Principles II- Quiz 1

78 Questions | Total Attempts: 132

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Neonatal Resuscitation Quizzes & Trivia

This quiz reviews the material on Neonatal anesthesia for Principles 2. Quizzes come mostly from notes, with some from the book.


Questions and Answers
  • 1. 
    You are caring for a child who is two weeks old. What would this kid be classified as?
    • A. 

      Neonate

    • B. 

      Infant

    • C. 

      Child

    • D. 

      Newborn

  • 2. 
    You are caring for a 5 week old today. How would you classify this kid?
    • A. 

      Neonate

    • B. 

      Infant

    • C. 

      Child

    • D. 

      Newborn

  • 3. 
    What is the total body water content of a premature baby?
    • A. 

      90%

    • B. 

      70%

    • C. 

      80%

    • D. 

      60%

  • 4. 
    Which of the following is not true regarding anatomic differences between neonates and adults?
    • A. 

      Anterior and Cephalad Larynx

    • B. 

      Long Epiglottis

    • C. 

      Narrow Nasal Passages

    • D. 

      Decreased Right Ventricular Compliance

  • 5. 
    You are caring for 1 month old Audrey today who is having repair of pyloric stenosis. She weighs 5 kg currently. What would be an appropriate IV intubating dose of sux for Audrey?
    • A. 

      10 mg

    • B. 

      7.5 mg

    • C. 

      5 mg

    • D. 

      20 mg

  • 6. 
    Which of the following allows oxygenated blood  coming from the umbilical vein to go directly into the inferior vena cava, bypassing the liver?
    • A. 

      Ductus Arteriosis

    • B. 

      Ductus Venosus

    • C. 

      Foramen Ovale

    • D. 

      Iliac Arteries

  • 7. 
    Which of the following allows oxygenated blood from the right side of the heart to pass into the left side circulation via a shunt located between the right and left atria?
    • A. 

      Ductus Arteriosus

    • B. 

      Ductus Venosus

    • C. 

      Foramen Ovale

    • D. 

      Pulmonary Artery

  • 8. 
    In fetal circulation, which side of the heart ejects more of the cardiac output?
    • A. 

      Left Atria

    • B. 

      Both are equal

    • C. 

      Left Ventricle

    • D. 

      Right Ventricle

  • 9. 
    A full-term infant delivered via a scheduled cesarean section may be at an increased risk for what?
    • A. 

      Transient Tachypnea

    • B. 

      Persistant Pulmonary Hypertension

    • C. 

      Meconium Aspiration

    • D. 

      Cesarean Infants are not at an increased for any complications.

  • 10. 
    You are caring for 3 day old Zach. During delivery he aspirated meconium into his trachea. He has needed respiratory support due to hypoxia.  Little Zach is currently in resp distress and about to be intubated.  When you auscultate his chest you hear a pansystolic murmur, indicating a patent ductus arteriosis. What is the most likely diagnosis for little Zach?
    • A. 

      Transient Tachypnea of the newborn

    • B. 

      Persistant Pulmonary Hypertension

    • C. 

      Hyperbilirubinemia

    • D. 

      Pneumonitis of infancy

  • 11. 
    Which of the following is not true regarding physiological differences of the neonate?
    • A. 

      Lower Lung Compliance

    • B. 

      Cardiac output dependent on Heart rate

    • C. 

      Increased FRC at birth

    • D. 

      Higher total body water content

  • 12. 
    General anesthesia inhibits nonshivering thermogenesis in infants.
    • A. 

      True

    • B. 

      False

  • 13. 
    What would be appropriate vital signs for 3 month old child in your care?
    • A. 

      RR 62 HR 145 BP 76/40

    • B. 

      RR 10 HR 62 BP 58/30

    • C. 

      RR 22 HR 120 BP 135/ 82

    • D. 

      RR 28 HR 130 BP 72/40

  • 14. 
    What would be an appropriate pre-medication dose of atropine for a 5 month old child weighing 7 kg?               
    • A. 

      14 mg

    • B. 

