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27 terms

NRP - Lesson 3 Review

STUDY
PLAY
Flow-inflating bags (will) (will not) work without a compressed source.
will not
A baby is born apneic and cyanotic. You clear his airway and stimulate him. Thirty seconds after birth, he has to improved. The next step is to (stimulate him more) (begin positive-pressure ventilation).
begin positive-pressure ventilation
The single most important and most effective step in neonatal resuscitation is (stimulation) (ventilating the lungs)
ventilating the lungs
Label these bags "flow inflating", "self-inflating", or "T-piece resuscitator".
A. flow-inflating
B. self-inflating
C. T-piece resuscitator
Masks of different sized (do) (do not) need to be available at every delivery
do
Self-inflating bags require the attachment of a(n) _____ to deliver 90% to 100% oxygen.
oxygen reservoir
T-piece resuscitators (will) (will not) work without a compressed gas source.
will not
Neonatal ventilation bags are (much smaller than) (the same size as) adult ventilation bags
much smaller than
List the principal safety feature fro each of the following devices:
a. Self inflating bag: _____
b. Flow inflating bag: _____
c. T-piece resuscitator: _____
a. Pop-off valve; pressure gauge
b. flow-control valve; pressure gauge
c. maximum pressure relief control; pressure gauge
Free-flow oxygen can be delivered reliably through the mask attached to a (flow-inflating bag) (self-inflating bag) (T-piece resuscitator).
flow-inflating bag; T-piece resuscitator
When giving free-flow oxygen with a flow-inflating bag and mask, it is necessary to place the mask (securely) (loosely) on the baby's face to allow some gas to escape around the edges of the mask.
loosely
Which mask is correct?
A
Before an anticipated resuscitation, the ventilation device should be connected to a (n) _____
an oxygen source
Which baby is positioned properly for positive-pressure ventilation?
A
Which illustration(s) shows the correct position fro assisting positive-pressure ventilation:
A and B
You must hold the resuscitation device so that you can see the newborn's _____ and _____.
chest and abdomen
An anatomically shaped mask should be positioned with the (pointed) (rounded) end over the newborn's nose.
pointed
If you notice that the baby's chest looks as if he is taking deep breaths, you are (overventilating) (underventilating) the lungs, and it is possible that a pneumothorax may occur
overventilating
When ventilating a baby, you should provide positive-pressure ventilation at a rate of _____ to _____ breaths per minute
40 to 60
Before stopping assisted ventilation, you should note improvement in what 4 physical signs?
1. HR
2. Respirations
3. Color
4. Tone
You are using a self-inflating bag to ventilate a baby. The bag fills after every squeeze. The baby's heart rate, color, and muscle tone are not improving and there is no perceptible chest movement with each breath. List 3 possibilities of what may be wrong.
1. Not a good seal on baby's face
2. Inadequate pressure
3. Airway obstruction
If, after making appropriate adjustments, you are unable to obtain physiologic improvement and chest expansion with positive-pressure ventilation, you usually will have to insert a(n) _____.
endotracheal tube
You notice that a baby's heart rate, color, and muscle tone are improving and the baby's chest is moving as you provide positive-pressures ventilation. Another way to check for good aeration is to use a _____ to listen for _____ sounds in both lungs.
stethoscope; breath
If you must continue positive-pressure ventilation with a mask for more than several minutes, a(n) _____ should be inserted to act as a vent for the gas in the stomach during the remainder of the resuscitation.
orogastric catheter
How far should this orogastric catheter be inserted?
22 cm
As soon as the orogastric catheter is inserted, a syringe is attached and gastric contents are removed. Then the syringe is removed, and the catheter is left _____ to vent stomach gas.
open
The vast majority of babies requiring resuscitation (will) (will not) improve with positive-pressure ventilation.
will