NRP and EINC Flashcards
newborns that are not problematic should be __
crying and/or moving all the extremities
signs of a compromised newborn
poor muscle tone (should be flexed) slow or no breathing low hr low bp fast breathing cyanosis
t/f secondary apnea can be reversed with stimulation
false, needs assisted ventilation
antepartum risk factors for resuscitation
gestational age less than 35 6/7 weeks or greater than 41 weeks
polyhydramnios
oligohydramnios
intrapartum risk factors for resuscitation
emergency cs forceps or vacuum assisted delivery maternal general anes placental abruption chorioamnionitis
if there are risk factors present ___ qualified people should be present
2
what is done before the delivery
antenatal counseling, team briefing, equipment check, room temp check
4 core steps of einc in normal delivery
immediate and thorough drying
early skin to skin contact
properly timed cord clamping
non-separation of the mother and baby
4 steps of einc in cs delivery
immediate and thorough drying
cord clamping
skin to skin contact when possible
how long to dry baby
at least 30 seconds
face and head, trunk and back, extremities
also assess baby at this time
benefits of immediate drying
stimulates breathing
prevents hypothermia
t/f it’s okay to slap, shake, or rub the baby
false
t/f ventilation and suction is required during immediate drying
false, done only if indicated (floppy/limp or blocked mouth/nose)
ideal room temp
25-28 c
benefits of skin to skin contact
BLEST
breastfeeding success lymphoid tissue system stimulation exposure to maternal skin flora sugar (protection from hypogly) thermoregulation
benefits of properly timed cord clamping
ATB
decrease in anemia in term (80%) and preterm babies (51%)
decreased need for blood transfusions in premature
decreased bleeding in the brain in premature (51%)
how often to monitor baby and mother
never leave unattended, monitor every 15 mins for the first 1-2 hrs
t/f skin to skin contact is still allowed for covid-19 positive/suspect mothers
true
what to do if baby is apneic/gasping or limp in the first minute
call for help change wet linen clamp and cut the cord transfer to warmer position airway clear secretions
t/f suction nose before mouth
false, mouth before nose