NRP, Test 2 Questions And Answers Graded A+

When coordinating positive-pressure ventilation with chest compressions, how many events are performed each minute? - 30 breaths, 90 compressions What is the ideal depth of chest compressions for a newborn? - One-third of the anteriorposterior diameter of the chest A newborn requires complex resuscitation. You have intubated and are administering positive-pressure ventilation and chest compressions. Which 3 signs are used to evaluate the effectiveness of your actions, and the need to continue one or both of these measures? - Respirations, heart rate, oxygen saturation For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous epinephrine is indicated? - 0.1 mL You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby's: -5 minutes old and breathing spontaneously -heart rate is 120 beats per minute -oxygen saturation is 90% in room air -respirations are labored. Which of the following is an appropriate action? - Administer CPAP at 5 cm H20 pressure A baby required ventilation and chest compressions. After 60 seconds of chest compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next action? - Stop chest compressions; continue positive-pressure ventilation. When a newborn has a high risk of mortality and there is a significant burden of morbidity among survivors, what should be included in your discussion with the parents concerning options for resuscitation? - The option of providing comfort care can be considered.What do you expect to happen after administration of a dose of intravenous epinephrine during a resuscitation? - The heart rate will increase about 1 minute after administration. What time frame should be used to administer intravenous epinephrine? - Rapid push, as quickly as possible When are chest compressions indicated? - When the heart rate remains less than 60 beats per minute after 30 seconds of positive-pressure ventilation that moves the chest, preferably through an alternative airway. In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn? - The newborn's parents Which of the following statements is true? - Intravenous administration of epinephrine results in reliable and effective absorption. What is the preferred method for assessing heart rate during chest compressions? - Electronic cardiac (ECG) monitoring Which of the following may be associated with delayed cord clamping in vigorous preterm newborns? - Decreased need for blood transfusions A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side than the left side of the chest. Which of the following is a common cause of asymmetric breath sounds in an intubated baby? - Endotracheal tube inserted too deep During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing heart rate. Her heart rate and oxygen saturation suddenly worsen.She has decreased breath sounds on the left side and transillumination also reveals a bright glow on the left side. What is the most likely cause of this distress? - Left-sided pneumothoraxWhich statement best describes the ethical principle(s) that guide the resuscitation of a newborn? - The approach to decisions in the newborn should be guided by the same principles used for adults and older children. You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. Resuscitation has been completed and the baby is ready to be transported to the neonatal intensive care unit. Which of the following is a true statement about the baby's subsequent care? - Monitor blood glucose levels because of the risk of hypoglycemia after birth. Which of the following is true about a pneumothorax in the newborn? - Positive-pressure ventilation increases the risk of pneumothorax