NRP 2024 Exam Study Guide

NRP 2024 Exam Study Guide If less than 32 weeks gestation - Answer-- plastic bag/wrap - thermal mattress clear airway - Answer-- bulb syringe - 10F or 12F suction catheter set at 80-100 mm/Hg - tracheal aspirator if less than 35 weeks set oxygen blender to - Answer-21%-30% laryngoscope sizes - Answer-0 and 1 ETT sizes - Answer-2.5 3.0 3.5 Access to epi concentration of - Answer-0.1 mg/mL (1 mg/10 mL) normal saline - Answer-10 mL/Kg over 5-10 min quick/rapid evaluation after birth - Answer-- is baby term? - good tone? - breathing or crying? if yes to all, stay with mother PPV required if HR is - Answer-less than 100 EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 2/7 Chest compressions if - Answer-HR less than 60 at the 1 minute mark -ETT or laryngeal mask - coordinate with PPV at 100% o2 - UVC if HR remains under 60 - Answer-- IV epi rapidly (give every 3-5 min) - consider hypovolemia - consider pneumo if baby has HR 100 or above but has labored breathing, or persistent cyanosis - Answer-- position airway - suction - O2 if needed - consider CPAP if 35 weeks or older set oxygen blender to - Answer-21% for vigorous term and preterm babies clamping umbilical cord should be delayed for at least - Answer-30 to 60 seconds 5 initial steps after birth - Answer-- provide warmth - dry - stimulate EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 3/7 - position head and neck to open airway - clear secretions if needed PPV indicated for - Answer-- baby not breathing - gasping - HR less than 100 bpm ventilation rate is - Answer-40-60 breaths per minute ventilation pressure (PIP) is - Answer-20-25 cm H2O The most indicator of successful PPV is a - Answer-rising HR If HR is not increasing within 15 seconds of PPV and chest movement is not observed start ventilation correction steps which is called. Use correction steps as well after 30 seconds if HR less than 60 with PPV that inflates chest. adjust Fio2 - Answer-MR SOPA MR SOPA - Answer-- Mask adjustment - Readjust head and neck - Suction - Open the mouth - Pressure increase - Alternative airway EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 4/7 Rescue airway if ETT not successful - Answer-laryngeal mask If CPAP is used for more than several minutes - Answer-an orogastric tube is required as a vent for gas in the stomach PEEP is set at - Answer-5 cm H2o Inflation and aeration of the lungs is suggested by a co2 detector that turns - Answer-yellow If after intubation and baby's condition worsens troubleshoot using - Answer-DOPE DOPE - Answer-- Displacement - Obstruction - Pneumo - Equipment Failure For failed intubation, opt for laryngeal mask for babies weighing over - Answer-2 kg ETT size for less than 28 weeks - Answer-2.0 ETT size for 28-34 weeks - Answer-2.5 ETT size for over 34 weeks - Answer-3.0 ETT catheter size for 2.5 - Answer-5-6F ETT catheter size for 3.0 - Answer-6-8F ETT catheter size for 3.5 - Answer-8F compression rate is - Answer-90 per minute & EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 5/7 30 breaths per minute If HR is 60 bpm or greater ________ compressions and resume PPV at _____ to ______breaths per minute. Adjust oxygen as needed to meet guidlines - Answer-discontinue 40-60 If HR is less than 60 bpm despite effective ventilation and high quality chest compressions ______ is indicated and emergency vascular access is needed - Answer-epi Coordinated Compressions and Ventilations ratio - Answer-3 Compressions