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Exam (elaborations)

NRP 8th Edition Study Guide Exam And Actual Answers.

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  • NRP 8th Edition

What is the single most important and effective step in neonatal resuscitation? - Answer Ventilation of the newborn's lungs Abnormal Transition Findings - Answer -Irregular Breathing, absent breathing, or rapid breathing -Slow or fast heart rate -Decreased Muscle Tone -Pale Skin or Blue...

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  • August 19, 2024
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  • NRP 8th Edition
  • NRP 8th Edition
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NRP 8th Edition Study Guide Exam And
Actual Answers.
What is the single most important and effective step in neonatal resuscitation? - Answer Ventilation of
the newborn's lungs



Abnormal Transition Findings - Answer -Irregular Breathing, absent breathing, or rapid breathing

-Slow or fast heart rate

-Decreased Muscle Tone

-Pale Skin or Blue Skin

-Low oxygen saturation

-Low blood pressure



NRP algorithm- First Step - Answer Antenatal Counselling

Team Debriefing

Equipment Check



After the birth of the baby, what do you ask? - Answer 1. Term Gestation?

2. Good Tone?

3. Breathing or crying?



FIVE INITIAL STEPS:

If you answer NO to any of the three questions (term, tone, breathing) what do you do? - Answer
Warm

Dry

Stimulate

Position airway

Suction if needed

, Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis - Answer Position airway,
suction if needed

Pulse oximeter

Oxygen if needed

Consider CPAP



Apnea or gasping? HR <100bpm= YES - Answer PPV

Pulse Oximeter

Consider Cardiac Monitor



HR STILL less than 100bpm= YES - Answer Ensure adequate ventilation

Consider ETT or laryngeal mask

Cardiac Monitor



HR <60 bpm? - Answer ETT or laryngeal mask

Chest compressions

Coordinate PPV-100% oxygen

UVC



HR STILL <60 bpm? - Answer IV Epinephrine every 3-5 minutes



If still less than 60, consider hypovolemia or pneumothorax



Rapid Evaluation - Answer Determine if the newborn can remain with the mother or should be moved
to the radiant warmer for further evaluation



REVIEW: Three questions you ask during rapid evaluation? - Answer 1. Term?

2. Good Muscle Tone?

3. Breathing/crying?

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