Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

For an extubated pediatric patient post dental extractions, what is the perianesthesia nurse's initial assessment?

1. Location of oral packs

2. Perforation of soft palate

3. Adequacy of gag reflex

4. Integrity of the seventh cranial nerve

The correct answer is: Location of oral packs

The initial assessment for an extubated pediatric patient post dental extractions should focus on the location of oral packs. This is crucial because oral surgery, especially dental extractions, often involves the use of gauze or other packing materials to control bleeding. If the oral packs have shifted or been dislodged, it could lead to complications such as aspiration or further bleeding. In cases of pediatric patients, monitoring the status of these packs helps ensure that their airway remains clear and that any drainage is properly managed. Additionally, assessing the location of oral packs can provide important information about the patient's recovery process and their ability to maintain a patent airway. While checking the adequacy of the gag reflex and the integrity of cranial nerves are important components of a comprehensive neurological assessment, they are generally secondary to ensuring the immediate safety and necessary conditions for recovery, especially in a setting following a procedure that may impact the oral cavity and airway. Moreover, while perforation of the soft palate could be a concern post-extraction, it typically wouldn't be assessed first, as the presence of oral packs and proper airway management take precedence in the immediate recovery period.