NRP 8th Edition exam - 2022/2023 with 100% correct answers

What is the single most important and effective step in neonatal resuscitation? Ventilation of the newborn's lungs Abnormal Transition Findings -Irregular Breathing, absent breathing, or rapid breathing -Slow or fast heart rate -Decreased Muscle Tone -Pale Skin or Blue Skin -Low oxygen saturation -Low blood pressure NRP algorithm- First Step Antenatal Counselling Team Debriefing Equipment Check After the birth of the baby, what do you ask? 1. Term Gestation? 2. Good Tone? 3. Breathing or crying? FIVE INITIAL STEPS: If you answer NO to any of the three questions (term, tone, breathing) what do you do? Warm Dry Stimulate Position airway Suction if needed Apnea or gasping? HR 100bpm= NO with laboured breathing/cyanosis Position airway, suction if needed Pulse oximeter Oxygen if needed Consider CPAP Apnea or gasping? HR 100bpm= YES PPV Pulse Oximeter Consider Cardiac Monitor HR STILL less than 100bpm= YES Ensure adequate ventilation Consider ETT or laryngeal mask Cardiac Monitor HR 60 bpm? ETT or laryngeal mask Chest compressions Coordinate PPV-100% oxygen UVC HR STILL 60 bpm? IV Epinephrine every 3-5 minutes If still less than 60, consider hypovolemia or pneumothorax Rapid Evaluation Determine if the newborn can remain with the mother or should be moved to the radiant warmer for further evaluation REVIEW: Three questions you ask during rapid evaluation? 1. Term? 2. Good Muscle Tone? 3. Breathing/crying? If the answer is NO to any of these, baby should be brought to radiant warmer. Airway Perform the initial steps to establish an open Airway and support spontaneous respiration Breathing PPV is provided to assist Breathing for babies with apnea or bradycardia Circulation If severe bradycardia persists despite assisted ventilation, Circulation is supported by performing chest compressions coordinated with PPV Drug If severe bradycardia persists despite assisted ventilation and coordinated chest compressions, the Drug Epinephrine is administered as coordinated PPV and chest compressions continue