NRP Part 2

12 September 2022
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25 test answers

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question
Which of the following statements about post-resuscitation care is true?
answer
All babies with prenatal and intrapartum risk factors for resuscitation must be removed from their mother's room and observed in a nursery setting.
question
When are chest compressions indicated?
answer
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.
question
What time frame should be used to administer intravenous epinephrine?
answer
Rapid push, as quickly as possible
question
After chest compressions with coordinated ventilations are started, the heart rate should be assessed:
answer
After 60 seconds
question
What is the preferred method for assessing heart rate during chest compressions?
answer
EKG monitoring is the preferred method for accessing heart rate during chest compressions
question
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?
answer
Stop chest compressions; continue positive-pressure ventilation.
question
What is the ideal depth of chest compressions for a newborn?
answer
One-third of the anterior-posterior diameter of the chest
question
Which of the following is the best indication for volume expansion after resuscitative efforts that included intubation, chest compressions, and IV epinephrine?
answer
The baby's heart rate remains 50 beats per minute after resuscitative efforts and pulses are weak.
question
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?
answer
The newborn's parents
question
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?
answer
His blood glucose level should be checked soon after resuscitation and then at regular intervals until stable and normal.
question
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?
answer
Endotracheal tube inserted too deep
question
A 10-day-old, mechanically ventilated newborn suddenly develops a low heart rate (bradycardia) and low oxygen saturation, despite increasing the oxygen concentration to 100%. What is the first and the most important step in the resuscitation of this newborn?
answer
Assess and establish adequate ventilation.
question
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 appropriate action?
answer
Administer CPAP at 5 cm H20 pressure
question
Which statement best describes the ethical principle(s) that guide the resuscitation of a newborn?
answer
The approach to decisions in the newborn should be guided by the same principles used for adults and older children.
question
Which of the following may be associated with delayed cord clamping in vigorous preterm newborns?
answer
Decreased need for blood transfusions
question
Your team begins administering chest compressions to a newborn. Does the correct technique include which of the following?
answer
approximately one-third of the anterior-posterior diameter of the chest.
question
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?
answer
Monitor blood glucose levels because of the risk of hypoglycemia after birth.
question
When coordinating positive-pressure ventilation with chest compressions, how many events are performed each minute?
answer
30 breaths, 90 compressions
question
A woman is admitted at 24 weeks' gestation with rupture of membranes, maternal fever, and premature labor. The care team offers parents counseling. What is likely to be helpful?
answer
Provide parents with accurate prognostic information using all relevant information affecting their baby's prognosis.
question
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous epinephrine is indicated?
answer
0.1 mL
question
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?
answer
The option of providing comfort care can be considered.
question
How soon after administration of intravenous epinephrine should you pause compressions and reassess the baby's heart rate?
answer
1 minute
question
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?
answer
Respirations, heart rate, oxygen saturation
question
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?
answer
Left-sided pneumothorax
question
Which of the following is true about the preparation and resources needed for very preterm birth?
answer
Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat.