Neonatal Resuscitation +

Question 1

question

Answer 1

answer

Question 2

how many newborns require assistance to begin breathing?

Answer 2

it is 10%

Question 3

What 3 questions used to identify neonate who do not need resuscitation?

Answer 3

Term?
Tone?
Breathing or crying?

Question 4

What are the initial steps in stabilizing neonate needing resusciation?

Answer 4

• warm and maintain normal temp
• clear secretions (only if copious and/or obstructing the airway)
• dry
• stimulate
• position infant in “sniffing” position

Question 5

After the stabilization of neonate requiring resuscitation, what other steps maybe taken?

Answer 5

1. ventilate and oxygenate
2. initiate chest compressions
3. administer epinephrine and/volume

Question 6

What determines if there is need for additional steps for neonatal resuscitation?

Answer 6

• respirations

- heart rate (<100/min)

Question 7

What is target heart rate for neonate?

Answer 7

> 100/min

Question 8

What serious morbidities are there with hypothermia in neonates?

Answer 8

IVH, respiratory issues, hypoglacemia, late-onset sepsis

Question 9

Possible complications of using suction immediately after birth?

Answer 9

deterioriating pulmonary compliance, oxygenation, and cerebral blood flow

Question 10

What is the most rapid and accurate way to measure heart rate of neonate?

Answer 10

3 lead ECG

Question 11

When are chest compressions indicated for neonate?

Answer 11

HR <60/min despite ventilation

Question 12

How are chest compression performed on neonate?

Answer 12

lower third of sternum to a depth of 1/3 of the AP diameter of chest

Question 13

What medication can be used for neonate needing resuscitation?

Answer 13

epinephrine

Question 14

When is volume expansion indicated for neonate needing resusitation?

Answer 14

blood loss known or suspected

hr non responsive to other methods

Question 15

What is a possible complication of volume expansion in neonates?

Answer 15

IVH (intraventricular hemorrhage)

Question 16

What is guideline for discontinuing resuscitative efforts in neonates?

Answer 16

Apgar score of 0 at 10 minutes (determine if HR is detectable or not)

Question 17

What is the most sensitive indicator of a successful response
to each step?

Answer 17

increase in heart rate

Question 18

Suctioning immediately

after birth considered only if

Answer 18

if the airway appears obstructed or if PPV is required

Question 19

Avoiding unnecessary suctioning helps

prevent the risk of

Answer 19

induced bradycardia due to suctioning of

the nasopharynx

Question 20

if the infant born through meconium-stained amniotic fluid presents with poor muscle tone and inadequate breathing efforts, the initial steps of resuscitation should be completed und

Answer 20

under the radiant warmer

Question 21

Routine intubation for tracheal suction in this setting (IS / IS NOT) suggested for meconium stained infant.

Answer 21

Routine intubation for tracheal suction in this setting IS NOT suggested for meconium stained infant.

Question 22

What is the preferred method of neonatal chest compression?

2-thumb technique
2-finger technique

Answer 22

2-thumb technique; compression with 2 thumbs with the fingers encircling the chest and supporting the back

Question 23

neonatal compressions to ventilation ratio

Answer 23

3:1, or 90 cop and 30 breaths

Question 24

When is administration of epinephrine or volume, or both,

is indicated?

Answer 24

if the heart rate remains less

than 60/min despite adequate ventilation with 100% oxygen and chest compressions

Question 25

What can be given for volume expansion?

Answer 25

isotonic crystalloid solution or blood