NRP

Question 1

FiO2 for infants >35%

Answer 1

21%

Question 2

FiO2 for <35 qwwka

Answer 2

21%-30%

Question 3

what laryngoscope size for ifant + preterm

Answer 3

1 for term

0 for preterm

Question 4

self inflating bags

what is it> what ca’t it allow

Answer 4

• fills spontaneously, remains inflated until squeezed

- can’t provided CPAP or Free flow O2

Question 5

flow inflating bag

Answer 5

• fills when gas there is seal

Question 6

T piece

Answer 6

• direct compressed gas to the baby

Question 7

PEEP

Answer 7

5

Question 8

PIP

Answer 8

20/25

gradually increase if needed. by 5-10 max is 40

Question 9

how infant transitions to extrauterine to circulation

Answer 9

First breath, cord clamping

• Low pulmonary vasc resistance
• high systemic vascular resistance

Question 10

when does the foramen ovale close + PDA

Answer 10

increase in left sided atrial pressure exceeds the right sideed atrial pressure FO closes
- with ventilation, theres an increase in concentration of O2 and decrease in prostaglandins causing closure ofr the PDA over 12-24 horus

Question 11

asphyxia

Answer 11

not enought tissure perfusion to meet metabolic demands of the tissues for oxygen and waste removal.

S/sx: progressive hypoxemia, hypercarbia, and acidosis

Question 12

Apnea

primary + secondary

Answer 12

Primary: when RR stops after a brief period of rapid breathing. Causing low HR and decrease tone. Gasping then starts
Secondary apnea occurs after the last gasp. Will need assisted ventilation to have spon respirations (apneic at delivery = secondary)

Question 13

Cord clamping

Answer 13

standard = clamping for 1-3 minutes after birth for an additional 30-150Ml

• recommond delay 30-60 secs in vigorous term and preterm infants
• immediately clamping the cord in 5-10 secs can result in deficit 25% of normal blood volume
• improve circulation, establish RBC, decrease need for blood transf, lower incidence of NEC + ICH

Question 14

when does an infant get a polyethylene sheet

Answer 14

<32 weeks

Question 15

indications for CPAP

Answer 15

labored breathing, unable to maintain O2 within target range despite titrating

Question 16

PPV

Answer 16

apnea, gasping, HR <100BPM, central cyanosis

Question 17

heart rate + PPV

Answer 17

HR should increase with 15 secs of PPV

Question 18

MRSOPA

Answer 18

Mask adjustment, reposition, suction, open, pressure increase, alternative airway

Question 19

chest comp + intubation

Answer 19

recommended to place ETT prior to start chest conpressure to ensure max ventilation

Question 20

when do you start Chest compression

fio2 settings

when do you reasses HR

Answer 20

Start if <60BPM after effective 30sec PPV

O2 @ 100%

60secs of effective chest compressions and PPV

Question 21

BPM, with comp + breaths

Answer 21

90 compressure and 30 breaths

Question 22

epinephrine indications

Answer 22

HR <60BPM after 30 sec effective PPV + 60 sec effective PPV and chest compressions with 100% FiO2

Question 23

how does epi work

Answer 23

increases HR + strength of cardiac contractions, vasoconstrictor, increase coronary artery perfusion

Question 24

Epi dosing of ETT

Answer 24

0.5-1 ml/KG

Question 25

epi dosing for IV

Answer 25

0.1-0.3 mL/kg

Question 26

epinephrine concentration

Answer 26

1:10.000 = 1 g into 10000mL of fluid

Question 27

how often can you repeat epi

Answer 27

3-5 minutes

Question 28

when do you check HR after first dose of epi

Answer 28

1 minutes after first dose

Question 29

fluid loss suspicion

Answer 29

NS - 10mL/kg through the UVC

Question 30

when to reassess HR after ventilation

actions if not incresing HR

Answer 30

15 secs Q15 secs if increasing

if not increasing MRSOPA check chest movement. Once acheived provide 30 secs of PPV

Question 31

when do you stop PPV

Answer 31

100 BPM

Question 32

when do you stop chest compressions

Answer 32

HR is >60 BPM