NRP 8th Edition Online Learning Assessment 100% Solved
4 pre-birth questions - ANSWER 1. expected gestational age 2. is amniotic fluid clear 3. additional risk factors 4. umbilical cord management plan how long should umbilical cord clamping be delayed for eligible babies? - ANSWER at least 30-60 secs why is delayed cord clamping important - ANSWER placental gas exchange will continue and more oxygenated blood will be returned to baby from the fetal blood that remains in the placenta potential benefits of delayed cord clamping for preterm babies - ANSWER requires fewer blood transfusions, improved survival, decrease chance of needing BP meds what is a vigorous baby - ANSWER baby with strong RR efforts, good muscle tone, and HR 100 3 rapid evaluation questions to see if baby can stay with mother or has to go to radiant warmer - ANSWER - does the baby appear to be term - does the baby have good muscle tone - is the baby breathing or crying 5 initial steps of newborn care - ANSWER 1. provide warmth 2. dry baby if 32 weeks 3. stimulate by rubbing baby's back 4. position head and neck to open airway 5. clear secretions if baby not breathing after 5 initial steps - ANSWER begin PPV w/in 1st 60 secs after birth blood bypasses the lungs through which 2 shunts - ANSWER right to left shunt - foramen ovale - ductus arteriosus pulmonary resistance is high in the fetal lungs because - ANSWER pulmonary vessels are tightly constricted how do you estimate newborns HR - ANSWER number of beats in 6 secs x 10, should be at least 100 or start PPV within 60 secs
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