      0.14 mg

    • C. 

      0.07 mg

    • D. 

      0.7 mg

  • 15. 
    Why is an awake intubation generally not recommended for premature neonates?
    • A. 

      Can lead the reopening of the Forman Ovale

    • B. 

      Due to hyperactive vagal activity it will cause the premature infant to become bradycardic

    • C. 

      Due to size of the airway we are more likely to cause severe damage to the esoaphagus and vocal cords.

    • D. 

      May lead to HTN and rupture of intracerebral vessels.

  • 16. 
    Which of the following may be an indication for an awake intubation?
    • A. 

      A child with pyloric stenosis who has been persistently vomitting

    • B. 

      1 day old child born to a diabetic mother, weighing 13 lbs.

    • C. 

      A child born with hydrocephalus going in for emergent Shunt placement

    • D. 

      A newborn with Meningomyelocele going in for repair, NPO for 6 hours.

  • 17. 
    How do neonates control their temperature?
    • A. 

      By increasing SVR and HR to constrict peripheral vessels and direct blood to their core

    • B. 

      Through metabolism of brown fat.

    • C. 

      Through Shivering to generate heat and energy within tissues.

    • D. 

      All The Above.

  • 18. 
    Which drug would you give to a 5kg infant to blunt the physiologic response to awake intubation?
    • A. 

      Sux 10mg IV

    • B. 

      Glyco 0.05mg IV

    • C. 

      Lidocaine 7.5 mg IV

    • D. 

      Nitrous oxide 70%

  • 19. 
    Which of the following describes an appropriate time to extubate a 2 month old child?
    • A. 

      When the child is still drowsy, but maintaining an adequate RR and Todal Volume.

    • B. 

      When the child can lift their head off the bead for 5 seconds and grasp your finger.

    • C. 

      When the child begins to move, regardless of eye opening (babies just aren’t cooperative here)

    • D. 

      When the child is attempting to cry, grab tube and their eyes are open

  • 20. 
    You are the SRNA for a full term neonate who is going in today for repair of an omphalocele. The child weighs 4 kg, with a current HCT 55%. The doctor says to transfuse the baby if the HCT drops to 40%. What is the allowable blood loss for the full term neonate?
    • A. 

      90 ml

    • B. 

      110 ml

    • C. 

      50 ml

    • D. 

      185 ml

  • 21. 
    You are the SRNA for an 11 month old child today. They were a fullterm baby and now weigh 10kg. The child has been NPO for 6 hours and is having an atraumatic surgical procedure. How much fluid would you give to this child TOTAL during the SECOND hour of the procedure? (fluid total just for 2nd hour, not for entirety of procedure)
    • A. 

      160

    • B. 

      180

    • C. 

      120

    • D. 

      40

  • 22. 
    Which drug is considered the muscle relaxant drug of choice for a normal, healthy neonate undergoing a minor cosmetic procedure  to separate webbed toes. The child weighs 8 kg.
    • A. 

      Sux 32 mg IM

    • B. 

      Rocuronium 8mg IV

    • C. 

      Pavulon 0.8 mg IV

    • D. 

      Cisatracurium 4mg IV

  • 23. 
    How would you treat laryngospasm in a 6 week old child?
    • A. 

      Administer Sux 2mg/kg IV

    • B. 

      Give racemic epinephrine treatment

    • C. 

      Give 100% Oxygen via facemask and apply jaw thrust

    • D. 

      Flick bottom of childs feet to stimulate vagal nerve.

  • 24. 
    Reversal of agents should ALWAYS be given to neonates due to their tendency toward post-op apnea.
    • A. 

      True

    • B. 

      False

  • 25. 
    Why would you not administer 100% oxygen to a premature infant?
    • A. 

      Because of their immature respiratory control center which will cause apnea if arterial O2 tension becomes too high

    • B. 

      Because of the risk of retinopathy of prematurity

    • C. 

      Because of the risk of causing the Ductus Arteriosis & Forman Ovale to reopen

    • D. 

      Because you don’t feel like it.