Newborn Care and Resuscitation Flashcards
What is the definition of a newborn?
Up to 2 hours post delivery
What are the 4 ways we can heat a newborn?
Passive warming
Skin to Skin
Neohelp suit
Transwarmer mattress
In which scenarios can the Neohelp suit be used?
All newborns <37 weeks or weighing <2500g
Low Birth Weight
Requiring resuscitation
What temperature are we aiming for in the newborn?
36.5-37.5
How often should we take the temperature of a newborn and where should the thermometer be placed?
Every 15 minutes and armpit
Which do you suction first in a newborn when they are struggling to breath, the nose or the mouth?
Mouth and then nose
What should be applied along with either an i-Gel or ETT in a neonatal arrest?
PEEP
How can we measure the heart rate in a newborn?
Pulse at base of umbilicus
Auscultate the heart
ECG except for newborns under 28 weeks
When ventilating a newborn, we should use air, unless they are under what gestational age?
30 weeks in which case we use 1L/min oxygen
How many litres of oxygen do we use in a new born resuscitation?
10L/min
Do we need to provide assisted breaths when delivering oxygen via a BVM in a newborn?
yes, as they will not be able to generate adequate pressure to open the valve
Where should SpO2 monitoring be applied in a newborn and why?
Right hand as it is pre-ductal
Do we need to pause compressions to deliver a ventilation in a newborn resus?
Yes even when an i-Gel is in situ
What is considered hypoglycaemia in a newborn?
<2.5mmol/L
We dry all new borns to maintain warmth except if they are under ___ weeks
28
Delayed cord care is considered any time over ____
1 minute
At what distances should the cord be clamped?
10cm
15cm
20cm
Leaving 2 clamps on the babies side post cut
If a neonate is apnoeic, white and floppy after 10 seconds of stimulation what should we do?
Cease stimulation
Apply IPPV and consider i-Gel early
If a neonate does not perk up after the initial 30 seconds of stimulation, what should we do?
Ventilate for 30 seconds at a rate of 40-60/min
If a neonate is not breathing effectively or crying after 30 seconds of IPPV what should we do?
MRSOPA
Mask Adjustment
Reposition Head
Suction mouth then nose
Open Mouth (lift jaw forward)
Pressure increased for a max of 3 breaths
Artificial Airway (2-5kg)
If a neonate is not breathing effectively or crying after MRSOPA, what should we do?
Measure heart rate and attempt ETT
If a neonates HR is >100 or persistent cyanosis what should we do?
10L oxygen therapy via mask and tubing near mouth
SpO2 monitoring
If a neonates HR is 60-100 what should we do?
IPPV 40-60 per minute
10L Oxygen
SpO2 monitoring
If a neonates HR is <60 what should we do?
3:1 compressions
Pause for ventilation
Oxygen 10L/min
How long does it take a newborn to reach 90% Spo2?
5 minutes psot birth
