NRP esim 2019 studyguide with complete solutions.2021

Equiptment set up for all cases. Select all equiptment for room setup. On bottom row turn on warmer. Oxygen set flow for 10, blender 21%. PPV set PIP at 20, pop off press for 40, PEEP for 5. Suction set at 80-100. Four (4) Important Questions to Ask the OB provider Is the baby term? Is the fluid clear? How many babies are there? Any other risk factors? 00:03 01:14 Eight (8) Things to Remember 1. Warmer 2. Clear the airway if necessary 3. Dry the newborn 4. Auscultate 5. Oxygenate 6. Ventilate 7. Intubate 8. Medicate NRP Guidelines to Remember when Resuscitating a Newborn Corrective Steps M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative Targeted Pre-ductal SpO2 After Birth 1 min 60% - 65% 2 min 65% - 70% 3 min 70% - 75% 4 min 75% - 80% 5 min 80% - 85% 10 min 85% - 95% Practice Case Bby Jai Baby is 33 wks gest. There is 1 baby. Clear amniotic fluid. Cat. II fetal heart rate tracing and suspect placental abruption. C-sect is anticipated 1) Put baby's head in sniffing position 2) Dry the baby 3) Bulb suction the mouth and nose 4) Provide PPV with self-inflating mask 5) Mask adjustment 6) Apply pulse oximeter before 1st minute! 7) Attach 3 lead ECG, temperature sensor 8) Stethoscope -heart rate, lungs 9) Adjust 100% oxygen 10) HR 60 start Chest compressions 11) Adjust following MRSOPA- M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative 12) Insert endotracheal tube 13) Listen to lungs 14) Prepare and Insert umbilical iv 15) Admin epi in umbilical Case 1 BBY Santiago 35 wks gest. 1 baby. Clear amniotic fluid. C-Section due to fetal bradycardia. 1) Put baby's head in sniffing position 2) Dry the baby 3) Bulb suction the mouth and nose 4) Provide PPV with self-inflating mask 5) Mask adjustment 6) Apply pulse oximeter before 1st minute! 7) Attach 3 lead ECG, temperature sensor 8) Stethoscope -heart rate, lungs 9) Adjust 100% oxygen 10) HR 60 start Chest compressions 11) Adjust following MRSOPA- M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative 12) Insert endotracheal tube 13) Listen to lungs 14) Prepare and Insert umbilical iv 15) Admin epi in umbilical Case 2 Baby Kim 38 wks gest. 1 baby. clear amniotic fluid. emergency c-sect with gen. anesthesia due to cord prolapse and cat. III fetal heart rate tracing. 1) Put baby's head in sniffing position 2) Dry the baby 3) Bulb suction the mouth and nose 4) Provide PPV with self-inflating mask 5) Mask adjustment 6) Apply pulse oximeter before 1st minute! 7) Attach 3 lead ECG, temperature sensor 8) Stethoscope -heart rate, lungs 9) Adjust 100% oxygen 10) HR 60 start Chest compressions 11) Adjust following MRSOPA- M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative 12) Insert endotracheal tube 13) Listen to lungs 14) Prepare and Insert umbilical iv 15) admin epi in umbilical 16) admin normal saline Case 3 Baby Chris 27 wk gest. 1 baby. active labor with cat. II fetal heart rate tracing. Clear amniotic fluid. Vaginal birth expected. In set up for this 27-week baby Add in thermal mattress and plastic bag. 1) Put baby's head in sniffing position 2) Bulb suction the mouth and nose 3) Stimulated baby 4) Provide PPV with flow inflating mask or T piece 5) Assess heart rate 6) Attach 3 lead ECG 7) Apply pulse oximeter before 1st minute! 8) Adjust mask 9) Attach temperature sensor 10) Stethoscope -heart rate, lungs 11) Adjust 100% oxygen 12) Only if HR less than 60 Chest compressions 13) Adjust following MRSOPA- M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative 14) At 1:46 Insert endotracheal tube 15) Listen to lungs 16) Prepare and Insert umbilical iv 17) Admin epi in umbilical 18) Admin normal saline Case 4 Baby Jordan 34 wks gest. 1 baby. Clear amniotic fluid but foul smelling. Cat. II fetal heart rate tracing. Chorioamnionitis is suspected. Vaginal birth is anticipated. 1) Put baby's head in sniffing position 2) Bulb suction the mouth and nose 3) Stimulated baby 4) Provide PPV with flow inflating mask or T piece 5) Assess heart rate 6) Attach 3 lead ECG 7) Apply pulse oximeter before 1st minute! 8) Adjust mask 9) Attach temperature sensor 10) Stethoscope -heart rate, lungs 11) Adjust 100% oxygen 12) Only if HR less than 60 Chest compressions 13) Adjust following MRSOPA- M - Mask adjustment R - Reposition airway S - Suction mouth and nose O - Open mouth P - Pressure increase A - Airway alternative 14) Increase PIP 15) Listen to heart and lungs Complete Steps of NRP Warmer Clear airway Dry Auscultation Oxygen Ventilate Intubation Medicate PPV settings 20, 40, 5