Neonatal life support

Question 1

What is the first step in neonatal life support?

Answer 1

Dry and stimulate baby, maintain temperature

Question 2

What should you do after drying the baby?

Answer 2

Start clock

Assess colour, tone, breathing and HR

Question 3

What should you do if the baby is not breathing?

Answer 3

Give 5 inflation breaths and reassess for chest movements

Question 4

What should you do if no chest wall movement?

Answer 4

Try airway manoeuvres

Repeat 5 inflation breaths

Question 5

What should you do if the heart rate is < 60?

Answer 5

Start chest compressions and ventilation breaths
3:1 for 30 seconds

Reassess HR - if absent or < 60 consider IV access and drugs (adrenaline
Continue ventilation and chest compression

Question 6

What is APGAR score?

Answer 6

Health of newborn
Appearance
Pulse
Grimace
Activity
Respiratory effort

Question 7

Appearance

Answer 7

2: pink
1: body pink, extremities blue
0: blue

Question 8

Pulse

Answer 8

2: >100
1: <100
0: Absent

Question 9

Grimace

Answer 9

2: cries on stimulation/sneeze/cough
1: grimace
0: nil

Question 10

Activity (muscle tone)

Answer 10

2: active movement
1: limb flexion
0: flaccid

Question 11

Respiratory effort

Answer 11

2: strong, crying
1: weak, irregular
0: nil