NRP Study Guide Part 2

24 July 2022
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23 test answers

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question
A baby required ventilation and chest compressions after 60 seconds of chest compressions the electrocardio monitor indicates a heart rate of 70 bpm. What is your next action?
answer
Stop chest compressions continue positive pressure ventilation
question
Which statement best describes the ethical principles that guide the resuscitation of a newborn?
answer
That approach to decisions in the newborn should be guided by the same principles used for adults and older children
question
During chest compressions which of the following is correct?
answer
One cycle of three compressions and one ventilation should take approximately two seconds
question
A woman is a method at 24 weeks gestation with rupture of membranes maternal fever and pre-mature labor the care team offers the patient counseling what is likely to be helpful
answer
Provide parents with accurate prognosis information using all relevant information after their babies prognosis
question
A 10 day old mechanically ventilated newborn suddenly developed a low heart rate and low oxygen saturation despite increasing the oxygen concentration to 100% what is the first and most important step in the resuscitation in this newborn
answer
Assess and establish adequate ventilation
question
Which of the following may be associated with delay cord clamping in vigorous premature newborn
answer
Decreased need for blood transfusion
question
You are in the delivery room caring for premature newborn at 27 weeks gestation the baby is five minutes old and breathing spontaneously the babies heart rate is 120 bpm and oxygen saturation is 90% on room air the babies respirations are labored which of the following is an appropriate action?
answer
Administer positive pressure ventilation with an initial inflation pressure of 30-35 cm H2O
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 statement is true
answer
If he is continuing respiratory distress sodium bicarbonate should be infused immediately
question
Which of the following is true about the preparation and resources needed for a very premature birth
answer
Prepare the preheated radiant warmer with a thermal mattress plastic wrap or bag and a hat
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
After chest compressions with coordinated ventilations are started, the heart rate should be assessed:
answer
After 60 seconds
question
A newborn requires complex resuscitation.. You have intubated and are administering Positive pressure ventilation compressions. Which three signs are used to evaluate the effectiveness of your actions, and the need to continue these measures?
answer
Respirations, heart rate, oxygen saturation
question
What time frame should be used to administer intravenous epinephrine?
answer
Rapid push, as quickly as possible
question
You are in the delivery room caring for a preterm newborn at 27 weeks gestation. Resuscitation has begun, baby is ready to be transported to the neonatal intensive care unit. Which of the following is a true statement babies subsequent care?
answer
Monitor blood glucose levels because of the risk of hypoglycemia after birth
question
In most cases who is(are) the usual and appropriate surrogate decision-maker for the newborn?
answer
The newborns parents
question
When a newborn has a high risk of mortality and there is a significant burden of morbidity among survival included in your decision with the parents concerning options for resuscitation?
answer
The option of providing comfort care can be considered
question
Which of the following is the best indication for volume expansion after resuscitative efforts that include intubation, chest compressions and IV epinephrine?
answer
The babies heart rate remains 50 bpm after resuscitative efforts and pulses are weak
question
Premature newborns are vulnerable to hyperoxia. Which action is appropriate with the pulse oximeter and blender during and immediately following resuscitation of preterm babies?
answer
Adjusting the oxygen concentration to maintain oxygen saturation in the 85% to 95% range at 10 minutes after birth
question
Which is the preferred method for assessing heart rate during chest compressions?
answer
Electronic cardiac (ECG) monitoring
question
What do you expect to happen after administration of a dose of intravenous epinephrine during a resuscition?
answer
The heart rate will increase about one minute after administration
question
How soon after administration of intravenous epinephrine should you pause compressions and reassess the babies heart rate
answer
One minute
question
When are chest compressions indicated?
answer
When the heart rate remains less than 60 bpm after 30 seconds of positive pressure ventilation this move that chest, preferably through an alternative airway
question
For a newborn weighing 1 kg, what does of 1:10,000 (0.1 mg/mL)concentration of intravenous epinephrine is indicated?
answer
0.1 to 0.3 mL/kg