-You are providing face mask PPV to a newborn who has bradycardia at birth. The
heart rate has increased to more than 110 bpm and the baby is beginning to breathe
spontaneously.
What is your next action?-correct Ans-Slow the rate of PPV and stimulate the baby
-What are the potential benefits of delayed cord clamping for term and late preterm
babies?-
correct Ans-
- improved early hematologic measurements
- although, uncertain, it may be beneficial for neurodevelopmental outcomes
-When should you consider using a cardiac monitor?-
correct Ans-
- the baby is not vigorous
- PPV is required
- pulse oximetry does not work
- when an alternative airway is required, a cardiac monitor is recommended
- the heart rate is difficult to ascultate
-When performing PPV, you may not proceed to chest compressions or medication until
the newborn has received at least ______ seconds of PPV that moves the chest,
preferably through an endotracheal tube or laryngeal mask.-correct Ans-30
-If you are alone when a baby needs PPV, what is the first thing you should do?-
correct Ans-Start PPV and mobilize additional help
-What is the most important indicator of successful PPV?-
correct Ans-A rising heart rate
-Healthy babies may have central cyanosis for several minutes after birth.
_______________ can be a reliable method for assessing a baby's oxygen saturation.-
correct Ans-Pulse oximetry
-To ensure immediate access to the laryngeal mask, where should it be located?-
correct Ans-At the warmer
-When resuscitation is anticipated, when should you apply pulse oximetry?-
correct Ans-After completing the initial steps
-What are indications for the use of pulse oximetry?-
correct Ans-
, - to confirm your perception of central cyanosis
- to guide oxygen concentration
- when PPV is required
- to assess the need for supplemental oxygen
-Where should the pulse oximeter be attached on the newborn?-
correct Ans-Right hand or wrist
-How do you know if the pulse oximeter is working properly?-
correct Ans-If it displays a pulse that approximates the apical pulse, or the heart
rate on a cardiac monitor
-The goal is to prevent _________ without using excess oxygen and exposing the
newborn to the potential risks if additional unnecessary oxygen.-correct Ans-Hypoxia
-You are managing the care of a newborn whose heart rate is more than 100 bpm and
breathing. The pulse oximeter has a reliable signal and displays an oxygen saturation
below target range for the baby's age in minutes.
What is the most appropriate action?-correct Ans-Administer free flow oxygen
-Do not give free flow oxygen through the __________ of a self-inflating bag.-
correct Ans-Mask
-What is the target oxygen saturation range for a baby that is 3 minutes old?-
correct Ans-70-75%
-What devices can be used to give free flow oxygen?-
correct Ans-
- oxygen mask and tubing
- the open reservoir of a self inflating bag
- mask of a flow inflating bag
- mask of a t-piece resuscitator
-What is a reasonable oxygen concentration with which to begin free flow oxygen?-
correct Ans-30%
-After the first 15 seconds, you do the first heart rate assessment. The heart rate is not
increasing and the chest is not moving. What should you do?-
correct Ans-Begin MR. SOPA ventilation corrective steps immediately
-When can free flow oxygen be discontinued?-
correct Ans-When the newborn can maintain saturation within the target range
without supplemental oxygen