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NRP study guide part 1
Terms in this set (25)
Which statement best describes normal transitional physiology at the time of birth?
Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%
Which statement describes recommended practice when using a pulse oximeter in the delivery room?
Place the pulse oximeter sensor on the right hand and use the minute specific oxygen saturation target to guide oxygen supplementation
You have been called to attend a birth and are the only healthcare provider responsible for the management of those newborn in the room when should you first call for additional help
Before birth when you have identified the presence of a potential risk factor that increases the likelihood of a request of neonatal resuscitation
A newborn of 34 weeks gestation is not breathing at birth, does not respond to initial steps and requires positive pressure ventilation what concentration of oxygen should be used as you begin positive pressure ventilation
21 to 30% oxygen
You have determined a baby needs resuscitation at birth. What are the initial steps of newborn care?
Provide warmth, position head and neck to open the airway, clear secretions from the airway if needed, dry, stimulate
You are called to attend to a newborn at birth. At the time the baby is delivered, which three questions should you ask to evaluate whether the baby can stay with his mother or be moved to a radiant warmer for further assessment?
Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
Which of the following is an indication for endotracheal intubation?
The need for positive-pressure ventilation lasting more than a few minutes
You have started positive pressure ventilation for a newborn because her heart rate is low(bradycardia). What is that important indicator of successful positive-pressure ventilation?
A rising heart rate
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team?
Remembering MR. SOPA helps your team correct problems with ventilation. Which of the following steps are included in MR. SOPA?
Mask adjustment, re-position the babies head, suction the nose and mouth, open the babies mouth, pressure increase, alternative airway
Your hospital is planning neonatal resuscitation program training and trying to decide what should be included for every delivery what is the minimum requirement for care of a newborn at birth
Someone capable of initiating neonatal resuscitation should be present at every delivery whose only responsibility is management of the newborn
Effective team functioning is critical in ensuring the best performance which of these characteristics is critical in team leaders?
They should be able to maintain situational awareness
A baby is born at 34 weeks gestation. After that initial steps of resuscitation, the baby is not breathing (apneic). What are the next steps?
Initiate positive pressure ventilation, place the pulse oximeter sensor on the right hand or wrist, evaluate heart rate
A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and mask. Which intervention is indicated?
Insert a laryngeal mask
You are part of a team preparing for the birth of a baby who has meconium stained fluid and the category III fetal heart rate tracing. A person skilled an endotracheal intubation should be
Present at birth
The steps of intubation should ideally be completed within which duration?
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic after initial steps?
Administration of positive pressure ventilation on that inflates the lungs
A full-term baby is born in the hospital lobby. He is not breathing despite positioning his head in sniffing position, clearing his airway, drying and providing tactical stimulation. You have emergency equipment including a self inflating bag. When you should start positive pressure ventilation?
What is the appropriate technique to stimulate a baby to breathe?
Gently rub the baby's back or extremities
A full-term baby is born by emergency Cesarion delivery because of fetal bradycardia (category III fetal heart rate tracing), the baby is limp and not breathing after initial steps. What is the next step in the resuscitation process?
Initiate positive pressure ventilation and check for increasing heart rate
What is the recommended way to determine if a baby requires supplemental oxygen in the delivery room?
Place an oximeter sensor on the babies right hand or wrist and assess oxygen saturation
Your team attends an emergency cesarean delivery of a term baby because of Chromoanoomalies, meconium stained amniotic fluid, and fetal heart rate deceleration. At delivery, the newborn is term as expected, with very poor tone and he is not breathing (apneic) you quickly perform initial steps but the newborn is still not breathing. What is the most appropriate next step for resuscitation?
Start positive pressure ventilation and check heart rate response after 15 seconds
Four pre-birth questions should be asked to assess prenatal risk and determine who should be present at birth. Which is one of the questions?
What is the gestational age
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 bpm. What is the most important action you can take?
Provide positive pressure ventilation
What is the preferred technique for removing secretions from the mouth and nose of a newborn who requires resuscitation?
Suction the mouth before the nose
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