Exam (elaborations) NRP 8th Edition

Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an endotracheal tube strongly recommended? - ANSWER The baby's heart rate remains less than 100 bpm and is not increasing. During a delivery, when and where should a person with intubation skills be available? - ANSWER In the hospital and immediately available What are the primary methods of confirming endotracheal tube placement within the trachea? - ANSWER Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated and the endotracheal tube insertion depth is correct. You can see chest movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason for this? - ANSWER Low cardiac output. According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point during resuscitation is a cardiac monitor recommended to assess the baby's heart rate? - ANSWER When an alternative airway is inserted What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)? - ANSWER 0 Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is also important to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest compressions? - ANSWER Briefly interrupt chest compressions every 60 seconds to assess the heart rate using the cardiac monitor. Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor perfusion. Which is the preferred method to assess the heart rate? - ANSWER Cardiac monitor When are chest compressions indicated? - ANSWER When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably through an alternative airway After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a heart rate of 70 beats per minute. What is your next action? - ANSWER Stop chest compressions and continue PPV. What is the recommended depth of chest compressions? - ANSWER One-third of the anterior-posterior diameter of the chest During chest compressions, which of the following is correct? - ANSWER To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-andbreathe-and.... Your team is resuscitating a newborn whose heart rate remains less than 60 bpm despite effective PPV and 60 seconds of chest compressions. You have administered epinephrine intravenously. According to the Textbook of Neonatal Resuscitation, 8th edition, what volume of normal saline flush should you administer? - ANSWER 3 mL According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ANSWER 0.02 mg/kg (equal to 0.2 mL/kg)