NEONATAL RESUSCITATION PROGRAM
NEONATAL RESUSCITATION PROGRAM- NRP 5 INITIAL STEPS
OF NEWBORN CARE
1. Provide warmth
2. Position head and neck to open airway
3. Clear secretions if necessary
4. Dry baby
5. Stimulate
**Establishing Effective Ventilation of the baby’s lungs is the MOST
IMPORTANT and effective action during resuscitation
4 QUESTIONS TO ASK BEFORE EVERY BIRTH
1. What is expected gestational age
2. Is the amniotic fluid clear
3. How many babies are expected
4. Are there any additional risk factors
RAPID EVALUATION FOR ALL NEWBORNS IS REQUIRED—ASK IF
THE BABY IS:
1. Term?
2. Tone? (Healthy babies should be active and flex
extremities)
,NEONATAL RESUSCITATION PROGRAM
3. Breathing/Crying? (Gasping is a sign of severely
impaired gas exchange)
,NEONATAL RESUSCITATION PROGRAM
**If the answer is NO to any of these, the newborn
should be brought to the radiant warmer for the
initial steps of newborn care
Fetal lungs do not participate in gas exchange but
are expanded—alveoli is filled with fluid, NOT air
but are still expanded—pulmonary vessels are
tightly constricted
Oxygenated fetal blood leaves placenta
through umbilical vein—there is 1 vein, 2
arteries in the umbilicus
Opening in atrium is a Patent Foramen Ovale-most
blood bypasses lungs through the foramen OR
flows from pulmonary artery into aorta through
ductus arteriosis
Right to left shunting is when blood follows a
circulation path and bypasses the lungs
Oligohydramnios- deficiency of amniotic
fluid Polyhydramnios- excessive amniotic
fluid
, NEONATAL RESUSCITATION PROGRAM
Fetal hydrops- serious condition defined as abnormal
accumulation of fluid in 2 or more compartments
including ascites, pleural effusion, pericardial
effusion, and skin edema
NEONATAL RESUSCITATION PROGRAM- NRP 5 INITIAL STEPS
OF NEWBORN CARE
1. Provide warmth
2. Position head and neck to open airway
3. Clear secretions if necessary
4. Dry baby
5. Stimulate
**Establishing Effective Ventilation of the baby’s lungs is the MOST
IMPORTANT and effective action during resuscitation
4 QUESTIONS TO ASK BEFORE EVERY BIRTH
1. What is expected gestational age
2. Is the amniotic fluid clear
3. How many babies are expected
4. Are there any additional risk factors
RAPID EVALUATION FOR ALL NEWBORNS IS REQUIRED—ASK IF
THE BABY IS:
1. Term?
2. Tone? (Healthy babies should be active and flex
extremities)
,NEONATAL RESUSCITATION PROGRAM
3. Breathing/Crying? (Gasping is a sign of severely
impaired gas exchange)
,NEONATAL RESUSCITATION PROGRAM
**If the answer is NO to any of these, the newborn
should be brought to the radiant warmer for the
initial steps of newborn care
Fetal lungs do not participate in gas exchange but
are expanded—alveoli is filled with fluid, NOT air
but are still expanded—pulmonary vessels are
tightly constricted
Oxygenated fetal blood leaves placenta
through umbilical vein—there is 1 vein, 2
arteries in the umbilicus
Opening in atrium is a Patent Foramen Ovale-most
blood bypasses lungs through the foramen OR
flows from pulmonary artery into aorta through
ductus arteriosis
Right to left shunting is when blood follows a
circulation path and bypasses the lungs
Oligohydramnios- deficiency of amniotic
fluid Polyhydramnios- excessive amniotic
fluid
, NEONATAL RESUSCITATION PROGRAM
Fetal hydrops- serious condition defined as abnormal
accumulation of fluid in 2 or more compartments
including ascites, pleural effusion, pericardial
effusion, and skin edema
