CH2: Preparing for Resuscitation

Question 1

List the antepartum risk factors that increase the likelihood of neonatal resuscitation.

Answer 1

1. GA < 36 0/7
2. GA >= 41 0/7
3. Preeclampsia or eclampsia
4. Maternal HTN
5. Multiple gestation
6. Fetal anemia
7. Polyhydramnios
8. Oligohydramnios
9. Fetal hydrops
10. Fetal macrosomia
11. IUGR
12. Significant fetal malformations or anomalies
13. No prenatal care

Question 2

List the intrapartum risk factors that increase the likelihood of neonatal resuscitation.

Answer 2

1. Emergency CS
2. Forceps or vacuum-assisted delivery
3. Breech or other abnormal presentation
4. Category II or III fetal heart rate pattern
5. Maternal general anesthesia
6. Maternal magnesium therapy
7. Intrapartum bleeding
8. Chorioamnionitis
9. Narcotics administered to mother within 4 hours of delivery
10. Shoulder dystocia
11. Meconium-stained amniotic fluid
12. Prolapsed umbilical cord

Question 3

What 4-questions should be asked before every birth?

Answer 3

1. What is the expected GA?
2. Is the amniotic fluid clear?
3. How many babies are expected?
4. Are there any additional risk factors?

Question 4

List the NRP key behavioral skills

Answer 4

1. Know your environment
2. Use available information
3. Anticipate and plan
4. Clearly identify a team leader
5. Communicate effectively
6. Delegate workload optimally
7. Allocate attention wisely
8. Use available resources
9. Call for additional help when needed
10. Maintain professional behavior