Neonatal Resuscitation

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created 2 years ago by Husky_Murse
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Prep for certification
updated 2 years ago by Husky_Murse
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1

Pre-ductual Spo2 Target 1 min

60-65%

2

Pre-ductual Spo2 Target 2 min

65-70%

3

Pre-ductual Spo2 Target 3 min

70-75%

4

Pre-ductual Spo2 Target 4 min

75-80%

5

Pre-ductual Spo2 Target 5 min

80-85%

6

Abnormal transition for a newborn

apnea
tachypnea
Bradycardia/tachycardia
decreased muscle tone
low oxygen saturation
low blood pressure

7

If severe Bradycardia persists despite assisted ventilation and coordinated compressions what drug is administered?

Epi

8

If severe Bradycardia persists despite assisted ventilation then circulation is supported with what?

Compressions

9

Before birth, the alveoli in the fetal lungs are expanded and filled with what?

Fluid

10

Before birth, oxygen is supplied to the fetus by the what?

Placenta

11

After birth, air in the alveoli causes vessels in the baby's lungs to?

Relax

12

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?

13

If risk factors are present, how many qualified people, at a minimum, should be present solely to care for the newborn?

2

14

What is the appropriate suction catheter pressure set at?

80-100 mmHg

15

What is the Flowmeter set to?

10 L/min

16

What is the oxygen blender set at for less than 35 wks gestation?

21%-30%

17

Umbilical cord clamping should be completed within how many seconds of birth?

30 sec

18

Wet skin on a new born causes what?

rapid body cooling (heat loss)

19

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

20

When using suction to clear secretions what should you suction first?

Mouth

21

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?

PPV

22

What is the most important and effective action during neonatal resuscitation?

Ventilation of the baby's lungs

23

Auscultation on what side of a newborn's chest is the most accurate determination of heart rate?

L side of chest

24

Calculation for determining heart rate?

6 seconds X 10

(example: 6 seconds/12 beats = 120 bpm)

25

What two reasons should you start PPV?

Baby is apneic or gasping
heart rate less than 100 bpm

26

Pre-ductal stat is found where?

R hand or wrist

27

Post-ductal is found where?

L arm or either leg

28

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

Equipment check

Warmer, blankets, temp sensor, hat

29

For newborns <32 weeks' gestation, what additional components should be available in preparation for delivery?

Plastic bag or wrap

Thermal mattress

30

In neonatal resuscitation, what steps immediately follow delivery of the newborn?

Clear airway & listen to lungs

Ventilate (PPV)

Oxygen

Intubate

Meds (epi)

31

What devices are used to clear a newborn's airway?

Bulb syringe

Suction catheter

Meconium aspirator

32

What size suction catheter is used?

What level is the suction set at?

10F or 12F

80-100 mmHg