Florida State Paramedic Practice Exam

In a hypovolemic mother due to blood loss, what is the recommended fluid replacement rate for a newborn?

1. 5 cc/kg

2. 10 cc/kg

3. 15 cc/kg

4. 20 cc/kg

The correct answer is: 10 cc/kg

The recommended fluid replacement rate for a newborn in the context of a hypovolemic mother due to blood loss is 10 cc/kg. This rate is based on the understanding that newborns are more susceptible to fluid deficits and hypovolemia. Proper fluid management is crucial for maintaining adequate perfusion and ensuring that the newborn's organs receive sufficient blood flow. Using 10 cc/kg as the fluid replacement rate allows for a careful approach that balances the need for fluid resuscitation without risking fluid overload, which can be particularly dangerous in the delicate physiology of newborns. This rate is in line with pediatric resuscitation guidelines that emphasize a cautious and controlled approach to volume expansion in newborns, especially those who may have been affected by maternal conditions. The other options present higher fluid replacement rates that may not be suitable for a newborn's capacity to handle fluids. In clinical scenarios, adhering to the established guidelines and understanding the unique needs of the patient population, such as newborns, is vital to ensuring effective and safe treatment outcomes.