NURS 101 newborn 11.QUESTIONS AND CORRECT ANSWERS
Section 2
1. Which of the following is true about the preparation and resources needed for a very
preterm birth?
a. The delivery room temperature should be decreased to approximately 65°F to
66°F (18.3°C to 18.8°C).
b. Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, and a hat
c. Personnel skills and intubation and a umbilical catheter placement may be on call
at home
d. A size one laryngoscope and size 3.5 mm and a tracheal tube should be
prepared for the initial and intubation attempt
2. During resuscitation, the baby is responding to positive pressure ventilation with the
rapidly increasing heart rate. Her heart rate and oxygen saturation suddenly worsen. She
has decreased breath sounds on the left side and transillumination also reveals a bright
glow on the left side. What is the most likely cause of this distress?
a. Obstruction of the endotracheal tube with thick secretions
b. Displacement of endotracheal tube from the trachea into the esophagus
c. Choanal atresia
d. Left-sided pneumothorax
3. Baby born at 36 weeks’ gestation was apneic after birth and required positive pressure
ventilation and oxygen supplementation in the delivery room. He continues to require
supplemental oxygen after birth. Which of the following statements is true?
a. If he has continuing respiratory distress, sodium bicarbonate should be infused
immediately
b. His blood pressure does not need to be monitored because hypotension (low blood
pressure) does not occur after arrest resuscitation
c. His parents should be discouraged from seeing or touching him afterbirth because
it may agitate him and caused additional complications
d. His blood glucose level should be checked soon after resuscitation and then
at regular intervals until stable and normal
4. When are chest compressions indicated?
a. When the heart rate remains less than 60 bpm after 30 seconds of positive
pressure ventilation that moves the chest, preferably through an
alternative airway
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, NURS 101 newborn 11.QUESTIONS AND CORRECT ANSWERS
b. When the heart rate remains less than 100 bpm despite positive pressure
ventilation was 100% oxygen
c. When the heart rate remains less than 100 bpm after 30 seconds of positive
pressure ventilation that moves the chest, preferably through an alternative airway
d. When the heart rate is less than 80 bpm
5. What is the preferred method for assessing heart rate during chest compressions?
a. Palpate the umbilical cord
b. Electronic cardiac(ECG) monitoring
c. Pulse oximeter reading on the right hand or wrist
d. Auscultate with a stethoscope
6. A newborn requires complex resuscitation. You have intubated and are administering
positive pressure ventilation and chest compressions. Which 3 signs are used to evaluate
the effectiveness of your actions and the need to continue one or both of these
measures?
a. Respirations, blood pressure, oxygen saturation
b. Blood pressure, oxygen saturation, heart rate
c. Respirations, heart rate, oxygen saturation
d. Respirations, blood pressure, heart rate
7. You are in the delivery room caring for a preterm newborn at 27 weeks’ gestation. The
baby is five minutes old and breathing spontaneously. The babies heart rate is 120
beats per minute and the oxygen saturation is 90% in room air. The baby's respirations
are labored. Which of the following is an appropriate action?
a. Provide vigorous stimulation on the back trunk and extremities
b. Administer positive pressure ventilation with an initial inflation pressure of 30
to 35 cm H2O
c. Provide supplemental oxygen to rapidly increase the baby’s oxygen
saturation above 95%
d. Administer CPAP at 5 cm H2O pressure
8. Which statement best describes the ethical principles that guide the resuscitation of a
newborn?
a. The baby is a minor and all decisions regarding resuscitation should be made
during an emergency meeting of the hospital ethics committee
b. All decisions regarding resuscitation are made by the health care providers, and
parents do not participate in decision-making
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Section 2
1. Which of the following is true about the preparation and resources needed for a very
preterm birth?
a. The delivery room temperature should be decreased to approximately 65°F to
66°F (18.3°C to 18.8°C).
b. Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, and a hat
c. Personnel skills and intubation and a umbilical catheter placement may be on call
at home
d. A size one laryngoscope and size 3.5 mm and a tracheal tube should be
prepared for the initial and intubation attempt
2. During resuscitation, the baby is responding to positive pressure ventilation with the
rapidly increasing heart rate. Her heart rate and oxygen saturation suddenly worsen. She
has decreased breath sounds on the left side and transillumination also reveals a bright
glow on the left side. What is the most likely cause of this distress?
a. Obstruction of the endotracheal tube with thick secretions
b. Displacement of endotracheal tube from the trachea into the esophagus
c. Choanal atresia
d. Left-sided pneumothorax
3. Baby born at 36 weeks’ gestation was apneic after birth and required positive pressure
ventilation and oxygen supplementation in the delivery room. He continues to require
supplemental oxygen after birth. Which of the following statements is true?
a. If he has continuing respiratory distress, sodium bicarbonate should be infused
immediately
b. His blood pressure does not need to be monitored because hypotension (low blood
pressure) does not occur after arrest resuscitation
c. His parents should be discouraged from seeing or touching him afterbirth because
it may agitate him and caused additional complications
d. His blood glucose level should be checked soon after resuscitation and then
at regular intervals until stable and normal
4. When are chest compressions indicated?
a. When the heart rate remains less than 60 bpm after 30 seconds of positive
pressure ventilation that moves the chest, preferably through an
alternative airway
This study source was downloaded by 100000832558064 from CourseHero.com on 05-17-2022 13:26:51 GMT -05:00
https://www.coursehero.com/file/45572691/newborn-11docx/
, NURS 101 newborn 11.QUESTIONS AND CORRECT ANSWERS
b. When the heart rate remains less than 100 bpm despite positive pressure
ventilation was 100% oxygen
c. When the heart rate remains less than 100 bpm after 30 seconds of positive
pressure ventilation that moves the chest, preferably through an alternative airway
d. When the heart rate is less than 80 bpm
5. What is the preferred method for assessing heart rate during chest compressions?
a. Palpate the umbilical cord
b. Electronic cardiac(ECG) monitoring
c. Pulse oximeter reading on the right hand or wrist
d. Auscultate with a stethoscope
6. A newborn requires complex resuscitation. You have intubated and are administering
positive pressure ventilation and chest compressions. Which 3 signs are used to evaluate
the effectiveness of your actions and the need to continue one or both of these
measures?
a. Respirations, blood pressure, oxygen saturation
b. Blood pressure, oxygen saturation, heart rate
c. Respirations, heart rate, oxygen saturation
d. Respirations, blood pressure, heart rate
7. You are in the delivery room caring for a preterm newborn at 27 weeks’ gestation. The
baby is five minutes old and breathing spontaneously. The babies heart rate is 120
beats per minute and the oxygen saturation is 90% in room air. The baby's respirations
are labored. Which of the following is an appropriate action?
a. Provide vigorous stimulation on the back trunk and extremities
b. Administer positive pressure ventilation with an initial inflation pressure of 30
to 35 cm H2O
c. Provide supplemental oxygen to rapidly increase the baby’s oxygen
saturation above 95%
d. Administer CPAP at 5 cm H2O pressure
8. Which statement best describes the ethical principles that guide the resuscitation of a
newborn?
a. The baby is a minor and all decisions regarding resuscitation should be made
during an emergency meeting of the hospital ethics committee
b. All decisions regarding resuscitation are made by the health care providers, and
parents do not participate in decision-making
This study source was downloaded by 100000832558064 from CourseHero.com on 05-17-2022 13:26:51 GMT -05:00
https://www.coursehero.com/file/45572691/newborn-11docx/
