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The newborn has no respiratory affort and poor muscle tone. The newbrorn’s airway was cleared and stimulation attempted but assessment reveals no breathing, pulse rate is 50 bpm with an SaO2 55% after 30 seconds since delivery. What must be done now?Choose only ONE.

Your assessment reveals:- Patient was admitted due to progressive SOB for the past two weeks and worsening of     coughing- Patient is now lethargic- Pulse 115 bpm, respirations 18 breaths/min, SpO2 82% on 10 lpm mask, Temp. 39.5°c- Weak wet non-productive cough- Patient’s chest rise is minimal- Breathsounds decreased bilaterally  with  wheezing and crackles RML and RLLWhat would you do at this time?Choose only ONE.

Six hours had past and you are called to the patient’s room by the RN stating that the vent alarms are triggered. You observe that the low volume and low minute volume alarms are alarming. The vitals are still stable. What should you assess now?Choose as MANY as considered appropriate.

What would you recommend at this time?Choose only ONE.

The SpO2 only slightly improved after increasing the FIO2 to 1.0 but the alarms are still triggering. What should be assessed quickly to determine the problem?Select as MANY as appropriate.

The physician agreed to: Increasing the rate to 45 breaths/min Placing the patient in prone position 10 minutes after the change, what should specifically be monitored now?   Select as MANY as appropriate

A 3 day old newborn, born at 30 weeks of gestation is in the NICU for respiratory distress syndrome. The patient is intubated on continuous mechanical ventilation. What would you like to assess at this time? Select as MANY as Appropriate

Assessment reveals: Ventilator settings: ACPC, Rate 40 breath/min, Pressure 35 cm H2O, PEEP +10 cm H2O, FIO2 1.0 ExVT 6 ml, Rate, 40 breaths/min, PIP 45 cm H2O Vitals: HR 170 bpm, BP 55/35 mmHg, SpO2 85% TcCO2: 70 mmHg Chest rise: Bilateral and minimal Color: Pale  The neonatologist wants to know what other diagnostic information is needed at this time?   Select as MANY as appropriate:

Assessment reveals: Ventilator settings: ACPC, Rate 40 breath/min, Pressure 35 cm H2O, PEEP +10 cm H2O, FIO2 1.0 ExVT 6 ml, Rate, 40 breaths/min, PIP 45 cm H2O Vitals: HR 170 bpm, BP 55/35 mmHg, SpO2 85% TcCO2: 70 mmHg Chest rise: Bilateral and minimal Color: Pale  Diagnostic Information: ABG: pH 7.20, PaCO2 75 mmHg, PaO2 45 mmHg, HCO3 28 mEq/L Chest radiograph: ETT tip at T2, Diaphragm at T7, Bilateral diffuse ground glass appearance CBC pending Electrolytes pending The patient’s neonatologist is asking for your recommendation at this time. Select as MANY as appropriate

The table below shows the results of an experiment in which a coin is tossed twice and a die is rolled once: What is the probability to get an experiment outcome with two tails? 1 2 3 4 5 6 HH HH1 HH2 HH3 HH4 HH5 HH6 HT HT1 HT2 HT3 HT4 HT5 HT6 TH TH1 TH2 TH3 TH4 TH5 TH6 TT TT1 TT2 TT3 TT4 TT5 TT6