2 week old

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2 week old

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bluestar
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08/22/05 - 10:48 PM

2 week postmature neonate exhibits severe respiratory distress immedately after birth. Previously, green-tinged meconium was noted in the amniotic fluid. Which of the following is the most appropriate next step in management?

(A) Chest x-ray
(B) Suctioniing of the mouth and nasopharynx
(C) Oxygen supplementation by face mask
(D) Intubation with mechanical ventilation
(E) Emergency tracheostomy

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drkpp
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08/22/05 - 10:58 PM

b

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bobby
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08/22/05 - 11:24 PM

b

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bluestar
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08/22/05 - 11:26 PM

For a 2 week old baby, would suction still work? I mean, what can aspired has been aspired. Can we suck out what's already in the lung?

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chemamr
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08/23/05 - 06:07 AM

go with B, too.

You know, it´s a confusing question, you can also interprete it like a just born neonate, with 44 weeks of gestation (2 weeks postmature). confused

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tamar
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08/23/05 - 07:08 AM

drkpp
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08/23/05 - 11:41 AM

BLUESTAR THE QUESTION SAYS THE BABY IS JUST BORN BUT ONLY ITS DELIVERED 2 WEEKS POST MATURE SAY AT 40 WEEKS WHEN MECONIUM ASPIRATION IS SO COMMON. SO THE ASPIRATED HAS YET TO BE BROUGHT OUT!!

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bluestar
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08/23/05 - 08:03 PM

drkpp wrote:
BLUESTAR THE QUESTION SAYS THE BABY IS JUST BORN BUT ONLY ITS DELIVERED 2 WEEKS POST MATURE SAY AT 40 WEEKS WHEN MECONIUM ASPIRATION IS SO COMMON. SO THE ASPIRATED HAS YET TO BE BROUGHT OUT!!

Oh! it's "2 week postmature neonate" I read it as "2 week postpartum neonate". of course postpartum should be applied to the mother not the baby. thanks! grin

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drkpp
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08/23/05 - 09:49 PM

good to be right once in a while!!! nod

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