FPS Quiz (Kaderli)

You delivered the newborn of a 23yoG1nowP1 who tested positive for methamphetamines and negative for opiates. Finnegan scores over the past 24 hours have been 9, 13, 14. According to AAP guidelines for Neonatal Abstinence Syndrome, what is indicated at this point?
Start Methadone
Start Morphine
Start Clonidine
Start Phenobarbitol
Start Normal Saline
You are called to an emergency C-Section, and are handed a term, 38wk newborn that is not crying and limp. There was meconium noted in the amniotic fluid. Initial heart rate after 30 seconds of stimulation is 52 bpm. What is your next step?
Aspiration of meconium
Positive Pressure Ventilation (PPV)
Bulb suctioning of mouth and nares
Stimulation for 30 more seconds, then re-evaluate
Intubation and begin chest compressions
You receive a rapid response page, and upon arriving to the patient room, the patient is diaphoretic and not responding to questions. The EKG shows narrow-complex SVT with a rate of 182 bpm. The nurse turns to you and asks, "Doctor, what do we do?"
Sotalol IV 100mg
Vagal Maneuvers
Adenosine 6mg IV first dose, then 12mg if needed
Prepare for synchronized cardioversion
Amiodorone 150mg IV
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