CCPR Study Workbook Questions The neonate has a limited ability to ________urine. - ✔✔concentrate The best time for alpha-fetoprotein screening is: - ✔✔15-22 weeks Low or high levels of alpha-fetoprotein are associated with chromosomal anomalies? - ✔✔Low Nuchal lucency screening is useful in diagnosing: - ✔✔trisomy 21 risk True or false: A negative contraction stress test is more reassuring than a nonreactive non-stress test. - ✔✔True The biophysical profile is determined by what 5 factors? - ✔✔Fetal tone, fetal HR, amniotic fluid volume, fetal breathing, fetal movement __________ decels result from cord compression. - ✔✔Variable __________ decels are associated with utero-placental insufficiency. - ✔✔Late _________ decels mirror uterine contractions in time of onset, duration and termination. - ✔✔Early List etiologies of fetal growth restriction: - ✔✔preeclampsia, placenta previa, maternal substance abuse, TORCH infections, chromosomal anomalies, congenital malformations Complications seen in infants of mothers with severe preeclampsia: - ✔✔IUGR, Mag toxicity (hypotonia, resp depression), thrombocytopenia Neonates born to women receiving mag sulfate may have these rare abnormalities: - ✔✔abnormalities in CA homeostasis, parathyroid abnormalities Apgar scoring elements: 5 - ✔✔HR (absent/<100/>100), Respiratory effort, tone, grimace, color Difference between primary and secondary apnea: - ✔✔Primary: inability to immediately spontaneously breath but responds to stim. Secondary: no response to two attempts of tactile stim. Guidelines for initiation of chest compressions for infant: - ✔✔HR<60bpm after intubation & 30 seconds of ventilation with 100% fiO2 Correct rate & depth of compressions: - ✔✔90/min, 3 compressions per breath (one and two and three and..) recommended dose and strength of epinephrine for neonatal resuscitation? - ✔✔0.01-0.03mg/kg IV, 0.03-0.1mg/kg ETT. 1:10,000 0.1mg/mL concentration One minute Apgar scores correlate
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