NRP Lesson 7 Chapter 7 Special Considerations

25 July 2022
4.7 (114 reviews)
12 test answers

Unlock all answers in this set

Unlock answers (8)
question
Which of the following are special steps necessary in the resuscitation of a newborn with suspected congenital diaphragmatic hernia?
answer
Endotracheal intubation and placement of an orogastric tube
question
A baby is unable to breath adequately after birth. Which of the following statements is true?
answer
Severe pulmonary hypoplasia usually is incompatible with survival
question
Remembering the MR SOPA acronym helps your team correct problems with ventilation. Which of the following steps are included in MR SOPA?
answer
Mask seal ensured, Reposition head of baby, Suction the airway
question
You have established a team to help care for a newborn with a known congenital heart defect. Which of the following statements is true for babies with major congenital heart disease?
answer
These babies are rarely critically ill immediately following birth
question
Which of the following is true about pneumothoraces in the newborn?
answer
The risk of pneumothorax is increased if positive-pressure ventilation is provided
question
A baby under your care had severe respiratory distress after birth, but can be easily ventilated with positive-pressure ventilation by mask. How can you test for choanal atresia?
answer
Attempt to pass a suction catheter through each naris into the posterior pharynx.
question
A baby does not appear to be improving after intubation. Which of the following is a common cause of asymmetric breath sounds in an intubated baby?
answer
Malpositioned endotracheal tube
question
During positive-pressure ventilation of a newborn, the breath sounds suddenly become inaudible on one side of the chest. Which of the following statements is true?
answer
Prior to evaluating a pneumothorax, the baby should be positioned with the affected side (with the pneumothorax) placed superior
question
While resuscitating a term newborn, you observe that the baby has severe respiratory distress and an unusual flat abdomen, with no air entry on the left side. Which of the following is the most likely diagnosis?
answer
Congenital diaphragmatic hernia
question
A 10-day-old, mechanically ventilated newborn suddenly develops bradycardia and low oxygen saturation, despite the oxygen concentration being increased to 100%. What is the first and the most important step in the resuscitation of this newborn?
answer
Assess and establish adequate ventilation
question
Your team is resuscitating a preterm newborn. Positive-pressure ventilation with bag and mask has resulted in good bilateral air entry, norma heart rate, and normal oxygen saturation. However; the baby fails to breathe effectively on her own. Which of the following is the most likely cause of ineffective respirations in this newborn?
answer
Maternal treatment with magnesium sulfate
question
Which of the following statements is true about the use of therapeutic hypothermia in a baby with hypoxic-ischemic encephalopathy?
answer
Therapeutic hypothermia requires specialized equipment, and should only be used according to well define protocols.