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NRP – advanced Exam 2024 100% Correct!! $15.49   Add to cart

Exam (elaborations)

NRP – advanced Exam 2024 100% Correct!!

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  • Course
  • NRP - advanced
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  • NRP - Advanced

What are the 2 primary methods of confirming ETT placement within the trachea? - ANSWER-demonstration of exhaled CO2 and a rapidly rising heart rate What steps are done by the person assisting the intubation? - ANSWER-check tip-to-lip insertion depth check that stylet does not protrude beyond e...

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  • August 11, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NRP - advanced
  • NRP - advanced
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nursingismylife
NRP – advanced Exam 2024 100% Correct!!

What are the 2 primary methods of confirming ETT placement within the trachea? - ANSWER-
demonstration of exhaled CO2 and a rapidly rising heart rate



What steps are done by the person assisting the intubation? - ANSWER-check tip-to-lip insertion
depth

check that stylet does not protrude beyond end of ETT

listen for increasing heart rate and observe CO2 color change

attach leads and begin cardiac monitoring if not already done



What is the DOPE mnemonic? - ANSWER-D-displaced tube

O- obstructed tube

P-pneumothorax

E-equipment failure



When are chest compressions indicated? - ANSWER-When the heart rate remains less than 60 beats
per minute after 30 seconds of positive-pressure ventilation that moves the chest, preferably through
an alternative airway (ETT or LMA)



What is the depth of chest compressions? - ANSWER-1/3 of the anterior-posterior diameter of chest



What is the preferred way to assess the heart rate when chest compressions are required? -
ANSWER-cardiac monitor

reassess every 60 seconds



for delivery room resuscitation, how do you give epinephrine? - ANSWER-umbilical vein

dosage: 0.1 mg/mL or 1 mg/10mL



Volume of saline flush after epinephrine? - ANSWER-3 mL

, when is administration of volume expander indicated? - ANSWER-baby is not responding to steps of
resuscitation and there are signs of shock or a history of acute blood loss



what is the dose for the volume expander? - ANSWER-10 mL/kg



how far should the catheter be inserted into the umbilical vein? - ANSWER-2-4 cm, until you get free
flow of blood when the syringe is gently aspirated



what is a reasonable time frame after birth for considering cessation of resuscitation efforts when
absence of heart rate is confirmed after all appropriate interventions? - ANSWER-20 minutes



why do preterm babies have a higher risk of complication than term babies? - ANSWER-limited
metabolic reserves contribute to the risk of hypoglycemia after birth



what steps are important for maintaining thermoregulation for all pre term babies? - ANSWER-
preheat warmer well before birth

place a hat on baby's head

maintain axillary temp between 36.5 and 37.5 C

set temp in room from 23-25 C



ETT sizes for pre term babies - ANSWER-> 28 weeks: 2.5 mm

28-34 weeks: 3 mm



34 weeks gestation PPV settings - ANSWER-PIP: 20-25cm

PEEP: 5cm



Transillumination for pneumo - ANSWER-light on the side of the pneumo will glow brighter than the
opposite side



what interventions may alleviate respiratory distress of a baby with robin sequence? - ANSWER-
position baby prone



insert small ETT into nose, advance into pharynx

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