Nursingismylife

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? The endotracheal tube is not in the trachea. Excessive ventilation pressure. Epinephrine contamination. Low cardiac output. - ANSWER-low cardiac output What are the primary m...

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- obstr...

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 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 ...

4 pre-birth questions - ANSWER-1. expected gestational age 2. is amniotic fluid clear 3. additional risk factors 4. umbilical cord management plan how long should umbilical cord clamping be delayed for eligible babies? - ANSWER-at least 30-60 secs why is delayed cord clamping important - ANSWER-placental gas exchange will continue and more oxygenated blood will be returned to baby from the fetal blood that remains in the placenta potential benefits of delayed cord clamping for preter...

When is the placement of endotracheal tube recommended? - ANSWER-HR<100, Before starting chest compression, if PPV is prolonged, If direct tracheal suction is needed for suspected airway obstruction Intubation skills be available? - ANSWER-A- In hospital and immediately available Confirming endotracheal tube - ANSWER-C- exhaled Co2 and inc HR Co2 detector not yellow - ANSWER-D- Low cardiac output 8th edition cardiac monitor recommended - ANSWER-B- When alternative airway is insert...

According to the NRP algorithm, what are the indicators for positive pressure ventilation? a) tachypnea b) apnea c) cyanosis d) gasping e) HR <100 bpm - ANSWER-b) apnea d) gasping e) HR <100 bpm Before birth, pulmonary resistance is _________ in the fetal lungs. a) low b) normal c) high - ANSWER-c) high A qualified team with full resuscitation skills should be identified and immediately available for every resuscitation. What should their skills include? a) vacuum...

What are the 3 questions you should be asking in NRP initial assessment? - ANSWER-1-Term 2-Gestation 3-Breathing or crying? Whaat are the 4 pre-birth questions? - ANSWER-1-GA 2- AF clear 3-Risk factors? 4-Umbilical cord management plan What are the 5 initial steps of newborn care? - ANSWER-1-Warm 2-Dry 3-Stimulate 4-Position Airway 5-Suction if needed Following the initial steps of resuscitation, a newborn remains apneic and cyanotic. You should: • A:start CPR if the heart r...

When meconium-stained fluids is the only risk factor, how many qualified people should be present at the time of birth? - ANSWER-At least two According to the neonatal resuscitation program quick equipment checklist, how should the flow meter be set to prepare for ventilation? - ANSWER-10 L/min What are the potential benefits of delayed cord clamping for term and late preterm babies? - ANSWER-Beneficial for neurodevelopmental outcomes and improved early hematologic measurements. What ar...

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 ...

During a delivery, when and where should a person with intubation skills be available? - ANSWER-In the hospital and immediately available 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 to the Textbook of Neonatal Resuscitation, 8th edition, what volume of normal saline flush should you administer? - ANSWER-3ML According to the Textbook of Ne...