Neonatal Resuscitation Questions and Answers Already Passed

Neonatal Resuscitation Questions and Answers Already Passed What is the baseline heart rate of the fetus? 120-160 bpm Does fetal resuscitation start in utero or after birth? In utero Which deceleration pattern is associated with vagal response to head compression and is not associated with distress? Early decelerations Which deceleration pattern is associated with uteroplacental insufficiency? Late decelerations (bad for baby...get baby out!) Decreased O2 supply, combined with lack of short term variability is ominous for what? Fetal distress Which deceleration pattern is related to cord compression, associated with fetal asphyxia when they are greater than 70bpm, longer than 60 sec, or occur in a pattern persisting for more than 30 min? Variable decelerations What is normal scalp blood pH in the neonate? pH of 7.25-7.35 is normal, 7.20-7.25 is "borderline" and <7.20 may be associated with a depressed neonate Who is the pediatric anesthesiologist responsible for, among other things, developing a newborn assessment tool that has drastically reduced infant mortality around the world? Virginia Apgar The assessment of a neonate in distress consists of what four basic things? 1) Fetal Heart Rate Monitoring 2) Apgar Scores (at 1 and 5 minutes) 3) Fetal Cord pH 4) CRP What 5 things does the Apgar score rate? 1) Respiration, crying 2) Reflexes, irritability 3) Pulse, Heart Rate 4) Skin color of body and extremities 5) Muscle Tone What are normal umbilical cord blood gas values when performed at the moment of birth? pH: 7.28 +/- 0.05 pCO2: 49 +/- 8.4 pO2: 18 +/- 6.2 HCO3: 22 +/- 2.5 B.E. -4 +/- 2 Neonatal resuscitation is primarily the responsibility of who? The neonatal care team Anesthesia's primary responsibility is who? The mother Vitals in the newborn should be what? Resp. rate should be 30-60 per min Pulse should be >100bpm If you have to bag a newborn, what rate and how much pressure should you use? Bag mask at 40-60 breaths per minute