NRP 7th 2nd Test

12 September 2022
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25 test answers

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question
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?
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In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?
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After 60 seconds
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After chest compressions with coordinated ventilations are started, the heart rate should be assessed:
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0.1
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For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous epinephrine is indicated?
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Lt side pneumo
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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?
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Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat.
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Which of the following is true about the preparation and resources needed for a very preterm birth?
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Positive-pressure ventilation increases the risk of pneumothorax
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Which of the following is true about a pneumothorax in the newborn?
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1 min
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How soon after administration of intravenous epinephrine should you pause compressions and reassess the baby's heart rate?
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The baby's heart rate remains 50 beats per minute after resuscitative efforts and pulses are weak.
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Which of the following is the best indication for volume expansion after resuscitative efforts that included intubation, chest compressions, and IV epinephrine?
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1.5ml
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What is the appropriate dose of 1:10,000 (0.1 mg/mL) concentration of epinephrine for endotracheal administration to a baby weighing 3 kg?
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His blood glucose level should be checked soon after resuscitation and then at regular intervals until stable and normal.
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A baby born at 36 weeks' gestation was apneic after birth and required positive-pressure ventilation and oxygen supplementation in the delivery room. He continues to require supplemental oxygen after birth. Which of the following statements is true?
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Respirations, heart rate, oxygen saturation
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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?
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ECG monitoring
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What is the preferred method for assessing heart rate during chest compressions?
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ETT to deep
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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?
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The approach to decisions in the newborn should be guided by the same principles used for adults and older children.
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Which statement best describes the ethical principle(s) that guide the resuscitation of a newborn?
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They have more difficulty achieving effective spontaneous ventilation than term newborns
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Which of the following statements is true about resuscitating and stabilizing extremely premature newborns?
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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.
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When are chest compressions indicated?
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Monitor blood glucose levels because of the risk of hypoglycemia after birth.
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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?
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Decreased need for blood transfusions
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Which of the following may be associated with delayed cord clamping in vigorous preterm newborns?
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10 mins
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After what duration of time might it be reasonable to consider discontinuing resuscitation following complete resuscitation efforts with no detectable heart rate?
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30 breaths, 90 compressions
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When coordinating positive-pressure ventilation with chest compressions, how many events are performed each minute?
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Stop chest compressions; continue positive-pressure ventilation.
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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?
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The option of providing comfort care can be considered.
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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?
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rapid push
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What time frame should be used to administer intravenous epinephrine?
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74-77f
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If a preterm birth is anticipated, at what temperature should the room be set?
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Administer CPAP at 5 cm H20 pressure
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You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120 beats per minute and the oxygen saturation is 90% in room air. The baby's respirations are labored. Which of the following is an appropriate action?