NRP Quiz Flashcards
You have started positive-pressure ventilation for a newborn because her heart rate is low (bradycardia). What is the most important indicator of successful positive-pressure ventilation?
A rising heart rate
What is an indication for endotracheal intubation?
The need for positive pressure ventilation lasting more than a few minutes.
MR. SOPA helps your team correct problems with ventilation. What are the steps?
Adjust mask and Reposition head and neck; Suction mouth then nose and Open the mouth; increase Pressure; insert Alternative airway
What is the appropriate technique to stimulate a baby to breath?
Gently rub the baby’s back or extremites.
The baby is limp and not breathing after initial steps. What is the next step in the resuscitation process?
Initiate positive pressure ventilation and check for increasing heart rate.
What is the recommended way to determine if a baby requires supplemental oxygen in the delivery room?
Place a pulse oximeter on the baby’s right hand or wrist and assess oxygen saturation.
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60bpm. What is the most important action you can take?
Provide positive-pressure ventilation
During the resuscitation of a newborn you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team?
100 beats per minute
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic after initial steps?
Administration of positive-pressure ventilation that inflates the lungs.
What are the initial steps of newborn care?
Provide warmth, position head and neck to open the airway, clear secretions from the airway if needed, dry, stimulate.
What is the recommended practice when using a pulse oximeter in the delivery room?
Place the pulse oximeter sensor on the right hand or wrist and use the minute specific oxygen saturation target to guide oxygen supplementation.
What is a normal transitional physiology at the time of birth (as pertains to oxygen saturation)?
Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%.
What size endotracheal tube should be used to intubate a newborn with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)?
2.5mm
You are uncertain whether you have successfully intubated a newborn. What diagnostic can be used to confirm placement?
CO2 detector indicates the presence of expired CO2
You attend to a baby post emergency cesarean delivery, who is term as expected, with very poor tone and he is apneic. You quickly perform initial steps, but the newborn is still not breathing. What is the most appropriate next step of resuscitation?
Start positive-pressure ventilation and check heart rate response after 15 seconds
A newborn of 34 weeks’ gestation apneic at birth, does not respond to initial steps and requires positive-pressure ventilation. What concentration of oxygen should be used?
FiO2 of 21 - 30%
What is a critical characteristic in team leaders?
Maintain situational awareness.
You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a category III fetal heart rate tracing. Who should you ensure is present at the birth?
A person skilled in endotracheal intubation
The steps of intubation should ideally be completed within which duration?
30 seconds