When 1 pt becomes 2
The presenting of the baby at the vaginal opening.
What is CROWNING
Respiratory distress in a premature infant is most often the result of...
Surfactant Deficiency
This is used to estimate a child's weight based on his or her height.
Broselow tape
or
length based resuscitation tape
**DAILY DOUBLE**
Most common fall related fracture site in the elderly occur where? Due to what?
Hip FX due to Osteoporosis
supine
I m a non-progressive, bilateral neuromuscular disorder in which voluntary muscles are poorly controlled. Who am I?
Cerebral Palsy
A woman who is pregnant for the first time
What is PRIMIGRAVIDA
**DAILY DOUBLE**
In what environment would you expect to see a child with delayed capillary refill?
Cold Environment
What is the most appropriate vagal maneuver for an infant?
holding ice packs firmly to the face
Who provides quality end of life care through pain and symptoms management
Hospice
What is a disease process that is expected to cause death within 6 months, verified by a physician.
A terminal illness
While enroute to the hospital, your pre-eclamptic pregnant patient has a Grand Mal seizure. What is wrong with your patient?
Eclampsia
**DAILY DOUBLE**
Your female patient who is 28 weeks pregnant has had delivered 6 times, 2 didn't survive due to complications early on in pregnancy. What is she on the gravida, para scale?
Gravida 7
Para 4
Abortions 2
A newborn with a HR of 80 bpm requires...
immediate positive pressure ventilation
Why are a child's vocal cords difficult to visualize during intubation?
large floppy Epiglottis that is U shaped
Following _______________, many older people commonly experience decreased self esteem because they no longer feel useful or productive in society.
retirement
What is the most important intervention when dealing with a patient with a tracheostomy tube is....
suctioning
I am the cardiac dysrhythmia that is associated with the highest risk of stroke. Who am I?
Atrial Fibrillation
This can be caused when by the delay in clamping the umbilical cord and keeping the baby below the level of the placenta, and can result in fetal death.
What is POLYCYTHEMIA
**DAILY DOUBLE**
A newborn with lateral eye deviation is experiencing...
a Seizure
Why would a conscious child be in sniffing position?
Trying to align the axes of the airway and improve ventilation. Path of least resistance.
True or False - elderly people commonly respond slowly to questions.
TRUE
What type of maltreatment is the most common?
Neglect
Bacterial Epiglottitis
A woman is most at risk for Anemia during pregnancy is she....
does not take her prenatal vitamins.
Most common cause of Bradycardia in a newborn
Severe hypoxia
What age child would you expect to see peer pressure, independence issues, and cognizance of body image?
teenage
Older patients are at greatest risk for what type of vascular disease?
Peripheral Vascular Disease
Who needs dialysis?
What does it do?
Which type of Dialysis involves fluid being instilled into the abdominal cavity?
Renal Failure patient, cleansing the blood by pulling out all of the toxins and over abundance of electrolytes produced by the failing of the kidneys.
Peritoneal Dialysis
Delirium
Your pregnant female patient presents with bright red vaginal bleeding and severe lower abdominal pain which started 30 minutes ago. She has not felt this baby move during this 30 minutes. What is wrong with your patient?
Abruptio Placenta
An infant born with a pink body and blue extremities, a pulse rate of 90, a strong cry, and is actively moving around, should be given an APGAR score of...
8
**DAILY DOUBLE**
Your 5 year old male patient who weighs 40 lbs. reveals that he is apneic and pulseless. The monitor shows V-Fib..... treat him
ventilate with high flow 02
defibrillate at 40 joules
IO access
.01 mg/kg Epi
5 mg/kg Amiodarone
Aging kidneys have a decreased glomerular filtration rate which predisposes an older person to all of the following conditions except:
Profound Dehydration
Hypernatremia
Acute Volume Overload
Hyperkalemia
Profound Dehydration
Ventricular assist device.
Your 22 week pregnant female patient presents with a headache to the back of her head, blurred vision, and edema to her hands and feet after Thanksgiving dinner. She thinks that she had too much salt and thinks she has a lot of water retention. BP- 152/94, HR- 110, RR- 24.
Whats wrong with her? FIX IT!
Pre Eclampsia
Magnesium Sulfate infused over 1-10 min
150mL
A newborn with a heart rate of 80 bpm and slow, irregular breathing should receive a combined score of...
2
Your child in respiratory distress is producing a high pitched sound with each inspiration. This is indicative of what type of obstruction?
Upper Airway Obstruction
What spinal deformity is characterized by a hunchback appearance?
An unresponsive woman with diabetes is wearing an insulin pump. Her blood glucose is 24 mg/dL. What is the first thing you should do?
Ensure the pump is off
What prenatal medical problem may show the sign Polydipsia?
Gestational Diabetes
This occurs when the less muscular lower part of the uterus is pulled upward over the presenting part of the baby.
Chest compressions are indicated in the newborn if the HR remains less than _____ bpm despite effective ventilation for _____ seconds.
60 BPM, 30 SEC
What child population is at greatest risk for abuse and neglect?
Children with chronic medical conditions
***DAILY DOUBLE***
Name the first leading and second leading cause of accidental death among the elderly
Falls and Motor Vehicle Accidents
Bruising to the abdomen is suggestive of what?
Child abuse
Your newborn patient appears to be in respiratory distress and you note brown/greenish discoloration in the amniotic fluid. Who am I? Fix it.
Meconium Aspiration
Direct ET suctioning, oxygenate and ventilate newborn as needed, monitor for drop in the heart rate.
Who is at greatest risk of Uterine Rupture?
A pregnant woman with a past history of Cesarean Section.
Fever in infants younger than 2 months of age is defined as a body temperature that is ______'F or greater.
100.4 F
A child at age _____ is anatomically and physiologically similar to an adult.
Age 8
Most age related visual disturbances are the result of:
Cataracts or Glaucoma
Bruises that occur ___________________ are rarely accidental.
in a straight line
When deoxygenated blood is able to shift from one atrium to the other and mix with oxygen-rich blood.
Atrial Septal Defect
Who is at greatest risk for meconium aspiration?
A newborn born at more than 42 weeks gestation
Newborn Hypoglycemia is defined as a blood glucose level lower than:
45 mg/dL
What size and type of blade is recommended for use in a full term newborn?
No. 1, straight blade
Adverse drug reactions in elderly people are the result of:
changes in drug metabolism due to diminished hepatic function.
Elderly ________ are at highest risk for suicide, and most often use _______ as their suicide method of choice.
Men. firearms.
The fetus' spinal column does not close properly or completely and vertebrae do not develop, leaving a portion of the spinal cord exposed. Who am I?
Spina Bifida