NRP 8th Edition Test Flashcards
Your team has provided face-mask PPV with chest movement for 30 seconds. When is the placement of an ETT strongly recommended?
If the HR remains below 100 and is not increasing
p. 119
During delivery, when and where should a person with intubation skills be available?
(depends on the predelivery risk assessment)
In the hospital and immediately available p. 16 maybe?
You are resuscitating a critically ill newborn whose HR is 20 bpm. The baby has been intubated and the ETT insertion depth is correct. You can see chest movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason for this?
Questions assumes correct placement of ETT
Low cardiac output
p. 135
According to the Textbook of neonatal resus, at what point during resus is the cardiac monitor RECCOMENDED to assess the baby’s heart rate?
when an alternative airway is inserted
p. 125
What size blade is recommended to intubate a PRETERM newborn with an estimated GA of 32 weeks and weight of 1.4 kg?
size 0 p. 124
What is the preferred way to assess the HR during chest compressions?
How frequently to assess?
Using a HR monitor, briefly interrupt compression every 60 seconds
p. 161
If the HR is low and the baby has poor perfusion. Which is the preferred method to assess the HR?
cardiac monitor
p. 125
When are chest compressions indicated ?
when the HR remains less than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably via an alternative airway
p. 161
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a heart rate of 70 bpm. What is the next action?
stop chest compressions and continue PPV
p. 162
What is the recommended depth of chest compressions?
1/3 the AP depth
p. 165
During chest compressions, which of the following is correct?
to coordinate the compressions and ventilations, the compressor calls out one-and-two-and-three-and
p. 161
Your team is resus a newborn whose HR remains less than 60 bpm despite effective PPV and 60 sec of compressions. You have administered epi IV. According to the book, what volume of saline should you administer?
3ml
p. 181
According to the book, what is the suggested initial dose for IV epi (0.1mg/1ml = 1mg/10ml) ?
0.02mg/kg or 0.2ml/kg
p. 181
When is the administration of a volume expander indicated during a newborn resus?
when HR is not increasing and there are signs of shock or a HX of acute blood loss
p. 182
Your care team is caring for a term NB whose HR is 50 bpm after receiving effective ventilation , chest compressions, and IV epi. There is a HX of acute blood loss around the time of delivery. You admin 10ml/kg of saline. At what rate should this be administered?
over 5-10 minutes
p. 182
How soon after administration of IV epi should you pause compressions and reassess the baby’s HR?
60 seconds
p. 187 not verbatim, does not mention stopping compressions
During resus. a baby initially responds to PPV with a rapidly increasing heart rate. Subsequently a baby’s HR and O2 sat suddenly worsen. The baby has decreased breath sounds on the left side and transillumination reveals a bright glow. What is the most likely cause of this distress?
LEFT SIDED PENUMO
You attend the birth of a baby with perinatally diagnosed severe congenital diaphragmatic hernia. What are the most appropriate steps as you begin your resus. ?
intubate the trachea and insert an OGT into the stomach
p. 255
When chest compressions are in progress how often should the HR be assessed?
every 60 seconds
p. 161
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing spontaneously while receiving CPAP (at a pressure of 5cm H2O) and 30% oxygen. A pulse oximeter sensor on the baby’s right hand is reading 95% and saturation is increasing. What is the most appropriate next step?
decrease the 02 concentration
p. 223
