Persistent Pulmonary Hypertension — Flashcards

Flashcard 1: The immediate next step in managing an apneic baby whose mother has been administered narcotics (meperidine) shortly before delivery is to do _____

Answer: Positive pressure ventilation (bag and mask ventilation)

Flashcard 2: The _____ upper limb is the best area to check preductal O2 saturation in a newborn infant.

Answer: Right

Flashcard 3: _____-onset sepsis in neonates is characterised by respiratory distress and pneumonia

Answer: Early

Flashcard 4: Failure to initiate respiratory effort at birth is called _____

Answer: primary apnea

Flashcard 5: A hemodynamically unstable newborn should be managed in a _____ unit.

Answer: Neonatal Intensive Care Unit (NICU) (Level III)

Extra: Neonatal care is categorized into three levels: - **Level I:** Basic newborn care (well-baby nursery). - **Level II:** Special Care Nursery or Special Newborn Care Unit (SNCU) for stable preterm or moderately ill infants. - **Level III:** Neonatal Intensive Care Unit (NICU) for hemodynamically unstable infants, those requiring mechanical ventilation, or extremely premature neonates.

Flashcard 6: Problems of infants with IUGR and pathogenesis: _____: due to decreased uteroplacental perfusion during labour+chronic fetal hypoxia, meconium aspiration syndrome

Answer: Perinatal asphyxia

Flashcard 7: If despite effective chest compressions and PPV, the newborn's HR remains < 60 bpm, the next step is to provide _____

Answer: IV epinephrine

Flashcard 8: Umbilical vessel cannulation can be performed in the first _____ of life before umbilical stump gets detatched

Answer: 7-10 days

Flashcard 9: Area shaded blue (the _____) is the preferred site for heel prick testing in newborns.

Answer: medial and lateral aspects

Flashcard 10: Which pediatric disorder will present with hyperinflation, patchy infiltrates and coarse streaking on chest x-ray?\n_____

Answer: Meconium aspiration syndrome