Neonatal Resuscitation- Preparing for Resuscitation

neonatal-resuscitation

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Question 1 of 1

Time Left

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A 30 year old woman comes to the hospital in labor at 36 weeks gestation. She has gestational diabetes and has been found to have ruptured membranes and clear amniotic fluid. Labor is progressing rapidly and a vaginal birth is imminent. The OB MD calls for extra team members to be present at the delivery. Staff present at the delivery will be: 2 OB trained nurses, 1 Respiratory Therapist, OB MD, and a CNA. What questions should be asked prior to the birth?

Select the correct answer(s).

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Explanation

Based on the responses to the questions will determine if you have assembled the necessary personnel and equipment.

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If risk factors are present in a delivery at least _________ qualified people should be present solely to manage the baby.

Select the correct answer(s).

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Explanation

The number and qualifications of personnel will vary depending on the anticipated risk, the number of babies, and the hospital setting.

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Every delivery should be attended by at least ___________ skilled person (s) whose responsibility is the management of the newborn/who shares responsibility for the mother and newborns care

Select the correct answer(s).

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Explanation

Every delivery should be attended by at least one skilled person whose only responsibility is the management of the newborn.

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A qualified nurse or respiratory therapist who has been trained in neonatal resuscitation and has strong leadership skills can be the team leader in a high risk delivery.

Select the correct answer(s).

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What do you assess on a newborn immediately after birth?

Select the correct answer(s).

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Explanation

All newborns require rapid initial evaluation. If the answer to any of the initial steps questions is "No" the newborn should be brought to the radiant warmer for initial steps of newborn care.

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Match the initial step or newborn care of a non-vigorous or preterm newborn with the proper action

Match the text (click and drag)

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Explanation

If baby is vigorous and term then initial steps are not necessary.

Match the text
Provide Warmth
Position head and neck to open the airway
Cear Secretions from the airway
Dry
Stimulate

Click and drag
Place baby under radiant warmer uncovered to all the warmth to keep core temp at appropriate level
Place baby on warm towel or blanket and dry wet skin. Remove wet towel and replace with warm blanket.
Gently remove secretions from the airway with the bulb syringe, mouth first then nose
Position baby supine with head and neck neutral or slightly extended in the sniffing position
Brief tactile stimulation may stimulate breathing

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Will the pulse oximeter function when placed on a baby with a low heart rate and poor perfusion?

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Which comment is true about gasping respirations?

Select the correct answer(s).

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Explanation

Gasping respirations are ineffective breathing and one should proceed directly to PPV.

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What is the most effective way of determining the babies initial heart rate?

Select the correct answer(s).

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Explanation

Auscultation of the left side of the chest is the most accurate physical examination method of determining a newborns heart rate. Although pulsations may be felt at the umbilical cord base, palpation is less accurate and may underestimate the true heart rate.

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How long should the auscultation of the heart rate of a newborn take?

Select the correct answer(s).

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Explanation

It is imperative that the babies HR is assessed as quickly and accurately as possible. If newborns HR is less than 100 than PPV should be started immediately.

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You attend the delivery of a newborn. Given the information provided place the steps of care in order.

Match the text (click and drag)

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Match the Text
1
2
3
4
5
6
7
8
9

Click and drag
Check HR after 30 seconds of PPV. If above 100 and respirations are adequate then PPV can be stopped.
Monitor for chest movement and make corrective steps as needed using MR SOPA
Warm and maintain normal temperature, position airway, clear secretions if needed, dry and stimulate newborn
Baby is assessed. Is baby term? Does baby have good muscle tone? Is the baby breathing or crying?
Team of trained caregivers assemble to attend the delivery of the newborn.
Birth occurs
If the answer to any question in the inital assessment of the newborn is "No" then baby should be moved to the warmer for additional care.
If HR is below 100bpm then PPV should be started and continued for 30 seconds
Assess for apnea, gasping, or HR below 100bpm

Neonatal Resuscitation- Preparing for Resuscitation

Question 1 of 1

Time Left

Select the correct answer(s).

(0/0)

Explanation

If risk factors are present in a delivery at least _________ qualified people should be present solely to manage the baby.

Select the correct answer(s).

(0/0)

Explanation

Every delivery should be attended by at least ___________ skilled person (s) whose responsibility is the management of the newborn/who shares responsibility for the mother and newborns care

Select the correct answer(s).

(0/0)

Explanation

A qualified nurse or respiratory therapist who has been trained in neonatal resuscitation and has strong leadership skills can be the team leader in a high risk delivery.

Select the correct answer(s).

(0/0)

What do you assess on a newborn immediately after birth?

Select the correct answer(s).

(0/0)

Explanation

Match the initial step or newborn care of a non-vigorous or preterm newborn with the proper action

Match the text (click and drag)

(0/0)

Explanation

Provide Warmth

Position head and neck to open the airway

Cear Secretions from the airway

Dry

Stimulate

Place baby under radiant warmer uncovered to all the warmth to keep core temp at appropriate level

Place baby on warm towel or blanket and dry wet skin. Remove wet towel and replace with warm blanket.

Gently remove secretions from the airway with the bulb syringe, mouth first then nose

Position baby supine with head and neck neutral or slightly extended in the sniffing position

Brief tactile stimulation may stimulate breathing

Will the pulse oximeter function when placed on a baby with a low heart rate and poor perfusion?

Select the correct answer(s).

(0/0)

Which comment is true about gasping respirations?

Select the correct answer(s).

(0/0)

Explanation

What is the most effective way of determining the babies initial heart rate?

Select the correct answer(s).

(0/0)

Explanation

How long should the auscultation of the heart rate of a newborn take?

Select the correct answer(s).

(0/0)

Explanation

You attend the delivery of a newborn. Given the information provided place the steps of care in order.

Match the text (click and drag)

(0/0)

1

2

3

4

5

6

7

8

9

Check HR after 30 seconds of PPV. If above 100 and respirations are adequate then PPV can be stopped.

Monitor for chest movement and make corrective steps as needed using MR SOPA

Warm and maintain normal temperature, position airway, clear secretions if needed, dry and stimulate newborn

Baby is assessed. Is baby term? Does baby have good muscle tone? Is the baby breathing or crying?

Team of trained caregivers assemble to attend the delivery of the newborn.

Birth occurs

If the answer to any question in the inital assessment of the newborn is "No" then baby should be moved to the warmer for additional care.

If HR is below 100bpm then PPV should be started and continued for 30 seconds

Assess for apnea, gasping, or HR below 100bpm

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