Fetus and Newborn

Question 1

T or F: delayed cord clamping is recommended for 10 seconds for vigorous term and preterm infants.

Answer 1

False

• 30-60 seconds
• if VIGOROUS term and preterm infants

Question 2

T or F: routine intubation for trach suction suggested if mec (+) and hypotonic

Answer 2

False

• initial resus and admin PPV as needed

Question 3

T or F: team w/ advanced resus skills should be present for births with mec.

Answer 3

True.

- risk of abnormal transition

Question 4

What O2 should you start at for prem < 35 weeks?

Answer 4

21-30%

Question 5

T or F: HR should be R/A after 30 seconds of vent moving the chest.

Answer 5

True.

• PPV x 15 seconds -> assess HR
• if HR not increasing R/A chest rise
• if chest not moving MRSOPA
• if chest moving continue PPV x 15 seconds before HR reassessment
• HR R/A after 30 sec of vent that moves the chest

Question 6

Hw do you estimate ETT depth?

Answer 6

• GA based guideline
• nasal-tragus length method
• 6 + wt (kg)

Question 7

T or F: do alternate airway before CPR

Answer 7

True.

• place alternate airway with 30 seconds of effective ventilation before CPR

Question 8

T or F: two thumb technique recommended for CPR

Answer 8

True

Question 9

When should you R/A HR after CPR?

Answer 9

60 seconds after CPR

Question 10

What is the preferred method of assessment HR during CPR

Answer 10

ECG

Question 11

T or F: use naloxone id depression after maternal narcotic administration

Answer 11

False.

• not recommended b/c insufficient EBM to evaluate safety

Question 12

At what GA do you optimize thermoregulation? How?

Answer 12

< 32 weeks GA

• maintain room temp at 23C
• preheat radiant warmer
• use hat
• thermal mattress under radiant warmer
• use polyethylene wrap

Question 13

When is epinephrine recommended in NRP?

Answer 13

HR < 60 despite 60 seconds of effective ventilation

Question 14

What is the NRP epinephrine dose?

Answer 14

1: 10 000

0. 1 cc/kg IV or 1cc/kg ETT (max 3cc)