1. Rapid evaluation - ANSWER-Determines if the baby can stay with the mother for routine care or should be brought to the radiant warmer
2. Airway - ANSWER-The initial steps open the airway and support spontaneous respiration
3. Breathing - ANSWER-Assist breathing with positive pressure venti...
1. Rapid evaluation - ANSWER-Determines if the baby can stay with the mother for routine care or
should be brought to the radiant warmer
2. Airway - ANSWER-The initial steps open the airway and support spontaneous respiration
3. Breathing - ANSWER-Assist breathing with positive pressure ventilation if the baby is apneic,
gasping, or bradycardic. CPAP or oxygen may be appropriate for labored breathing or low oxygen sats
4. circulation - ANSWER-perform chest compressions coordinated with PPV if severe bradycardia
persists despite effective assisted ventilation
5. Drug - ANSWER-Administer epinephrine if severe bradycardia persists despite PPV and
coordinated chest compressions
What type of shunting occurs before birth? - ANSWER-right to left
What are the alveoli expanded and filled with before birth? - ANSWER-fluid
What does the placenta supply before birth? - ANSWER-oxygen and carries out CO2 (removed by
mother's lungs
Where does the most highly oxygenated blood go in the fetus? - ANSWER-the brain and heart
What are the pulmonary vessels that will carry blood to the alveoli like after birth? - ANSWER-tightly
constricted
Pulmonary resistance is (high/low) in the fetal lungs. - ANSWER-high
What does the first breath of air (oxygen 21%) allow the lungs to do? - ANSWER-relax and dilate the
pulmonary blood vessels
, As blood flows to the lungs and the baby's o2 level increases, what occurs in the heart? - ANSWER-2
openings in the heart used for fetal circulation start to close and the blood can flow from the right
side into the lungs (the right to left shunting gradually resolves)
Who should attend every birth? - ANSWER-at least 1 qualified person skilled in the initial steps of
newborn care and positive pressure ventilation whose only responsibility is management of the baby
Who should attend the birth if risk factors are present? - ANSWER-at least 2 qualified people to
solely manage the baby
What will the number and qualifications of personnel vary depending on? - ANSWER-the number of
risks, number of babies, the hospital setting
What should be identified and immediately available for every resuscitation? - ANSWER-- qualified
team with full resuscitation skills including:
* intubation
* chest compressions
* emergency vascular access
* medication administration
How many qualified providers will likely be required on a resuscitation team? - ANSWER-4 or more
depending on the setting
When meconium-stained fluid is the only risk factor, how many qualified people should be present at
the time of birth to solely manage the baby? - ANSWER-at least 2 ( an individual with intubation skills
should be identified and immediately available
If meconium-stained fluid is present and additional risk factors indicate that an extensive
resuscitation is likely, who should be there? - ANSWER-a qualified team with full resuscitation skills
What equipment is needed to keep the baby warm after birth? - ANSWER-- preheated warmer
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