NRP - NEONATAL RESUSCITATION PROGRAM Final Exam Questions and Answers Latest Verified Answers.

NRP - NEONATAL RESUSCITATION PROGRAM Final Exam Questions and Answers Latest Verified Answers. Newborns usually require resuscitation because of a problem with respiration leading to inadequate gas exchange -Fetal respiration is performed by the placenta -When placental respirations fail, the fetus receives an insufficient supply of O2 to support cellular function and CO2 cannot be removed Babies temp should be maintained between 36.5-37.5C (97.7-99.5F) during resuscitation Place baby supine with head and neck in the sniffing position (do not hyperextend or flex-chin to chest) Clear secretions if baby is not breathing, gasping or has poor tone or meconium stained fluid Suction mouth THEN nose *Remember M before N -can use bulb syringe -if using suction, catheter, set to 80-100 mmHg Dry baby if wet-discard wet towels If baby is less than 32 weeks, wrap in polyethylene plastic Can gently stimulate baby by rubbing back, trunk or extremities—Don't’ over stimulate—Can cause injury If newborn remains apneic, begin PPV (positive pressure ventilation)- 21% Oxygen **NRP recommends that resuscitation of the baby 32 weeks and greater is initiated with 21% oxygen. If baby doesn’t have spontaneous respirations and a heart rate of 100bpm or higher within 1 minute of birth, begin PPV HR should be at least 100bpm—auscultation along the left side of the chest is the most accurate to determine HR -Palpation at the umbilical cord base may be felt but is less accurate and may underestimate the true HR -Using a stethoscope, estimate the HR by counting the number of beats in 6 seconds and multiply by 10 ie. 6 seconds x 12 beats= 120bpm If HR cannot be determined, connect ECG and/or Pulse Ox—pulse ox may not function is HR is too low or baby has low perfusion so ECG would be preferred method After The Initial Steps Listed Above, What To Do If The Baby Is Not Breathing Or HR Is Low: Start PPV if baby is not breathing (apnea) OR if the baby has gasping respirations Start PPV if the baby appears to be breathing, but the HR is below 100bpm Call for help if alone at the warmers If the baby has not responded to the initial steps within the first minute of life, it is NOT appropriate to continue to provide only tactile stimulation What Do You Do If The Baby Is Breathing And The Heart Rate Is At Least 100bpm, But The Baby Appears Persistently Cyanotic? **Apply a pulse oximeter** Indications to apply a pulse oximeter: When resuscitation is anticipated To confirm your perception of persistent central cyanosis When supplemental oxygen is administered When positive-pressure ventilation is required Acrocyanosis is normal-blue hands and feet. We offer online tutoring and solutions to all assignments for all modules. Contact: