NRP 7TH EDITION questions well answered with complete solutions

You have been called to attend a birth and are the only healthcare provider responsible for the management of the newborn in the room. When should you first call for additional help? Before birth, when you have identified the presence of a perinatal risk factor that increases the likelihood of requiring neonatal resuscitation. After birth, when you determine the baby requires positive-pressure ventilation. After birth, when the obstetrician or labor nurse suggests you need additional help. After birth, when you determine the baby requires intubation. Before birth, when you have identified the presence of a perinatal risk factor that increases the likelihood of requiring neonatal resuscitation. You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions should you ask to evaluate whether the baby can stay with his mother or be moved to the radiant warmer for further assessment? Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear? Is the amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth weight? Is the baby warm? Does the baby have good tone? Is the baby full-term? Is the baby term? Does the baby have good muscle tone? Is the baby breathing or crying? Is the baby term? Does the baby have good muscle tone? Is the baby breathing or crying? 00:14 01:26 What size laryngoscope blade should be used to intubate a newborn with an estimated gestational age of 30 weeks (estimated birth weight of 1,200 g)? 2 00 0 1 0 Which statement best describes normal transitional physiology at the time of birth? Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%. Visual assessment of cyanosis is a reliable indicator of the baby's oxygen saturation. The oxygen saturation normally rises to at least 90% by 2 minutes of age. Oxygen saturation by pulse oximetry is unreliable in the newborn, and 100% oxygen is recommended immediately after birth. Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%. A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and mask. Which intervention is indicated? Attempt endotracheal intubation multiple times Insert a laryngeal mask Administer CPAP Place an orogastic tube Insert a laryngeal mask Four pre-birth questions should be asked to assess perinatal risk and determine who should be present at the birth. Which is one of the questions? Is this her first baby? Are membranes ruptured? What is the estimated fetal weight? What is the gestational age? What is the gestational age? You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per minute. What is the most important action you can take? Provide positive-pressure ventilation Provide free-flow oxygen Provide chest compressions Apply CPAP Provide positive-pressure ventilation What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic after initial steps? Continued rubbing of the back Administration of positive-pressure ventilation that inflates the lungs Administration of free-flow oxygen Application of CPAP Administration of positive-pressure ventilation that inflates the lungs During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team? 60 beats per minute 30 beats per minute 100 beats per minute 120 beats per minute 100 beats per minute Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is term as expected, with very poor tone and he is not breathing (apneic). You quickly perform initial steps, but the newborn is still not breathing. What is the most appropriate next step of resuscitation? Immediately intubate and suction the trachea Start positive-pressure ventilation and check heart rate response after 15 seconds Start cardiac compressions coordinated 3:1 with ventilation, and prepare to insert an umbilical venous catheter Intubate and administer 0.05 mg/kg of endotracheal epinephrine Start positive-pressure ventilation and check heart rate response after 15 seconds Which statement describes recommended practice when using a pulse oximeter in the delivery room? Place the pulse oximeter sensor on the right hand and adjust the oxygen concentration to achieve 100% oxygen saturation. Place the pulse oximeter sensor on the right foot and use the minute specific oxygen saturation target to guide oxygen supplementation. Place the pulse oximeter sensor on the right foot and adjust the oxygen concentration to achieve 100% oxygen saturation. Place the pulse oximeter sensor on the right hand and use the minute specific oxygen saturation target to guide oxygen supplementation. Place the pulse oximeter sensor on the right hand and use the minute specific oxygen saturation target to guide oxygen supplementation. A full-term newborn has a heart rate less than 60 beats per minute despite 30 seconds of positive-pressure ventilation that moves the chest. Your team plans to intubate. Which of the following is a true statement regarding the procedure? The baby should be positioned on a flat surface with the neck slightly extended. The assistant should ensure that the stylet, if used, extends beyond the end of the endotracheal tube. The endotracheal tube should be slowly pushed through closed vocal cords. The intubation procedure should ideally by completed in 60 seconds. The baby should be positioned on a flat surface with the neck slightly extended. 00:00 01:26