Neonatal Resuscitation Program (NRP) 100% accurate!

Neonatal Resuscitation Program (NRP) 100% accurate! what is the heart rate usually like for infants needing resuscitation -ANSWER usually normal what is the main focus of neonatal resuscitation -ANSWER effective ventilation of the baby lungs what is the result of the umbilical cord being clamped on a baby breath -ANSWER newborn uses lungs (instead of placenta) for gas exchange what happens when fluid in the alveoli is absorbed -ANSWER air replaces fluid in alveoli oxygen moves from alveoli into pulmonary blood lessens and Co2 moves into alveoli to be exhaled out what is the result of air in the alveoli causing blood vessels in the lung to dilate -ANSWER pulmonary blood flow increases the ductus arteriosus to constrict how long after birth can it take for an infant to get their oxygen saturation up -ANSWER about 10 minutes what are clinical findings that an infant is in distress -ANSWER -apnea/tachypnea -bradycardia/tachycardia -decreased muscle tone -low SpO2 -low blood pressure -low APGAR score what are the initial assessment steps surfeited by NRP -ANSWER a-is the baby term b is the newborn breathing or cyring c does newborn have good muscle tone what are the 5 blocks suggested by NRP's flow diagram -ANSWER 1. initial assessment 2 airway (spont breathing) 3 breathing (need positive pressure/ CPAP) 4circulation (do compressions if still not improving) 5 Drugs (epi if nothing else is working) what are the questions to ask before a brith -ANSWER 1. what is the expected gestational age (level of intervention) 2. is the amniotic fluid clear (meconium aspiration) 3. how many babies are expected (right amount of supplies 4. additional risk factors? how many people must be at a high risk delivery -ANSWER need at least 2 qualified individuals what are the Toal steps that should be performed before a birth -ANSWER 1. 4 prebrith questions 2 assemble team 3 perform pre resuscitation questions 4. perform equipment check 5 warm (ready and on) 6. clear the airway 7. listen when should the cord be clamped -ANSWER 30-60 seconds post birth for most vigorous term and preterm newborns what can kangaroo care do -ANSWER improve HR, Spo2, RR, BP what are contraindications to delayed umbilical cord clamping -ANSWER -placental abruption -placenta previa -bleeding vasa previa -cord avulsion - multiple gestation -IUGR