Pre-ductual Spo2 Target 1 min
Pre-ductual Spo2 Target 2 min
Pre-ductual Spo2 Target 3 min
Pre-ductual Spo2 Target 4 min
Pre-ductual Spo2 Target 5 min
Abnormal transition for a newborn
decreased muscle tone
low oxygen saturation
low blood pressure
If severe Bradycardia persists despite assisted ventilation and coordinated compressions what drug is administered?
If severe Bradycardia persists despite assisted ventilation then circulation is supported with what?
Before birth, the alveoli in the fetal lungs are expanded and filled with what?
Before birth, oxygen is supplied to the fetus by the what?
After birth, air in the alveoli causes vessels in the baby's lungs to?
What are the 4 pre-birth questions to ask the provider before every delivery?
Gestational age expected?
Amniotic fluid clear?
How many babies expected
Any risk factors?
If risk factors are present, how many qualified people, at a minimum, should be present solely to care for the newborn?
What is the appropriate suction catheter pressure set at?
What is the Flowmeter set to?
What is the oxygen blender set at for less than 35 wks gestation?
Umbilical cord clamping should be completed within how many seconds of birth?
Wet skin on a new born causes what?
rapid body cooling (heat loss)
What are the 3 main assessments after a newborn is born?
Does the baby appear term
Does the baby have good muscle tone
Is the baby breathing or crying
When using suction to clear secretions what should you suction first?
If a baby does not have adequate spontaneous respirations and a heart rate of 100 bpm or higher within 1 minute of birth what should you begin?
What is the most important and effective action during neonatal resuscitation?
Ventilation of the baby's lungs
Auscultation on what side of a newborn's chest is the most accurate determination of heart rate?
L side of chest
Calculation for determining heart rate?
6 seconds X 10
(example: 6 seconds/12 beats = 120 bpm)
What two reasons should you start PPV?
Baby is apneic or gasping
heart rate less than 100 bpm
Pre-ductal stat is found where?
R hand or wrist
Post-ductal is found where?
L arm or either leg
When preparing for resuscitation of a newborn, what critical performance steps precede the actual delivery of the newborn?
4 pre-birth questions
Assemble, brief team, assign leader
Warmer, blankets, temp sensor, hat
For newborns <32 weeks' gestation, what additional components should be available in preparation for delivery?
Plastic bag or wrap
In neonatal resuscitation, what steps immediately follow delivery of the newborn?
Clear airway & listen to lungs
What devices are used to clear a newborn's airway?
What size suction catheter is used?
What level is the suction set at?
10F or 12F