Question 1

4 Questions you should ask before every birth

Accepted Answer

1. what is the gestational age?
2. is the amniotic fluid clear?
3. are there any additional risk factors
4. What is our umbilical cord management plan?

Question 2

Who should be present at delivery?

Accepted Answer

at least 1 qualified individual , skilled in the initial steps of newborn care and PPV whose only responsibility is the management of the newly born baby

Question 3

Who should be present at delivery if risk factors are present ?

Accepted Answer

at least 2 qualified people should be present to manage the baby .
A qualified team with full resususitation skills including intubation, chest compressions, emergency vascular access and medication administration should be identified & available.

Question 4

Pre-resuscitation team briefing consists of :

Accepted Answer

assess risk factors, identify team leader, anticipate  potential complications, delegate tasks, identify who will document event, identify needed supplies and equipment, identify how to call for additional help

Question 5

The focus of neonatal resuscitation is effective _______________ of the newborns's lung

Accepted Answer

ventilation

Question 6

Before birth, the alveoli in the fetal lungs are filled with ___________

Accepted Answer

Fluid

Question 7

Before birth, oxygen is supplied to the fetus by ____________.

Accepted Answer

the placenta

Question 8

Before birth, most fetal blood _____________________.

Accepted Answer

bypasses the fetal lungs

Question 9

After birth, air in the alveoli causes vessel in the baby's lungs to __________

Accepted Answer

relax

Question 10

When resuscitating newborns, chest compressions and medication are ________ needed.

Accepted Answer

rarely

Question 11

Members of an effective resuscitation team _______  ____________.

Accepted Answer

share information

Question 12

3 rapid evaluation questions to ask after birth to help decide the need for resuscitation

Accepted Answer

1. Is the baby term?
2. Is the baby breathing and crying?
3. Does the baby have good muscle tone?

if the answer is no to any of the above questions, be ready to resuscitation

Question 13

5 initial steps of newborn care ( can take place on the warmer or skin to skin contact

Accepted Answer

- warm
-tactile stimulation
- position the head and neck to open the airway( "sniffing position"
- clear secretions from the airway, if needed )suction.

Question 14

Why should preterm babies be covered with polyethylene plastic ?

Accepted Answer

to reduce evaporative heat loss

Question 15

You count a newborns heartbeat for 6 seconds and count 6 beats. You report the heart rate as ___.

Accepted Answer

60 beats per minute

Question 16

Oxygen saturation should be 85% to 95% by _____.

Accepted Answer

10 minutes of age

Question 17

If the baby is breathing, the heart rate is greater than 100 beats per minute, the airway is clear and correctly positioned but the respiration are labored, You may consider ________.

Accepted Answer

CPAP ( continuous positive pressure ventilation

Question 18

Why do you use pulse oxymetry? and when is it indicated ?

Accepted Answer

is used to estimate the percentage of hemoglobin that is carrying oxygen. its indicated when resuscitation is anticipated, to confirm perception of persistent central cyanosis, when supplemental 02 is administered, when PPV is required.

Question 19

when and how do you administer free flow oxygen?

Accepted Answer

when the pulse oximeter reading remains below the target range.

Question 20

when supplemental 02 is necessary how much FIO2 should be administered ?

Accepted Answer

start wit 30% and gradual adjust FIO2 to maintain the baby's oxygen saturation within the target range.

Question 21

How much flow should be set when administering free flow oxygen with a blender?

Accepted Answer

should be set at 10L/min

Question 22

When should CPAP only be considered in the delivery room?

Accepted Answer

if the baby is breathing and the baby's heart rate is at least 100 bpm

Question 23

What is a risk factor when administering CPAP to a newborn?

Accepted Answer

CPAP can increase the the chance of developing a pneumothorax.

Question 24

When do you start the Apgar timer?

Accepted Answer

1 to 5 minutes of birth

Question

Question

Question

NRP

Neonatal Resusitation Program

Question	Answer
4 Questions you should ask before every birth	1. what is the gestational age? 2. is the amniotic fluid clear? 3. are there any additional risk factors 4. What is our umbilical cord management plan?
Who should be present at delivery?	at least 1 qualified individual , skilled in the initial steps of newborn care and PPV whose only responsibility is the management of the newly born baby
Who should be present at delivery if risk factors are present ?	at least 2 qualified people should be present to manage the baby . A qualified team with full resususitation skills including intubation, chest compressions, emergency vascular access and medication administration should be identified & available.
Pre-resuscitation team briefing consists of :	assess risk factors, identify team leader, anticipate potential complications, delegate tasks, identify who will document event, identify needed supplies and equipment, identify how to call for additional help
The focus of neonatal resuscitation is effective _______________ of the newborns's lung	ventilation
Before birth, the alveoli in the fetal lungs are filled with ___________	Fluid
Before birth, oxygen is supplied to the fetus by ____________.	the placenta
Before birth, most fetal blood _____________________.	bypasses the fetal lungs
After birth, air in the alveoli causes vessel in the baby's lungs to __________	relax
When resuscitating newborns, chest compressions and medication are ________ needed.	rarely
Members of an effective resuscitation team _______ ____________.	share information
3 rapid evaluation questions to ask after birth to help decide the need for resuscitation	1. Is the baby term? 2. Is the baby breathing and crying? 3. Does the baby have good muscle tone? if the answer is no to any of the above questions, be ready to resuscitation
5 initial steps of newborn care ( can take place on the warmer or skin to skin contact	- warm -tactile stimulation - position the head and neck to open the airway( "sniffing position" - clear secretions from the airway, if needed )suction.
Why should preterm babies be covered with polyethylene plastic ?	to reduce evaporative heat loss
You count a newborns heartbeat for 6 seconds and count 6 beats. You report the heart rate as ___.	60 beats per minute
Oxygen saturation should be 85% to 95% by _____.	10 minutes of age
If the baby is breathing, the heart rate is greater than 100 beats per minute, the airway is clear and correctly positioned but the respiration are labored, You may consider ________.	CPAP ( continuous positive pressure ventilation
Why do you use pulse oxymetry? and when is it indicated ?	is used to estimate the percentage of hemoglobin that is carrying oxygen. its indicated when resuscitation is anticipated, to confirm perception of persistent central cyanosis, when supplemental 02 is administered, when PPV is required.
when and how do you administer free flow oxygen?	when the pulse oximeter reading remains below the target range.
when supplemental 02 is necessary how much FIO2 should be administered ?	start wit 30% and gradual adjust FIO2 to maintain the baby's oxygen saturation within the target range.
How much flow should be set when administering free flow oxygen with a blender?	should be set at 10L/min
When should CPAP only be considered in the delivery room?	if the baby is breathing and the baby's heart rate is at least 100 bpm
What is a risk factor when administering CPAP to a newborn?	CPAP can increase the the chance of developing a pneumothorax.
When do you start the Apgar timer?	1 to 5 minutes of birth

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