1. 4 pre-birth questions 1. expected gestational age
2. is amniotic fluid clear
3. additional risk factors
4. umbilical cord management plan
2. how long should umbilical at least 30-60 secs
cord clamping be delayed
for eligible babies?
3. why is delayed cord placental gas exchange will continue and more
clamping important oxygenated blood will be returned to baby from
the fetal blood that remains in the placenta
4. potential benefits of de- requires fewer blood transfusions, improved sur-
layed cord clamping for vival, decrease chance of needing BP meds
preterm babies
5. what is a vigorous baby baby with strong RR efforts, good muscle tone,
and HR >100
6. 3 rapid evaluation ques- - does the baby appear to be term
tions to see if baby can - does the baby have good muscle tone
stay with mother or has to - is the baby breathing or crying
go to radiant warmer
7. 5 initial steps of newborn 1. provide warmth
care 2. dry baby if >32 weeks
3. stimulate by rubbing baby's back
4. position head and neck to open airway
5. clear secretions
8. if baby not breathing after begin PPV w/in 1st 60 secs after birth
5 initial steps
9. blood bypasses the lungs right to left shunt
through which 2 shunts - foramen ovale
- ductus arteriosus
10. pulmonary vessels are tightly constricted
1/3
2. is amniotic fluid clear
3. additional risk factors
4. umbilical cord management plan
2. how long should umbilical at least 30-60 secs
cord clamping be delayed
for eligible babies?
3. why is delayed cord placental gas exchange will continue and more
clamping important oxygenated blood will be returned to baby from
the fetal blood that remains in the placenta
4. potential benefits of de- requires fewer blood transfusions, improved sur-
layed cord clamping for vival, decrease chance of needing BP meds
preterm babies
5. what is a vigorous baby baby with strong RR efforts, good muscle tone,
and HR >100
6. 3 rapid evaluation ques- - does the baby appear to be term
tions to see if baby can - does the baby have good muscle tone
stay with mother or has to - is the baby breathing or crying
go to radiant warmer
7. 5 initial steps of newborn 1. provide warmth
care 2. dry baby if >32 weeks
3. stimulate by rubbing baby's back
4. position head and neck to open airway
5. clear secretions
8. if baby not breathing after begin PPV w/in 1st 60 secs after birth
5 initial steps
9. blood bypasses the lungs right to left shunt
through which 2 shunts - foramen ovale
- ductus arteriosus
10. pulmonary vessels are tightly constricted
1/3
