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NRP 8th edition study guide Questions with verified solutions | Rated A+
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NRP 8th edition study guide Questions with verified solutions | Rated A+
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NRP 8th edition study guideQuestions with verified solutions |
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In most cases, who are the usual and appropriate surrogate decision makers for a newborn?
✔✔The newborn's parents
When a newborn has a high risk of mortality and there is a significant burden of morbidity
among survivors, what should be included in the discussion with the parents concerning options
for resuscitation? ✔✔The option of providing comfort care can be considered.
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 baby's heart rate is 120 bpm and the oxygen saturation
is 90% without respiratory support. The baby's respirations are labored. Which of the following is an
appropriate action? ✔✔Administer CPAP at 5 cm H2O pressure with 21% oxygen.
Ideally, how quickly should the intubation procedure be completed? ✔✔30 seconds
Which of the following is an indication for placement of an alternate airway? ✔✔The need for PPV
is prolonged
What size (internal diameter) endotracheal tube should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimated birth weight of 0.8 kg)? ✔✔2.5 mm
When coordinating PPV with chest compressions how long does it take to complete a cycle of
3 compressions and 1 breath? ✔✔2 seconds
, When chest compressions are in progress, how often should the heart rate be assessed? ✔✔Every 60
seconds
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing spontaneously
while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A pulse oximeter sensor on the
baby's right hand is reading 95% and oxygen saturation is increasing. What is the most appropriate next
step? ✔✔Decrease the oxygen concentration
What are the indicators for performing PPV on a neonate? ✔✔apnea, gasping, and heart rate < 100
5 steps in the NRP algorithm ✔✔rapid evaluation, airway, breathing, circulation, drug
What happens in the rapid evaluation phase? ✔✔if baby can stay with mother or moved to
radiant warmer
what happens in the airway phase? ✔✔opening neonates airway and support spontaneous respirations
what happens in the breathing phase? ✔✔assist with PPV if the baby is apneic, gasping, or
bradycardic (cpap or oxygen may be appropriate for labored breathing or low oxygen saturation)
what hapens in the circulation phase? ✔✔perform chest compressions if HR remains < 100 after
giving effective PPV
what happens in the drug phase? ✔✔administer epinephrine if HR remains < 100
what is the pulmonary resistance in fetal lungs? ✔✔high pulmonary vascular resistance (high PVR,
low SVR)
blood bypasses the lungs and passes into the aorta via ____ in the neonate? ✔✔ductus arteriosis
What is the single and most important step in the neonatal resuscitation? ✔✔ventilation:
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