Newest RATED A+ 2025/2026 UPDATED
What are the five blocks of the NRP algorithm?
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1) Rapid evaluation: this evaluation determines if the baby can stay wit the mother for routine
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care or should be moved to the radiant warmer
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2) Airway: The initial steps open the airway and support spontaneous respirations.
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3) Breathing: Assist breathing with PPV if baby apneic, gasping, or bradycardic. CPAP or or O2 may
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be appropriate for labored breathing or low O2 sat.
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4) circulation: Perform chest compressions coordinated with PPV if severe bradycardia exists
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despite assisted ventilation
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5) drug: administer epinephrine if severe bradycardia persists despite PPV and coordinated chest
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compressions.
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What skills must be present to comprise a qualified team that must be immediately available for
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every resuscitation?
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Persons skilled in endotracheal intubation, chest compressions, emergency vascular access, and
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medication administration. (probably requires 4 or more qualified persons)
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What is a NRP quick equipment checklist?
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List of all supplies and equipment for a complete resuscitation that must be readily available and
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functional for every birth.
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NRP checklist - warming and clear airway supplies
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,NRP checklist - Ventilate & oxygenate equipment
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After completing the rapid evaluation, the next step is completion of the initial steps of newborn
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care, which include __________ and __________.
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After completing the rapid evaluation, the next step is completion of the initial steps of newborn
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care, which include opening the airway and supporting spontaneous respiration.
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What is looked at in determining if baby can stay with Mum?
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-Term gestation? Il`
-Good tone? Il`
-breathing or crying? Il` Il`
Determine within 1 minute. Il` Il` Il`
What if baby fails rapid evaluation?
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Warm, dry, stimulate, position airway, suction if needed.
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What if baby is apneic or gasping or heart rate under 100 bpm after stimulation, et al?
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PPV, pulse oximetry, consider cardiac monitor.
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What if severe bradycardia persists (under 60)
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ETT or laryngeal mask, chest compressions.
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Heart rate still under 60 bpm?
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, epinephrine q 3-5 minutes. Consider hypovolemia or pneumothorax Il` Il` Il` Il` Il` Il` Il`
According to the NRP algorithm, what are the indicators for PPV?
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_cyanosis
-apnea
-tachycardia
-gasping
-heart rate less than 100 bpm
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According to the NRP algorithm, what are the indicators for PPV?
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_cyanosis
-apnea
-tachycardia
-gasping
-heart rate less than 100 bpm
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What is the single most important and effective step in neonatal resuscitation?
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Learning how to provide positive pressure ventilation.
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Newborn resuscitation is usually the result of _____________.
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Respiratory failure. Il`
What are the four prebirth questions to ask to determine appropriate team and equipment?
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-What is the expected gestational age?
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-Is the amniotic fluid clear
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-Are there any additional risk factors?
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-What is our umbilical cord management plan?
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