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1. After completing the rapid evaluation, the next step is completion of the
initial steps of newborn care, which include:: opening the airway and supporting
spontaneous respirations
2. According to the NRP Algorithm, what are the indicators for positive pres-
sure ventilation?: apnea, gasping, and HR less than 100 bpm
3. Before birth, pulmonary resistance is ___________ in the lungs.: high
4. Newborn resuscitation is usually the result of:: respiratory failure
5. What are the four pre birth questions you should ask the obstetric provider
to help assess perinatal risk?: - What is the expected gestational age?
- Is the amniotic fluid clear?
- Are there any additional risk factors?
- What id our umbilical cord management plan?
6. What is the single most effective step in neonatal resuscitation?: ventilation
7. Which of these are perinatal risk factors that increase the likelihood of
resuscitation?
a. fetal anemia
b. prolapsed umbilical cord
c. term gestation
d. maternal hypertension: a, b, d
8. Before birth, what can you assess to help identify which newborns are likely
to require resuscitation?: perinatal risk
9. A qualified team with full resuscitation skills should be identified and imme-
diately available for every resuscitation. What should their skills include?: en-
dotracheal intubation, positive pressure ventilation, chest compressions, emergency
vascular access and medication administration
10. When the assessment of risk factors indicates the likelihood of extensive
resuscitation, who should be present at the time of birth?: advanced resuscita-
tion team
11. Which block of the NRP algorithm helps you determine if the baby can
stay with the mother or should be moved to the radiant warmer for further
evaluation?: rapid evaluation
12. When meconium-stained fluid is the only risk factor, how many qualified
people should be present at the time of birth?: at least two
13. If meconium-stained fluid is present and additional risk factors indicate
that an extensive resuscitation is likely, ________________ should be present
at the time of birth.: a qualified team with full resuscitation skills
14. According to the Neonatal Resuscitation Program Quick Equipment
Checklist, how should the flowmeter be set to prepare for ventilation?: 10
L/min
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, NRP
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15. What are the potential benefits of delayed cord clamping for term and late
preterm babies?: - improves early hematologic measurements
- may be benefits for neurodevelopmental outcomes
- however, may increase the need for phototherapy for hyperbilirubinemia
16. What are the potential benefits of delayed cord clamping for preterm new-
borns?: - decreases the chance of needing medications to support blood pressure
after birth
- require fewer blood transfusions during hospitalization
- improved survival rate
17. When checking supplies and equipment before every birth, you should:: -
use a standardized equipment checklist
18. What are the three rapid evaluation questions?: - Does the baby appear to
be term?
- Does the baby have good muscle tone?
- Is the baby breathing or crying?
19. After a vaginal birth, the baby appears term, has good muscle tone, and is
crying. Where can the baby receive the initial steps?: on the mother's chest or
abdomen
20. At birth, the baby's first breaths help move _________ out of the airways.-
: fluid
21. During initial steps, if the baby is ___________ weeks gestation, do not dry
the baby.: less than 32
22. When the baby stays with the mother for initial steps after birth, what
should be monitored to determine if additional interventions are required?-
: breathing, tone and activity, color, temperature
23. What is the purpose of the rapid evaluation of the newborn at birth?: deter-
mines if the baby can stay with the mother or should be moved to the radiant warmer
24. What should you do if an apneic newborn is moved to a radiant warmer af-
ter birth and is still not breathing after the initial steps?: begin PPV immediately
25. What is included in the five initial steps of newborn care?: - Position the
head and neck to open the airway
- clear secretions from the airway, if needed
- stimulate by gently rubbing the baby's back and extremities
- provide warmth
- dry the baby and remove wet linen
26. If a baby appears to be term, has good muscle tone but is nit breathing or
crying, where should the baby receive initial steps?: At the radiant warmer
27. If a newborn is not breathing or the heart rate is less than 110 bpm, you
should begin PPV within the first ______ seconds after birth.: 60
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