Neonatal Resuscitation Program (NRP)

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1
Delayed cord clamping should typically last 30-60 seconds T-or-F
True
2
What does the Golden Minute mean?
Approximately 60 seconds is allotted for the completion of the first 4 initial steps
3
In the delivery room, a 36 week gestational age neonate has just been delivered by vaginal birth. The infant has been dried and stimulation is provided as the RN flicks the soles of his tiny feet and rubs the small of his back. The respiratory therapist assesses the newborn to find gasping respirations and a heart rate of 80 bpm. Which of the following interventions is indicated at this time?
PPV
4
A 28-week gestational age infant is being resuscitated in the delivery room. The respiratory therapist is providing positive pressure ventilation by mask via a self-inflating bag. The first 2 breaths provide no audible breath sounds nor chest rise. To correct this apparent inadequacy of ventilation, the respiratory therapist should first:
Adjust mask
5
The respiratory therapist is preparing to intubate a 32-week-gestation newborn in the surgical OB unit. The therapist should select what size laryngoscopy blade for intubating this patient?
Blade-Size 0
6
The respiratory therapist is called to the delivery room to assist in the care of twins that will be delivered naturally at 35 weeks gestation. The therapist places a pulse oximetry probe on the right wrist of each infant. He should expect to see an initial pre-ductal saturation in what range three minutes following birth?
70-75%
7
When does Hypoglycemia in an infant occur?
Below 40-45 Mg/dl
8
A 30-year-old patient is in delivery ready to give birth to a 39-week gestation neonate. The mother has been receiving morphine every 3-4 hours for pain throughout her 29 hours of labor. She is dilated to only 6 cm, an about 85% effaced. The obstetrician decides to deliver the infant via emergency C-section due to prolonged labor without progression. Upon delivery, the newborn is found to be extremely depressed, and resuscitative efforts are initiated. Which of the following pharmacologic agents may likely be beneficial to the neonate at this time?
Narcan/Nalaxone
9
Give PPV at
40-60 BPM
10
ABCD of NRP
Airway, Breathing, Circulation, Drugs
11
Start chest compressions if?
HR is at or below 60 after having been Intubated already
12
What should you do if the baby's showing signs of Apnea, Gasping, or HR below 100
PVP, Monitor SPo2, consider ECG monitoring
13
Pre-Ductal Spo2 in minutes birth ratio thing
1-2-3-4-5-10
60 -> 95
14
During Chest Compressions, what medication do you provide via IV?
Epinephrine for Neonates
15
During chest compressions, what should you consider?
Pneumothroax or Hypoxemia.
16
After warming, drying, and stimulating to get their Apnea, HR, and etc fixed BEFORE PVP is even needed, baby experiences labored breathing or cyanosis, what do wise guy?
Position and clear airway via sniffling position, monitor Spo2, consider CPAP at 4-5cmh20.
17
AIRWAY section (Section A)
- Place head in Sniffling Position
- Suction Mouth and then Nose
18
BREATHING section (Section B)
If Apnic, Gasping, or HR below 100bpm, give PPV for 40-60 mintues.
19
Listen for heartreate during the first ___ seconds of PPV
first 15 Seconds
20
If HR not rising and chest not moving, perform ___ (whatever tf that is) Until chest moves with PPV for ___ seconds
MR.Sopa || 30 Seconds
21
Then attatch?
Pulse Oximeter, consider cardiac monitor
22
Intubate or place laryngeal mask and give ___ seconds of PPV prior to Chest Compressions
30 Seconds
23
Use ___ During Intubation and insertion of Laryngeal Mask
C02 Detector
24
CIRCULATION Section (Section C)
25
Start compressions of BPM is below ___ after ___ seconds of PPV with Chest movement. Check HR after every ___ Seconds.
60bmp || 30 Seconds || 60 Seconds
26
___ is the perfered method of assessing HR during CPR
Cardiac Monitor
27
Give ___ Chest Compressions, ___ breath every __ seconds || use ___ Precent Oxygen
3 || 1 breath every 2 seconds || 100% Oxygen
28
Compress ___ The Anterior -> Posterrior diameter of the chest
1/3rd
29
DRUGS Section (Section D)
30
- Give ___ If HR is still below 60bpm after 60 seconds
Epinephrin
31
Caution: ___ is different on __ and __ routes
Epinephrin dosage is different between ET and IV routes.
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