A laboring woman received a narcotic medication for pain relief 1 hour before
delivery.The baby does not have spontaneous respirations and does not improve with
stimulation.Your first priority is to - Answer Start positive-pressure ventilation
During resuscitation, a baby is responding to positive-pressure ventilation with a 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? - Answer Left-sided
pneumothorax
Which of the following is true about the preparation and resources needed for a very
preterm birth? - Answer Prepare the preheated radiant warmer with a thermal mattress,
plastic wrap or bag, and a hat.
Which of the following may be associated with delayed cord clamping in vigorous
preterm newborns? - Answer Decreased need for blood transfusions
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of
intravenous epinephrine is indicated? - Answer 0.1 mL
A baby required ventilation and chest compressions. After 60 seconds of chest
compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per
minute. What is your next action? - Answer Stop chest compressions; continue positive-
pressure ventilation.
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - Answer 1 minute
What is the preferred method for assessing heart rate during chest compressions? -
Answer Electronic cardiac (ECG) monitoring
A baby's heart rate does not increase after intubation and the breath sounds are louder
on the right side than the left side of the chest. Which of the following is a common
cause of asymmetric breath sounds in an intubated baby? - Answer Endotracheal tube
inserted too deep
If a preterm birth is anticipated, at what temperature should the room be set? - Answer
23ºC to 25ºC (74° F - 77° F)
After chest compressions with coordinated ventilations are started, the heart rate should
be assessed: - Answer After 60 seconds
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a
newborn? - Answer The newborn's parents