Neonatal Resusitation Program
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| 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?
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| 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
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| 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.
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| 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
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| The focus of neonatal resuscitation is effective _______________ of the newborns's lung | ventilation
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| Before birth, the alveoli in the fetal lungs are filled with ___________ | Fluid
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| Before birth, oxygen is supplied to the fetus by ____________. | the placenta
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| Before birth, most fetal blood _____________________. | bypasses the fetal lungs
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| After birth, air in the alveoli causes vessel in the baby's lungs to __________ | relax
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| When resuscitating newborns, chest compressions and medication are ________ needed. | rarely
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| Members of an effective resuscitation team _______ ____________. | share information
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| 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
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| 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.
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| Why should preterm babies be covered with polyethylene plastic ? | to reduce evaporative heat loss
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| You count a newborns heartbeat for 6 seconds and count 6 beats. You report the heart rate as ___. | 60 beats per minute
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| Oxygen saturation should be 85% to 95% by _____. | 10 minutes of age
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| 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
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| 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.
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| when and how do you administer free flow oxygen? | when the pulse oximeter reading remains below the target range.
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| 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.
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| How much flow should be set when administering free flow oxygen with a blender? | should be set at 10L/min
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| 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
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| What is a risk factor when administering CPAP to a newborn? | CPAP can increase the the chance of developing a pneumothorax.
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| When do you start the Apgar timer? | 1 to 5 minutes of birth
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Created by:
cv279