NRP 2023/2024 Questions and Answers Rated A+

NRP 2023/2024 Questions and Answers Rated A+ what is the normal infant respiratory rate? 40-60 breaths per minute what is a normal infant heart rate? 120-160 bpm what do you do if the baby has labored breathing or persistently low oxygen saturation? CPAP can CPAP be given using a self inflating bag? No what are the 5 initial steps after birth: provide warmth, position head and neck, clear secretions if necessary, dry, and stimulate what are the 4 pre-birth questions? gestational age? clear fluid? how many babies expected? additional risk factors? the baby has been born, what 3 rapid eval questions are asked? term? muscle tone? breathing or crying? 41 week newborn with meconium-stained amniotic fluid is born and is crying upon birth, what are your initial steps? suction mouth and nose with bulb syringe, dry newborn, place skin to skin with mother, cover with warm blanket and continue ongoing eval you have a newborn with central cyanosis that is not resolving after 5 minutes and a pulse oximeter reading of 68%; they are breathing with no distress and heart rate is 140; what intervention is next? administer free-flowing oxygen A newborn is 36 weeks gestation with no muscle tone or breathing present; after the 5 initial steps the newborn is still not breathing; what is indicated? PPV what is the 1-minute pre-ductal SpO2 target? 60-65% what is the single most important and effective step in neonatal resuscitation? ventilation of the newborn's lungs after initial steps post birth, the newborn is breathing but has a heart rate less than 100 bpm; what is indicated? PPV for initial resuscitation of newborns greater than or equal to 35 weeks gestation, set the blender to ________ % oxygen; for less than 35 weeks? 21% ; 21-30% what ventilation rate should be used during positive pressure ventilation? 40-60 breaths per minute what is the initial PIP and PEEP settings for PPV? PIP of 20-25 cm H20 PEEP of 5 cm H20 what are the 6 ventilation corrective steps? MR. SOPA Mask adjustment Reposition airway Suction mouth and nose Open mouth Pressure increase Alternative airway how soon should you see an increase in heart rate after PPV is started? 15 seconds what two ways can CPAP be administered to newborn? mask attached to a T-piece resuscitator or a flow-inflating bag the most important indicator of successful PPV is: a rising heart rate if the heart rate is not increasing within the first 15 seconds of PPV, do what? check for chest movement; if no chest movement, start the ventilation corrective steps which resuscitation device does NOT require a compressed gas source? self-inflating bags what size laryngoscope blade would be used for a term newborn? size 1 what size ETT would be used for a term newborn? 3.5 mm ID what problems should you consider if a baby's condition worsens after endotracheal intubation? DOPE Displaced ETT Obstructed ETT Pneumothorax Equipment failure for babies weighing less than 1,000 grams, what size ETT should be used? 2.5 mm when do you begin chest compressions? if the baby's heart rate remains less than 60 bpm after at least 30 seconds of PPV what oxygen concentration should be used with PPV during chest compressions? 100% when should you check the baby's heart rate after starting compressions? after 1 minute of compressions if an advanced airway has been placed and the color is not changing on the CO2 detector and the heart rate is not increasing, what should be done next? remove the device resume PPV by face mask repeat insertion attempt when is epinephrine indicated? if the baby's heart rate remains less than 60 bpm after: at least 30 seconds of PPV with chest rise another 60 seconds of chest compressions with PPV using 100% O2 what concentration of epinephrine is used for neonatal resuscitation? 1:10,000 (0.1 mg/mL) when should you consider administering a volume expander? if the baby is not responding to the steps of resuscitation AND has signs of shock or a history of acute blood loss how should normal saline be administered as an emergent volume expander? what is the initial dose? 0.9% NaCL solution via IV or IO using a 30-60 mL labeled syringe over 5-10 minutes; initial dose is 10ml/kg