Your team has provided face-mask PPV with chest move-
The baby's heart rate remains less than 100 bpm and is
ment for 30 seconds. When is placement of an endotra-
not increasing.
cheal tube strongly recommended?
During a delivery, when and where should a person with
In the hospital and immediately available
intubation skills be available?
What are the primary methods of confirming endotra- Demonstration of exhaled carbon dioxide (CO2) and a
cheal tube placement within the trachea? rapidly increasing heart rate
You are resuscitating a critically ill newborn whose heart
rate is 20 bpm. The baby has been intubated and the
endotracheal tube insertion depth is correct. You can
Low cardiac output.
see chest movement with PPV and hear bilateral breath
sounds, but the colorimetric CO2 detector does not turn
yellow. What is the likely reason for this?
According to the Textbook of Neonatal Resuscitation, 8th
edition algorithm, at what point during resuscitation is a
When an alternative airway is inserted
cardiac monitor recommended to assess the baby's heart
rate?
What size laryngoscope blade is recommended to intu-
bate a preterm newborn with an estimated gestational 0
age of 32 weeks (estimated birth weight of 1.4 kg)?
Even brief interruptions of chest compressions may signif-
icantly reduce their ettectiveness, but it is also important
Briefly interrupt chest compressions every 60 seconds to
to assess the need to continue chest compressions. What
assess the heart rate using the cardiac monitor.
is the preferred way to assess the heart rate during chest
compressions?
Your team is resuscitating a newborn at birth. The heart
rate is low and the baby has poor perfusion. Which is the Cardiac monitor
preferred method to assess the heart rate?
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, NRP 8th Edition Test Questions and Answers Rated A
When the heart rate remains less than 60 bpm after at
When are chest compressions indicated? least 30 seconds of PPV that moves the chest, preferably
through an alternative airway
After 60 seconds of PPV coordinated with chest compres-
sions, the cardiac monitor indicates a heart rate of 70 Stop chest compressions and continue PPV.
beats per minute. What is your next action?
What is the recommended depth of chest compressions? One-third of the anterior-posterior diameter of the chest
To coordinate compressions and ven-
During chest compressions, which of the following is cor-
tilations, the compressor calls out
rect?
one-and-two-and-three-and-breathe-and....
Your team is resuscitating a newborn whose heart rate
remains less than 60 bpm despite ettective PPV and 60
seconds of chest compressions. You have administered
3 mL
epinephrine intravenously. According to the Textbook of
Neonatal Resuscitation, 8th edition, what volume of nor-
mal saline flush should you administer?
According to the Textbook of Neonatal Resuscitation, 8th
edition, what is the suggested initial dose for IV epineph- 0.02 mg/kg (equal to 0.2 mL/kg)
rine (0.1 mg/1 mL=1 mg/10 mL)?
When is the administration of a volume expander indicat- The baby's heart rate is not increasing and there are signs
ed during newborn resuscitation? of shock or a history of acute blood loss.
Your team is caring for a term newborn whose heart rate
is 50 bpm after receiving ettective ventilation, chest com-
pressions, and intravenous epinephrine administration.
There is a history of acute blood loss around the time of Over 5 to 10 minutes
delivery. You administer 10 mL/kg of normal saline (based
on the newborn's estimated weight). At what rate should
this be administered?
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