Neonatal Resuscitation: Questions and Answers, Exams of Nursing

Download Neonatal Resuscitation: Questions and Answers and more Exams Nursing in PDF only on Docsity! 1 [Date] NURSING QUESTIONS AND ANSWERS NRP 7TH EDITION PART 1 SECTION 1 2024 Latest Update A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and mask. Which intervention is indicated? - CORRECT ANSWER Insert a laryngeal mask You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per minute. What is the most important action you can take? - CORRECT ANSWER Provide positive-pressure ventilation What size (internal diameter) endotracheal tube should be used to intubate a newborn with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? - CORRECT ANSWER 2.5 mm Your team attends an emergency cesarean delivery of a term baby because of 2 [Date] chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is term as expected, with very poor tone and he is not breathing (apneic). You quickly perform initial steps, but the newborn is still not breathing. What is the most appropriate next step of resuscitation? - CORRECT ANSWER Start positive-pressure ventilation and check heart rate response after 15 seconds During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team? - CORRECT ANSWER 100 beats per minute You are part of a team preparing for the birth of a baby who has meconium- stained fluid and a category III fetal heart rate tracing. A person skilled in endotracheal intubation should be - CORRECT ANSWER Present at the birth. You are at a delivery of a baby born through meconium-stained amniotic fluid, and the baby is not vigorous. What steps should be taken immediately after birth? - CORRECT ANSWER The baby should be brought to the radiant warmer for initial steps of newborn care. 5 [Date] What is the appropriate technique to stimulate a baby to breathe? - CORRECT ANSWER Gently rub the baby's back or extremities You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions should you ask to evaluate whether the baby can stay with his mother or be moved to the radiant warmer for further assessment? - CORRECT ANSWER Is the baby term? Does the baby have good muscle tone? Is the baby breathing or crying? What is the recommended way to determine if a baby requires supplemental oxygen in the delivery room - CORRECT ANSWER Place an oximeter sensor on the baby's right hand or wrist and assess oxygen saturation. You have determined a baby needs resuscitation at birth. What are the initial steps of newborn care? - CORRECT ANSWER Provide warmth, position head and neck to open the airway, clear secretions from the airway if needed, dry, stimulate 6 [Date] The steps of intubation should ideally be completed within which duration - CORRECT ANSWER 30 seconds Effective team functioning is critical in ensuring the best performance. Which of these characteristics is critical in team leaders? - CORRECT ANSWER They should be able to maintain situational awareness. You have been called to attend a birth and are the only healthcare provider responsible for the management of the newborn in the room. When should you first call for additional help? - CORRECT ANSWER Before birth, when you have identified the presence of a perinatal risk factor that increases the likelihood of requiring neonatal resuscitation. 7 [Date] After the initial steps of newborn care, a baby is apneic. What is the most important and effective action to take in the resuscitation of this baby? - CORRECT ANSWER Provide positive-pressure ventilation. Which statement describes recommended practice when using a pulse oximeter in the delivery room? - CORRECT ANSWER Place the pulse oximeter sensor on the right hand and use the minute specific oxygen saturation target to guide oxygen supplementation. Which of the following is an indication for endotracheal intubation? - CORRECT ANSWER The need for positive-pressure ventilation lasting more than a few minutes Your hospital is planning Neonatal Resuscitation Program® training and trying to decide who should be included. For every delivery, what is the minimum requirement for care of the newborn at birth? - CORRECT ANSWER Someone capable of initiating neonatal resuscitation should be present at every delivery whose only responsibility is management of the newborn.