Questions and Answers
1. You are alone and caring for a 9-month-old infant with an
obstructed airway who becomes unresponsive. Which action should you
perform first?: Provide 30 Chest Compressions
Note: During care for an unresponsive infant, you must first initiate CPR starting with chest
compressions. Between compressions and ventilations, you must look in the infant's mouth for the
object that is obstructing the airway, and remove it if you can see it. You should never perform a blind
finger sweep.
2. A well-organized team response when performing high-quality CPR
includes
ensuring that providers switch off performing compressions every
min- utes.: 2 Minutes
Note: To minimize fatigue, providers should switch off performing compressions every 2 minutes (which
usually occurs during the time of AED analysis).
3. You are alone caring for a 4-month-old infant who has gone into
cardiac
arrest. Which is the most effective CPR technique to perform until help
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, arrives?-
: Short Answer: The Encircling Thumbs Technique
Long Answer: Standing or kneeling at the side of the infant with your hips at a slight angle, provide chest
compressions using the encircling thumbs technique and deliver ventilations with a pocket mask or face
shield.
Note: When performing single-provider CPR, providers should use the encircling thumbs technique.
Standing or kneeling at the side of the infant with your hips at a slight angle, place both thumbs (side-
by-side) on the center of the infant's chest, just below the nipple line. Encircle the infant's chest toward
the back with your other fingers to provide support. Then use both thumbs at the same time to provide
30 chest compressions (about 1½ inches deep and at a rate of 100 to 120 compressions per minute). As
you compress the chest, allow for complete chest recoil. Then, deliver 2 ventilations using a pocket mask
or face shield. Remember, a BVM should not be used for single-provider CPR. While the encircling
thumbs technique is preferred for single-provider infant CPR, you may alternatively consider using the
two-finger technique (two or three fingers placed in the middle of the chest). If the required depth
cannot be achieved with either technique, you may consider using a one-hand technique.
4. You perform a rapid assessment and determine that your
patient is experi- encing cardiac arrest. On the basis of your
assessment findings, you begin CPR to improve the patient's
chances of survival. Which term refers to clearly and
rationally identifying the connection between information and actions?:
Critical Thinking
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