You have just delivered a baby girl. Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should:- Nurselytic

Question 1 of 5

You have just delivered a baby girl. Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should:

A. reassess the newborn every 5 minutes and transport after the placenta delivers. B. keep the newborn warm, give oxygen to the mother if needed, and transport. C. massage the lower part of the mother's uterus until the placenta delivers. D. give the newborn high-flow oxygen via a non-rebreathing mask and transport.

Correct Answer: B

Rationale: In this scenario, the appropriate action is to keep the newborn warm, ensure the mother receives oxygen if needed, and prepare for transport. The newborn is showing signs of central cyanosis (hands and feet being cyanotic), which can be due to various reasons, including inadequate oxygenation. Therefore, ensuring warmth and possible oxygen to the mother are important. Additionally, monitoring both the mother and baby during transport is crucial for their well-being.

Question 2 of 5

What is the most likely cause of a sudden onset of respiratory distress in a 5-year-old child with no fever?

A. Infection of the lower airways. B. A progressive upper airway infection. C. Inflammation of the upper airway. D. A foreign body airway obstruction.

Correct Answer: D

Rationale: A sudden onset of respiratory distress in a child without fever is most likely due to a foreign body airway obstruction. This obstruction can rapidly lead to difficulty breathing, stridor, and other signs of respiratory distress without necessarily causing a fever. Prompt recognition and intervention are crucial in such cases to prevent further complications and ensure the child's airway remains clear.

Question 3 of 5

Which of the following statements regarding pediatric anatomy is correct?

A. The child's trachea is more rigid and less prone to collapse. B. The occiput is proportionately larger when compared to an adult. C. Airway obstruction is common in children due to their large uvula. D. Relative to the overall size of the airway, a child's epiglottis is smaller.

Correct Answer: B

Rationale: The occiput, the back part of the head, is proportionately larger in children compared to adults, which can have implications for airway management techniques. This anatomical difference is important to consider when providing care to pediatric patients, especially during airway interventions.

Question 4 of 5

What is the appropriate technique for performing two-rescuer CPR on a 4-year-old child?

A. 15 compressions to 2 ventilations, compressing the sternum with your thumbs, and delivering at least 100 compressions per minute. B. 30 compressions to 2 ventilations, compressing the chest one third the depth of the chest, and delivering each breath over 1 second. C. 15 compressions to 2 ventilations, compressing the sternum with the heel of your hand, and ventilating until visible chest rise occurs. D. 30 compressions to 2 ventilations, compressing the sternum with the heel of both hands, and delivering each breath over 1 to 2 seconds.

Correct Answer: C

Rationale: When performing two-rescuer CPR on a 4-year-old child, the appropriate technique involves 15 compressions to 2 ventilations. Compressions should be done by pressing the child's sternum with the heel of your hand. Ventilations should be given until visible chest rise occurs. This technique ensures effective CPR delivery for a child in need of resuscitation.

Question 5 of 5

You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be:

A. determining if the child has a history of croup. B. preparing to treat her for a febrile seizure. C. assessing the need for ventilation assistance. D. taking her temperature to see how high it is.

Correct Answer: C

Rationale: In a child with increased work of breathing, a high-pitched sound during inhalation, and a high fever, upper airway obstruction should be suspected. The child's condition may require immediate ventilation assistance to ensure adequate oxygenation and ventilation. Therefore, the most immediate concern in this scenario is to assess the need for ventilation assistance.

Nurselytic

ATI LPN

ATI LPN

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