After completing the rapid evaluation, the next step is completion of the initial
steps of newborn care, which include: correct answer -opening the airway
and supporting spontaneous respirations
According to the NRP Algorithm, what are the indicators for positive pressure
ventilation? correct answer -apnea, gasping, and HR less than 100 bpm
Before birth, pulmonary resistance is ___________ in the lungs. correct answer
-high
Newborn resuscitation is usually the result of: correct answer -respiratory
failure
What are the four pre birth questions you should ask the obstetric provider to
help assess perinatal risk? correct answer -- What is the expected
gestational age?
- Is the amniotic fluid clear?
- Are there any additional risk factors?
- What id our umbilical cord management plan?
What is the single most effective step in neonatal resuscitation? correct
answer -ventilation
Which of these are perinatal risk factors that increase the likelihood of
resuscitation?
a. fetal anemia
b. prolapsed umbilical cord
c. term gestation
d. maternal hypertension correct answer -a, b, d
Before birth, what can you assess to help identify which newborns are likely
to require resuscitation? correct answer -perinatal risk
A qualified team with full resuscitation skills should be identified and
immediately available for every resuscitation. What should their skills
include? correct answer -endotracheal intubation, positive pressure
, ventilation, chest compressions, emergency vascular access and medication
administration
When the assessment of risk factors indicates the likelihood of extensive
resuscitation, who should be present at the time of birth? correct answer -
advanced resuscitation team
Which block of the NRP algorithm helps you determine if the baby can stay
with the mother or should be moved to the radiant warmer for further
evaluation? correct answer -rapid evaluation
When meconium-stained fluid is the only risk factor, how many qualified
people should be present at the time of birth? correct answer -at least two
If meconium-stained fluid is present and additional risk factors indicate that
an extensive resuscitation is likely, ________________ should be present at the
time of birth. correct answer -a qualified team with full resuscitation skills
According to the Neonatal Resuscitation Program Quick Equipment Checklist,
how should the flowmeter be set to prepare for ventilation? correct answer
-10 L/min
What are the potential benefits of delayed cord clamping for term and late
preterm babies? correct answer -- improves early hematologic
measurements
- may be benefits for neurodevelopmental outcomes
- however, may increase the need for phototherapy for hyperbilirubinemia
What are the potential benefits of delayed cord clamping for preterm
newborns? correct answer -- decreases the chance of needing medications
to support blood pressure after birth
- require fewer blood transfusions during hospitalization
- improved survival rate
When checking supplies and equipment before every birth, you should:
correct answer -use a standardized equipment checklist
What are the three rapid evaluation questions? correct answer -- Does the
baby appear to be term?