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1. If using a stylet, the tip of the stylet ___________ extend beyond the endo-
tracheal tube's side and end holes.: Must not
2. During every delivery, where should a person with intubation skills be
available?: In the hospital and immediately available
3. Larynx: Portion of the airway connecting the pharynx and trachea.
4. Glottis: The opening of the larynx leading to the trachea, flanked by the vocal
cords.
5. Thyroid and cricoid cartilage: Lower portion of the cartilage protecting the
larynx.
6. Trachea: Portion of the airway extending from the larynx to the carina.
7. Carina: Where the trachea branches into the two main bronchi.
8. Main bronchi: The 2 air passageways leading from the trachea to the lungs
9. Esophagus: The passageway from the throat to the stomach
10. Vallecula: The pouch formed by the base of the tongue and the epiglottis
11. Epiglottis: The lid-like structure overhanging the glottis
12. A newborn has received face-mask ventilation but is not improving.
Despite performing the first 5 ventilation corrective steps, the heart rate is not
rising and there is poor chest movement.
What is the next most appropriate step?: Insert an endotracheal tube or laryngeal
mask immediately.
13. Ideally, the intubation procedure should be completed within _________: -
30 seconds
14. What are the primary methods of confirming endotracheal tube placement
within the trachea?: Demonstration of exhaled CO2 and a rapidly increasing heart
rate
15. At what point during resuscitation is a cardiac monitor recommended to
assess the baby's heart rate?: At the point when an alternative airway becomes
necessary
16. What size (mm ID) endotracheal tube should be used to intubate a 26
weeks estimated gestational aged newborn with an estimated birth weight of
0.8kg?: 2.5 mm
17. Why might a baby's condition worsen after endotracheal intubation?: -
DOPE
- Displaced endotracheal tube
- Obstructed endotracheal tube
- Pneumothorax
- Equipment failure
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18. You are in the delivery room resuscitating a term newborn with apnea and
bradycardia (HR = 70 bpm).
The baby is almost 3 minutes old.
You have just inserted an endotracheal tube and have administered about 10
PPV breaths.
The CO2 detector does not change color and the baby's HR is decreasing.
Where is the tube most likely placed?: Esophagus
19. During chest compressions, what is the recommended com-
pressor's call out to coordinate compressions and ventilations?: -
One-and-two-and-three-and-BREATHE-and;....
20. When are chest compressions indicated?: When heart rate remains less than
60 bpm after at least 30 seconds of PPV that moves the chest, preferably through
an alternative airway.
21. What is the preferred way to assess the heart rate when chest compres-
sions are required?: Use the cardiac monitor
22. During chest compressions, compression to ventilation ratio is ____
compression(s): ____ ventilation(s).: 3:1
23. The recommended depth of chest compressions is ______ of the anteri-
or-posterior diameter of the chest.: one-third
24. You have been administering chest compressions for 1 minute and pause
compressions to assess the heart rate.
The heart rate is 50 bpm.
What is your next action?: Continue CPR and prepare to administer IV epineph-
rine
25. After 60 seconds of PPV coordinated with chest compressions, the cardiac
monitor indicates a heart rate of 70 bpm.
What is your next action?: Stop chest compressions and continue PPV
26. A laryngoscope is held in the operators ____ hand.: Left
27. A newborn is apneic at birth.
The baby does not improve with the initial steps or positive-pressure ventila-
tion.
The baby is intubated, the chest moves with ventilation, bilateral breath
sounds are present, and ventilation through the endotracheal tube is admin-
istered for another 30 seconds.
The heart rate is 40 bpm.
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