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A newborn is currently on a high flow nasal cannula at an FIO2 of 0.70 and a flow set at 6 LPM. The patient is breathing at 42 breaths/min, SpO2 of 99%, pulse at 130 bpm and some slight acrocyanosis 10 hours after birth. What should be done at this time?

An apneic 33 week GA neonate at 2.3 kg needs to be intubated and placed on CMV. What size ETT should be used?

A term newborn was delivered with the amniotic fluid stained with blood due to PROM. Due to poor APGARS, the newborn was placed on ventilator support intubated with a 2.5 cuffless endotracheal tube. Current settings and blood gas values are as follows: Mode – SIMV Total rate – 70 Rate – 20 Exhaled VT – 4 ml PIP – 20 cm H2O Spontaneous VT – 2 ml FiO2 – 0.45 PIP – 10 cm H2O PEEP – 5 cm H2O   pH – 7.20 PaCO2 – 63 torr PaO2 – 49 torr HCO3 – 24 mEq/L BE – 0.2 mEq/L What should be done at this time?

Baby boy Anderson is 38 weeks GA and weighing in at 3.5 Kg. The patient is intubated with a 3.0 ETT and was placed on ventilatory  support on the following ventilator settings and ABG results:Mode AC/PCV                         pH = 7.20f = 18                                        PaCO2 = 65 mmHgPressure = 25 cm H2O               PaO2 = 51 mmHgFIO2 = 68%                              HCO3 = 26 mEq/LPEEP = 0 cm H2O  Total rate = 65Ex. VT = 16 mlWhat can be done to resolve the problem?

At 1 minute post delivery, the newborn assessment reveals irregular respiration, HR of 110 bpm, Some muscle flex of the extremities, Has a grimace but not crying, has blue hands and feet but the trunk is pink. The patients APGAR score is:

A newborn has an increase in amniotic fluid greater than 2 liters. That manifestation is due to an enlargement of the the fetal head that is termed as:

A 1.5 Kg newborn is on mechanical ventilation due to a poor APGAR score post delivery. The following are ventilatory parameters and ABG results: Mode – AC Total rate – 46 Rate – 40 Exhaled VT – 5 ml Pressure – 18 cm H2O Total VE – 0.23 L/min PEEP – 3 cm H2O PIP – 21 cm H2O FIO2 – 0.60     pH – 7.26 PaCO2 – 53 torr PaO2 – 60 torr HCO3 – 24 mEq/L BE – 0.2 mEq/L

A newborn with meconium aspiration syndrome (MAS) was placed on CMV due to respiratory failure. A right-sided pneumothorax had occurred. What physiologic effects would a right-sided pneumothorax cause?

Which of the following are hazards or complications of CMV?   I. Increase in venous return II. Decrease in blood pressure III. Increase in ICP IV. Decrease in venous return

A 3 Kg intubated term newborn is being manually ventilated ready to be placed on CMV. Pressures should be set and manipulated to achieve exhaled tidal volumes of :