NRP - Lesson 2 Initial Steps of Resuscitation
Terms in this set (18)
A newborn who is born at term, has no meconium in the amniotic fluid or on the skin, is breathing well, and has good muscle tone does or does not need resuscitation?
DOES NOT need resuscitation.
A newborn with meconium in the amniotic fluid who IS NOT VIGOROUS will or will not need to have his trachea suctioned via an endotracheal tube? A newborn with meconium in the amniotic fluid is IS VIGOROUS will or will not need to have his trachea suctioned via an endotracheal tube?
A newborn who IS NOT vigorous WILL need to have a laryngoscope inserted and be suctioned with an endotracheal tube.
A newborn is IS vigorous WILL NOT need to have a laryngoscope inserted and be suctioned with an endotracheal tube.
When deciding which babies need tracheal suctioning, the term "vigorous" is defined by what 3 characteristics?
1. strong respiratory efforts
2. good muscle tone
3. heart rate greater than 100 beats per minute
When a suction catheter is used to clear the oropharynx of meconium before inserting an endotracheal tube, the appropriate size is ____ French or ____ French.
A 12F or 14F suction catheter should be used to suction meconium.
A newborn is covered with meconium, is breathing well, has normal muscle tone, and a heart rate of 120 beats per minute. The correction action is to ______?
Since the newborn is active, she does not need to have her trachea suctioned, but you should SUCTION THE MOUTH AND NOSE WITH A BULB SYRING OR SUCTION CATHETER.
In suctioning a baby's nose and mouth, the rule is to first suction the _____ and then the _____.
First suction the MOUTH and then the NOSE.
What are correct ways to stimulate a newborn?
1. rub the back
2. slap the sole of foot
If a baby is in secondary apnea, stimulation of the baby will or will not stimulate breathing?
Stimulation of the baby WILL NOT stimulate breathing if the baby is in secondary apnea.
A newborn is still not breathing after a few seconds of stimulation. The next action should be to administer ______?
If not breathing after stimulation, provide POSITIVE-PRESSURE VENTILATION.
A newborn has poor tone, labored breathing, and cyanosis. Your initial steps are to ______?
1. Place the newborn in a radiant warmer.
2. Remove all wet linens.
3. suction his mouth and nose
4. consider giving CPAP or free-flow supplemental oxygen
5. Consider applying a pulse oximetry probe and activating an oximeter.
6. Dry and stimulate.
True or False: Oximeters are devices that measure the PO2 of the blood.
False - oximeters measure SpO2
True or False: In the dlivery room, the oximetry probe should always be placed on the baby's right hand or wrist
True or False: Oxygen saturation should be expected to be >90 % by 2 minutes of age
False - SpO2 is expected to be >65 % at 2 minutes of age
True or False: A baby who is cyanotic and apneic should receive free-flow oxygen as the best treatment.
False - should receive positive-pressure ventilation as best treatment
If you need to give supplemental oxygen for longer than a few minutes, the oxygen should be _____ and _____.
Oxygen should be WARMED and HUMIDIFIED.
You have stimulated a newborn and suctioned her mouth. It is now 30 seconds after birth, and she is still apneic and pale. Her heart rate is 80 beats per minute. Your next action is to ______?
Provide positive-pressure ventilation.
You count a newborn's heartbeat for 6 seconds and count 6 beats. You report the heart rate as ______.
60 beats per minute.
An oximeter will show both SpO2 and ______.