Neonatal Resuscitation

Question 1

Age that would warrant neonatal Resuscitation

Answer 1

Less than 48hrs old

Question 2

Priorities with a neonate who isn’t breathing

Answer 2

Provide warmth
Assess for Responsiveness
Ensure adequate Ventilation
Ensure adequate circulation
Correct hypoxia

Question 3

How do you assess for responsiveness

Answer 3

Flick souls of feet
Check for responsiveness while drying

Question 4

How do you assess ventilation?

Answer 4

Suction secretions
If Apneic or gasping provide PPV w/ BVM at room air 40-60 breaths per minute

Question 5

How do you assess circulation?

What is the BPM we are looking for to make decisions?

Answer 5

If heart rate is between 60 -100
PPV w/ BVM at 40-60 Breaths per minute

If heart rate is less than 60 start CPR until heart rate is above 60

Question 6

If baby is becoming hypoxic or not getting better from hypoxia what do you do?

Answer 6

Add supplemental O2 until heart rate comes up to >100

Question 7

Special considerations when trying to decide if you should provide neonatal resuscitation

Answer 7

Don’t have to do it with newborns <21 weeks or <9 inches long
Sensitivity to parents needs can be considered

Question 8

What is a good sign of adequate PPV?

Answer 8

A rising heart rate over (>100 is ideal)