Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an endotracheal tube strongly recommended? - ANSWER-The baby's heart rate remains less than 100 bpm and is not increasing.
chest compressions and medication should not be used until - ANSWER-the neonate...
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of
an endotracheal tube strongly recommended? - ANSWER-The baby's heart rate remains less than
100 bpm and is not increasing.
chest compressions and medication should not be used until - ANSWER-the neonate has received 30
seconds of PPV that move the chest, preferably through an alternative airway
what should be done after inserting an alternative airway? - ANSWER-give 30 seconds of PPV with
chest movement then reassess heart rate
what is strongly recommended before starting chest compressions? - ANSWER-intubation
what is the most important indicator of successful PPV? - ANSWER-rising heart rate
What are the primary methods of confirming endotracheal tube placement within the trachea? -
ANSWER-Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated
and the endotracheal tube insertion depth is correct. You can see chest movement with PPV and
hear bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the
likely reason for this? - ANSWER-Low cardiac output.
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 32 weeks (estimated birth weight of 1.4 kg)? - ANSWER-0
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is
also important to assess the need to continue chest compressions. What is the preferred way to
assess the heart rate during chest compressions? - ANSWER-Briefly interrupt chest compressions
every 60 seconds to assess the heart rate using the cardiac monitor.
, When are chest compressions indicated? - ANSWER-When the heart rate remains less than 60 bpm
after at least 30 seconds of PPV that moves the chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action? - ANSWER-Stop chest compressions and
continue PPV.
What is the recommended depth of chest compressions? - ANSWER-One-third of the anterior-
posterior diameter of the chest
During chest compressions, which of the following is correct? - ANSWER-To coordinate compressions
and ventilations, the compressor calls out one-and-two-and-three-and-breathe-and....
where should the person giving compressions stand? - ANSWER-at the head of the bed
where should the thumbs be when compressing - ANSWER-center of the sternum, just below the
nipples
compression to ventilation ratio - ANSWER-3 to 1
where should the person ventilating stand when compressions are given? - ANSWER-to the side
what to do after epinephrine administration - ANSWER-continue compressions and ventilations, one
minute after epinephrine is given pause compressions to assess hr
Your team is resuscitating a newborn whose heart rate remains less than 60 bpm despite effective
PPV and 60 seconds of chest compressions. You have administered epinephrine intravenously.
According NRP 8th edition, what volume of normal saline flush should you administer? - ANSWER-3
mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial dose
for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ANSWER-0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn resuscitation? -
ANSWER-The baby's heart rate is not increasing and there are signs of shock or a history of acute
blood loss.
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