Neonatal Resuscitation Guidelines: NRP 2021, Exams of Nursing

Download Neonatal Resuscitation Guidelines: NRP 2021 and more Exams Nursing in PDF only on Docsity! NRP 2021 what is the normal infant respiratory rate? - 40-60 breaths per minute what is a normal infant heart rate? - 120-160 bpm what do you do if the baby has labored breathing or persistently low oxygen saturation? - CPAP can CPAP be given using a self inflating bag? - No what are the 5 initial steps after birth: - provide warmth, position head and neck, clear secretions if necessary, dry, and stimulate what are the 4 pre-birth questions? - gestational age? clear fluid? how many babies expected? additional risk factors? the baby has been born, what 3 rapid eval questions are asked? - term? muscle tone? breathing or crying? 41 week newborn with meconium-stained amniotic fluid is born and is crying upon birth, what are your initial steps? - suction mouth and nose with bulb syringe, dry newborn, place skin to skin with mother, cover with warm blanket and continue ongoing eval you have a newborn with central cyanosis that is not resolving after 5 minutes and a pulse oximeter reading of 68%; they are breathing with no distress and heart rate is 140; what intervention is next? - administer free-flowing oxygen A newborn is 36 weeks gestation with no muscle tone or breathing present; after the 5 initial steps the newborn is still not breathing; what is indicated? - PPV what is the 1-minute pre-ductal SpO2 target? - 60-65% what is the single most important and effective step in neonatal resuscitation? - ventilation of the newborn's lungs after initial steps post birth, the newborn is breathing but has a heart rate less than 100 bpm; what is indicated? - PPV for initial resuscitation of newborns greater than or equal to 35 weeks gestation, set the blender to ________ % oxygen; for less than 35 weeks? - 21% ; 21-30% what ventilation rate should be used during positive pressure ventilation? - 40-60 breaths per minute what is the initial PIP and PEEP settings for PPV? -