When a newborn has a high risk of mortality and
there is a significant burden of morbidity among
survivors, what should be included in your In most cases, who is (are) the usual and
discussion with the parents concerning options appropriate surrogate decision maker(s) for a
for resuscitation? - ANSWER -The option of newborn? - ANSWER -The newborn's
providing comfort care can be considered. parents
Which of the following is true about the A newborn requires complex resuscitation. You
preparation and resources needed for a very have intubated and are administering positive-
preterm birth? - ANSWER -Prepare the pressure ventilation and chest compressions.
preheated radiant warmer with a thermal Which 3 signs are used to evaluate the
mattress, plastic wrap or bag, and a hat. effectiveness of your actions, and the need to
continue one or both of these measures? -
ANSWER -Respirations, heart rate, oxygen
A 10-day-old, mechanically ventilated newborn saturation
suddenly develops a low heart rate (bradycardia)
and low oxygen saturation, despite increasing
the oxygen concentration to 100%.What is the Which of the following is the best indication for
first and the most important step in the volume expansion after resuscitative efforts that
resuscitation of this newborn? - ANSWER - included intubation, chest compressions, and IV
Assess and establish adequate ventilation. epinephrine? - ANSWER -The baby's heart
rate remains 50 beats per minute after
resuscitative efforts and pulses are weak.
Which statement best describes the ethical
principle(s) that guide the resuscitation of a
newborn? - ANSWER -The approach to You are counseling a set of 17-year-old
decisions in the newborn should be guided by parents,whose baby is about to be born at 23
the same principles used for adults and older weeks' gestation. You have explained the chance
children. of survival is low and that if the baby survives
there is a high likelihood of long-term
morbidity.The parents understand your
Which of the following may be associated with discussion and clearly request that you provide
delayed cord clamping in vigorous preterm life-sustaining treatment in the delivery room.How
newborns? - ANSWER -Decreased need might you answer them? - ANSWER -You
for blood transfusions assure them that, as the parents, they are the
appropriate decision makers for their baby and
you will support their decision.
You are in the delivery room caring for a preterm
newborn at 27 weeks' gestation. The baby is 5
minutes old and breathing spontaneously. The A baby born at 36 weeks' gestation was apneic
baby's heart rate is 120 beats per minute and the after birth and required positive-pressure
oxygen saturation is 90% in room air. The baby's ventilation and oxygen supplementation in the
respirations are labored. Which of the following is delivery room. He continues to require
an appropriate action? - ANSWER - supplemental oxygen after birth. Which of the
Administer CPAP at 5 cm H20 pressure following statements is true? - ANSWER -
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