on the newborn growth chart is considered – ANS: symmetric intrauterine growth restri... ction. Selwin is a 2-hour-old neonate who was born at 41 weeks gestation with a tight nuchal cord. After delivery of the placenta, the primary care provider noted a silent abruption. Currently, Selwin has tachypnea, mild grunting, and retractions. His arterial blood gas results are: pH: 7.25, pCO2: 36, HCO3: 15. Which of the following is a correct interpretation of these blood gas results? ANS: Metabolic acidosis Cecelia was born at 42 week gestation with meconium stained amniotic fluid after a prolonged second stage of labor. She is floppy, apneic, and has a heart rate of 60 beats per minute. The first action in caring for Cecelia is to - ANS: assist with intubation to clear the airway of meconium. All of the following conditions warrant the use of continuous positive airway pressure (CPAP) in a newborn except - ANS: diaphragmatic hernia. Tatiana is a 24-year-old homeless woman who presents to the labor and delivery unit in active labor with no history of prenatal care. She gives birth precipitously within 10 minutes after her arrival. The neonate's Apgar scores are 2 at 1 minute of life, 5 at 5 minutes of life, and 7 at 10 minutes of life, and the neonate falls in the small for gestational age category on the neonatal growth chart. At 12 hours of age, the neonate is tachypneic, jittery, hypertonic, high-pitched cry, and inconsolable. It is important to screen this neonate for - ANS: substance exposure. When evaluating a neonate for sepsis the term "left shift" refers to the - ANS: increase in proportion of immature white blood cells. [Show More]
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