Neonatal Resuscitation

Question 1

What should you do when you initially have concerns?

Answer 1

Start the clock, call for help

Question 2

What four signs are you assessing for

Answer 2

Tone
Colour
Heart rate
Breathing

Question 3

What should your immediate steps be if the four indications suggest the baby needs resuscitation?

Answer 3

Dry the baby
Dispose of the towel
Wrap the baby

Question 4

Following the baby being wrapped what should you do?

Answer 4

Check the airway
Fit the mask (from chin indent to cover nose without covering eyes)
Head in neutral position
Give 5 inflation breaths

Question 5

How long should each inflation breath last?

Answer 5

2-3 secs

Question 6

If inflation breaths still proceed to poor tone ,colour, heart rate and breathing what next steps should you take?

Answer 6

Give ventilation breaths for 30 seconds

Question 7

At what rate should ventilation breaths be given?

Answer 7

30-40 per mintute

Question 8

Why should you dry and wrap the baby?

Answer 8

To stop them getting cold

Question 9

What would you hope to find when you reassess as the first sign of improvement?

Answer 9

Increased heart rate

Question 10

How do you know whether your inflation breaths are effective?

Answer 10

You should see the chest rise

Question 11

What can you do to improve airway?

Answer 11

Jaw thrust, chin lift

Question 12

What device can do in the mouth to hold back the tongue?

Answer 12

Oropharyngeal airways

Question 13

What four things can commonly block a baby’s airway?

Answer 13

Meconium
Thick mucus
Blood
Vernix

Question 14

What drugs could you consider if the baby still isn’t improving?

Answer 14

Bicarbonate
Adrenaline
Glucose

Question 15

What is the main cause of collapse in children and babies?

Answer 15

Respiratory arrest

Question 16

What stimulates a new born to take its first breath?

Answer 16

Discomfort
Cord obstruction
Cold air

Question 17

What’s the difference between inflation and ventilation breaths?

Answer 17

Inflation are long and slow (2-3 seconds each) and inflate the lungs,
Ventilation are faster (30-40 per min)

Question 18

What is the aim of inflation breaths?

Answer 18

To inflate the lungs to expel fluid out of the lungs

Question 19

What’s the ratio of chest compressions to ventilation breaths in newborns?

Answer 19

3:1

Question 20

What are visible differences between primary and secondary apnea?

Answer 20

Primary- baby taking quick shallow breaths

Secondary-baby struggling and taking deep atonal breaths