Newborn Resuscitation: A Step-by-Step Guide, Exams of Nursing

Download Newborn Resuscitation: A Step-by-Step Guide and more Exams Nursing in PDF only on Docsity! NRP certification What percentage of newborns require some form of assistance at birth - 10% What percentage of newborns require extensive resuscitation at birth - 1% Careful identification of risk factors can help identify all babies who will require resuscitation - false Chest compressions and medication are (rarely/frequently) needed when resuscitating newborns - rarely before birth, the alveoli in a babys lungs are (collapsed/expanded) and are filled with (fluid/air) - expanded fluid the air that fills the babys alveoli during normal transition contains % oxygen - 21 the air in the babys lungs causes the pulmonary arterioles to (relax/constrict) so that the oxygen can be absorbed from the alveoli and distributed to all organs - relax if a baby does not begin breathing in response to stimulation, you should assume she is in _______ apnea and you should provide _____ - secondary apnea PPV if a baby enters the stage of secondary apnea, its heart rate will (rise/fall) and its blood pressure will (rise/fall)) - fall fall restoration of adequate ventilation usually will result in a (rapid/gradual/slow) improvement in heart rate - rapid resuscitation (should/should not) be delayed until 1 minute apgar score is available - should not premature babies may present unique challanges during resuscitation because of - - fragile brain capillaries that my bleed - lungs deficient of surfactant - poor temperature control - higher likelihood of infection Step 1 What 3 questions should you ask yourself when a child is being born? - are they term are they breathing/crying hows their tone Step 2 If you answer no to any of the 3 questions at birth, your next step is to - warm, clear airway if needed, dry, stimulate will will not vigourous is defined by 3 characteristics - strong respiratory efforts good muscle tone heart rate greater than 100 per minute when a suction catheter is used to clear the oropharynx of meconium before inserting an endotracheal tube, the appropriate size is ____F or ______F. - 12 or 14 when suctioning a newborn first suction the ___ then the _____ - mouth nose What are some of the correct ways to stimulate a newborn - slap the soles of the foot rub the back if a baby is in secondary apnea, stimulation of the baby (will/will not) stimulate breathing - will not A new born is still not breathing after a few seconds of stimulation. The next action would be to - provide PPV A newborn has poor tone, labored breathing and cyanosis. Your initial steps are to - place under warmer remove wet linens suction consider CPAP and Pulse ox dry and stimulate oximeters are devices that measure the PO2 of the blood true or false - false they measure SPO2 in the delivery room, the oximetry probe should always be placed on the babys right hand or wrist true or false - true oxygen saturation should be expected to be >90% by 2 minutes of age true or false - false SPO2 is expected to be >65% at 2 minutes of age a baby who is cyanotic and apneic should receive free-flow oxygen as the best treatment true or false - False a baby who has these symptoms should receive PPV as the best treatment What are the targeted pre-ductal SPO2 after birth? - 1 minute 60-65% 2 minutes 65-70% 3 minutes 70-75% 4 minutes 75-80% 5 minutes 80-85% 10 minutes 85-90% If you need to give supplemental oxygen for longer than a few minutes the oxygen should be ___ and ____. - heated and humidified you have stimulated a newborn and suctioned her mouth. It is now 30 seconds after birth, and she is still apneic and pale. Her heart rate is 80. Your next action is to - PPV you count a newborns heartbeats for 6 seconds and cont 6 beats. you report the heart rate as - 60 an oximeter will show both SPO2 and ____ - heart rate