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NRP 8th Edition Exam Questions with verified solutions | Rated A+
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NRP 8th Edition Exam Questionswith verified solutions | Rated A+
When do you use pulse oximetry and the Target Oxygen Saturation Table to guide oxygen therapy?
✔✔1. When resuscitation is anticipated
2. To confirm your perception of persistent central cyanosis
3. If you give supplemental oxygen
4. If PPV is required
How do you evaluate the newborns response to the initial steps? ✔✔Assess the newborns respirations
to determine if the baby is responding to the initial steps.
If the baby has not responded to the initial steps within the first minute of life, it is not appropriate
to continue with only tactile stimulation.
This should take NO more than 30 additional seconds
REVIEW: Initial Steps ✔✔Warm
Dry
Stimulate
Position Airway
Suction if needed
After initial steps, what do you do if the baby is apneic/gasping? ✔✔If apneic/gasping= PPV
Call for immediate additional help
If the baby is breathing after initial steps, assess the heart rate. What should the heart rate be?
✔✔The heart rate should be at least 100.
, If LESS than 100, start PPV even if the baby is breathing
How do you estimate the heart rate quickly? ✔✔Count the number of beats in 6 seconds and
multiply by 10. Clearly report this to your team members.
What do you do if the baby is breathing and the heart rate is at least 100bpm, but the baby
appears persistently cyanotic? ✔✔If persistent central cyanosis is suspected, a pulse oximeter
placed on the right hand or wrist should be used to assess the baby's oxygenation.
When is PPV indicated? ✔✔1)Not breathing
2)Gasping
3)HR less than 100
What is the initial oxygen concentration for newborns greater than or equal to 35 weeks gestation?
✔✔21%
What is the initial oxygen concentration for preterm newborns less than 35 weeks gestation? ✔✔21-
30%
What is the ventilation rate? ✔✔40-60 breaths per min
Use the rhythm "Breathe, two, three, Breathe, two, three, Breathe, two, three"
What do you set the flowmeter to? ✔✔8 L/minute (FH policy)
What is the initial ventilation pressure? ✔✔20-25 cm H20 (PIP)
Initial settings for PPV ✔✔O2= 21%
Gas Flow= 8 L/min
Rate= 40-60 breaths/min
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