1. How long does it take a healthy newborn to have At least 10 minutes
an SpO2 e 90%?
2. When is the time of birth documented? After the last fetal
part emerges from the
birthing person.
3. What is the preductal SpO2 range for 5 minutes 80-85%
of life?
4. A baby is born at term with a bilateral cleft lip and Insert a laryngeal mask.
palate and a very small mandible. She requires
positive-pressure ventilation because she is not
breathing. You are unable to achieve a seal with
bag and mask. Which intervention is indicated?
5. You are at the resuscitation of a newborn who Provide positive-pres-
is gasping and has a heart rate of 60 beats per sure ventilation (PPV).
minute. What is the most important action you
can take?
6. If the newborn has respiratory distress and gen- Pleural effusion.
eralized edema, what condition can you expect?
7. 1. What flow rate is used for free-flow O2 admin- 1. 10 L/min
istration? 2. Start at 30%, then
2. What % of O2 do you start at? titrate up to desired
SpO2 target range.
8. When clearing secretions, which do you clear Mouth (M comes before
first: mouth or nose? N)
9. What size (internal diameter) endotracheal tube 2.5 mm
should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimat-
ed birth weight of 800 g)?
10. Your team attends an emergency cesarean deliv- Start PPV and check
ery of a term baby because of chorioamnionitis, heart rate response af-
,meconium-stained amniotic fluid, and fetal heart ter 15 seconds
, rate decelerations. At delivery, the newborn is newborn
term as expected, with very poor tone and he
is not breathing (apneic). You quickly perform
initial steps, but the newborn is still not breath-
ing. What is the most appropriate next step of
resuscitation?
11. During the resuscitation of a newborn, you aus-
cultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report
to your team?
12. You are part of a team preparing for the birth
of a baby who has meconium-stained fluid and
a category III fetal heart rate tracing. A person
skilled in endotracheal intubation should be:
13. You are at a delivery of a baby born through
meconium-stained amniotic fluid, and the baby
is not vigorous. What steps should be taken im-
mediately after birth?
14. What is the most effective maneuver to establish
spontaneous breathing in a baby that is apneic
after initial steps?
15. What is the pre-ductal SpO2 range for 3 minutes
of life?
16. If a heart rate is 9 beats in 6 seconds, how fast
is the heart rate?
17. Which O2 PPV resuscitator:
- Requires a compressed gas source
- Must have a tight seal to inflate
- Use a flow-control valve to regulate the PIP and
PEEP
- Can deliver free-flow O2 via mask
- Can deliver CPAP to a spontaneously breathing
, 100 bpm
Present at birth.
The baby should be brought to the radiant warmer for
initial steps of newborn care.
Administration of PPV that inflates the lungs
70-75%
90 bpm
Flow-inflating bag
an SpO2 e 90%?
2. When is the time of birth documented? After the last fetal
part emerges from the
birthing person.
3. What is the preductal SpO2 range for 5 minutes 80-85%
of life?
4. A baby is born at term with a bilateral cleft lip and Insert a laryngeal mask.
palate and a very small mandible. She requires
positive-pressure ventilation because she is not
breathing. You are unable to achieve a seal with
bag and mask. Which intervention is indicated?
5. You are at the resuscitation of a newborn who Provide positive-pres-
is gasping and has a heart rate of 60 beats per sure ventilation (PPV).
minute. What is the most important action you
can take?
6. If the newborn has respiratory distress and gen- Pleural effusion.
eralized edema, what condition can you expect?
7. 1. What flow rate is used for free-flow O2 admin- 1. 10 L/min
istration? 2. Start at 30%, then
2. What % of O2 do you start at? titrate up to desired
SpO2 target range.
8. When clearing secretions, which do you clear Mouth (M comes before
first: mouth or nose? N)
9. What size (internal diameter) endotracheal tube 2.5 mm
should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimat-
ed birth weight of 800 g)?
10. Your team attends an emergency cesarean deliv- Start PPV and check
ery of a term baby because of chorioamnionitis, heart rate response af-
,meconium-stained amniotic fluid, and fetal heart ter 15 seconds
, rate decelerations. At delivery, the newborn is newborn
term as expected, with very poor tone and he
is not breathing (apneic). You quickly perform
initial steps, but the newborn is still not breath-
ing. What is the most appropriate next step of
resuscitation?
11. During the resuscitation of a newborn, you aus-
cultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report
to your team?
12. You are part of a team preparing for the birth
of a baby who has meconium-stained fluid and
a category III fetal heart rate tracing. A person
skilled in endotracheal intubation should be:
13. You are at a delivery of a baby born through
meconium-stained amniotic fluid, and the baby
is not vigorous. What steps should be taken im-
mediately after birth?
14. What is the most effective maneuver to establish
spontaneous breathing in a baby that is apneic
after initial steps?
15. What is the pre-ductal SpO2 range for 3 minutes
of life?
16. If a heart rate is 9 beats in 6 seconds, how fast
is the heart rate?
17. Which O2 PPV resuscitator:
- Requires a compressed gas source
- Must have a tight seal to inflate
- Use a flow-control valve to regulate the PIP and
PEEP
- Can deliver free-flow O2 via mask
- Can deliver CPAP to a spontaneously breathing
, 100 bpm
Present at birth.
The baby should be brought to the radiant warmer for
initial steps of newborn care.
Administration of PPV that inflates the lungs
70-75%
90 bpm
Flow-inflating bag
