movement for 30 seconds. When is placement of an rate remains less
endotracheal tube strongly recommended? than 100 bpm and
is not increasing.
2. During a delivery, when and where should a person In the hospital and
with intubation skills be available? immediately avail-
able
3. What are the primary methods of confirming endotra- Demonstration of
cheal tube placement within the trachea? exhaled carbon
dioxide (CO2) and
a rapidly increas-
ing heart rate
4. You are resuscitating a critically ill newborn whose Low cardiac out-
heart rate is 20 bpm. The baby has been intubated and put.
the endotracheal tube insertion depth is correct. You
can see chest movement with PPV and hear bilater-
al breath sounds, but the colorimetric CO2 detector
does not turn yellow. What is the likely reason for this?
5. According to the Textbook of Neonatal Resuscitation, When an alterna-
8th edition algorithm, at what point during resuscita- tive airway is in-
tion is a cardiac monitor recommended to assess the serted
baby's heart rate?
6. What size laryngoscope blade is recommended to 0
intubate a preterm newborn with an estimated gesta-
tional age of 32 weeks (estimated birth weight of 1.4
kg)?
7. Even brief interruptions of chest compressions may Briefly interrupt
significantly reduce their effectiveness, but it is also chest compres-
important to assess the need to continue chest com- sions every 60
pressions. What is the preferred way to assess the seconds to assess
heart rate during chest compressions? the heart rate us-
ing the cardiac
monitor.
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, 8. Your team is resuscitating a newborn at birth. The Cardiac monitor
heart rate is low and the baby has poor perfusion.
Which is the preferred method to assess the heart
rate?
9. When are chest compressions indicated? When the heart
rate remains less
than 60 bpm af-
ter at least 30 sec-
onds of PPV that
moves the chest,
preferably through
an alternative air-
way
10. After 60 seconds of PPV coordinated with chest com- Stop chest com-
pressions, the cardiac monitor indicates a heart rate pressions and
of 70 beats per minute. What is your next action? continue PPV.
11. What is the recommended depth of chest compres- One-third of
sions? the anterior-poste-
rior diameter of the
chest
12. During chest compressions, which of the following is To coordinate
correct? compressions
and ventilations,
the compressor
calls out
one-and-two-and-thr
13. Your team is resuscitating a newborn whose heart rate 3 mL
remains less than 60 bpm despite effective PPV and
60 seconds of chest compressions. You have admin-
istered epinephrine intravenously. According to the
Textbook of Neonatal Resuscitation, 8th edition, what
volume of normal saline flush should you administer?
14. 0.02 mg/kg (equal
to 0.2 mL/kg)
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