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newborn course ALL ANSWERS 100% CORRECT SPRING FALL-2022 SOLUTION GUARANTEED GRADE A+

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Course
NURS 101 (101)

Institution
Columbia College (CC )

1. A newborn of 34 weeks’ gestation is not breathing (apneic) at birth, does not respond to initial steps and requires positive pressure ventilation. What concentration of oxygen should be used as you begin positive pressure ventilation? a. 30 to 50% oxygen b. 50 to 70% oxygen c. 100% oxygen...

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Uploaded on May 26, 2022
Number of pages 12
Written in 2020/2021
Type Exam (elaborations)
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nurs 101
newborn course
1 a newborn of 34 weeks’ gestation is not breathing apneic at birth
does not respond to initial steps and requires positive pressure ventilation what concentration of oxyg

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newborn course ALL ANSWERS 100%
CORRECT SPRING FALL-2022 SOLUTION
GUARANTEED GRADE A+
Section 1
1. A newborn of 34 weeks’ gestation is not breathing (apneic) at birth, does not respond to
initial steps and requires positive pressure ventilation. What concentration of oxygen
should be used as you begin positive pressure ventilation?

a. 30 to 50% oxygen
b. 50 to 70% oxygen
c. 100% oxygen
d. 21 to 30% oxygen

2. 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 800 g)?

a. 4.0 mm
b. 3.5 mm
c. 3.0 mm
d. 2.5 mm

3. You are called to attend a newborn at birth. At the time of the baby is delivered, which
three question should you ask to evaluate whether the baby can stay with his mother or be
moved to the radiant warmer for further assessment?

a. Is the baby warm? Does the baby have good tone? Is the baby full-term?
b. Is the baby term? Does the baby have a good muscle tone? Is the baby
breathing or crying?
c. Is amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth
weight?
d. Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?

4. What is the appropriate technique to stimulate a baby to breathe?

a. Gently rub the baby’s back or extremities
b. Hold the baby upside down and gently pat the buttocks
c. Vigorously suction the oropharynx with a bulb syringe
d. Apply free flow of oxygen to the baby’s face

, 5. What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation?

a. Suction deeply to clear secretions
b. Suction the mouth before the nose
c. Suction vigorously to clear secretions
d. Suction the nose before the mouth

6. You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care?

a. Position had to open the airway, dry, stimulate, evaluate the baby’s color
b. Provide warmth, position head and neck to open the airway, clear secretions
from the airway if needed, dry, stimulate
c. Provide warmth, position had to open airway, evaluate the baby’s color
d. Provide warmth, clear secretions with a suction catheter, evaluate the babies color,
and evaluate heart rate

7. Hey baby is born at 34 weeks gestation. After the initial steps of resuscitation, the baby is
not breathing (apneic). What are the next steps?

a. Administer free flow oxygen, place a pulse oximeter sensor on the right-hand or
wrist, evaluate heart rate
b. Administer CPAP, place the pulse oximeter sensor on the right hand or wrist,
evaluate color and tone
c. Initiate positive pressure ventilation, place a pulse oximeter sensor on the
right hand or wrist, evaluate heart rate
d. Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate

8. 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’re unable to
achieve a seal with bag and mask. Which intervention is indicated?

a. Insert a laryngeal mask
b. Administer CPAP
c. Place an orogastric tube
d. Attempt endotracheal intubation multiple times

9. A full-term baby is born by emergency cesarean delivery because of fetal bradycardia
(category III fetal heart rate tracing). The baby is limp and not breathing after initial
steps. What is the next step in the resuscitation process?

a. Provide free flow oxygen, and chest compressions
b. Initiate positive pressure ventilation and check the increasing heart rate
c. Initiate chest compressions using the 2-thumb technique
d. Continue stimulating the baby for an additional 30 seconds

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Exam (elaborations)

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