NRP 8th Edition 100% CORRECT ANSWERS 2023//2024

NRP 8th Edition 100% CORRECT ANSWERS 2023//2024 What is the single most important and effective step in neonatal resuscitation? - ANSWER Ventilation of the newborn's lungs Abnormal Transition Findings - ANSWER -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 - ANSWER Antenatal Counselling Team Debriefing Equipment Check After the birth of the baby, what do you ask? - ANSWER 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? - ANSWER Warm Dry Stimulate Position airway Suction if needed Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis - ANSWER Position airway, suction if needed Pulse oximeter Oxygen if needed Consider CPAP Apnea or gasping? HR <100bpm= YES - ANSWER PPV Pulse Oximeter Consider Cardiac Monitor HR STILL less than 100bpm= YES - ANSWER Ensure adequate ventilation Consider ETT or laryngeal mask Cardiac Monitor HR <60 bpm? - ANSWER ETT or laryngeal mask Chest compressions Coordinate PPV-100% oxygen UVC HR STILL <60 bpm? - ANSWER IV Epinephrine every 3-5 minutes If still less than 60, consider hypovolemia or pneumothorax Rapid Evaluation - ANSWER 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? - ANSWER 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 - ANSWER Perform the initial steps to establish an open Airway and support spontaneous respiration Breathing - ANSWER PPV is provided to assist Breathing for babies with apnea or bradycardia Circulation - ANSWER If severe bradycardia persists despite assisted ventilation, Circulation is supported by performing chest compressions coordinated with PPV Drug - ANSWER If severe bradycardia persists despite assisted ventilation and coordinated chest compressions, the Drug Epinephrine is administered as coordinated PPV and chest compressions continue What are the 4 pre-birth questions to ask the provider before every delivery? - ANSWER 1. Expected Gestational Age 2. Is the amniotic fluid clear? 3. Are there any additional Risk Factors? 4. What is our umbilical cord management plan? Equipment Check- Warm - ANSWER -Preheated radiant warme