NRP Lesson 1
Terms in this set (12)
After the initial steps in resuscitation, a newborn is apneic with a heart rate less than 100 beats per minute.
What is the most important and effective action to take in the resuscitation of this baby?
Ventilate the lungs
You are called to attend to a newborn at birth. Which 3 questions should you ask to help assess the need for resuscitation?
Is the baby of term gestation? Is the baby breathing or crying? Does the baby have good tone?
A baby is born at 34 weeks gestation. Despite initial steps being taken, the baby is apneic and the heart rate is 70 beats per minute. What steps should be taken next?
Begin positive pressure ventilation, place an oximeter probe on the right hand or wrist, reevaluate in 30 seconds.
A full term newborn is apneic after birth and fails to responds to tactile stimulation. Newborns in secondary apnea usually respond with an increase in heart rate after which intervention?
Effective positive pressure ventilation
Your hospital is staffed by several people skilled in neonatal resuscitation. Most of them have additional responsibilities aware from the delivery room, and you alone are called to the delivery area at this time. While extra people may be useful, when should you first start to recruit additional help?
When you anticipate the likely need for more advanced resuscitation base on the presence of any of the known perinatal risk factors.
You have determined that a baby needs resuscitation at birth. What are the initial steps of resuscitation?
Provide warmth, position head to open the airway, dry and stimulate.
Your hospital is planning NRP training and trying to decide who should be included. For every delivery, who should be available?
Someone capable of initiating resuscitation should be present at every delivery and available to care for the baby.
A premature newborn is born depressed and requires ongoing respiratory support and chest compressions. You and 2 colleagues provide care immediately following birth. Which behavioral skills are critical to ensure successful and optimal care during resuscitation?
Teamwork, leadership, efficient communication
After several hours of labor with failure to progress, a baby is born via cesarean section. The baby cries at birth and is vigorous, but appears slightly dusky at 2 to 3 minutes of age. How long may it take for this normal baby to achieve an oxygen saturation of 90% or greater?
A prenatal closs is learning about labor and birth. Approximately _____% of newborns require some assistance to begin breathing at birth?
A caregiver states that he can always predict which babies will need help at birth. You disagree because you know that _____ % of newborns require initial assessments to determine whether resuscitation is required.
A newborn requires resuscitation, and you have begun positive-pressure ventilation and chest compressions.
Which 3 signs are used to evaluate the effectiveness of your actions and the need to continue some aspect of support?
Respirations, heart rate, assessment of oxygenation