NRP 8th Questions With All Correct Answers At birth baby first breath help move fluid out of lungs Correct answer - What is the single most important and most effective and neonatal resuscitation? Ventilation What are the four pre-birth questions you should ask the obstetric provider to help assess perinatal risk likely requiring resuscitation?
1.What is the expected gestational age?
2.Is the amniotic fluid clear?
3.Are there any additional factors?
4.What is our umbilical cord management plan? Correct answer -assemble qualified team members, prepare supplies and equipment.
Prior to BIRTH:
1.Assessed perinatal risk factor and assembled a qualified team 2.Checked equipment using standardized checklist 3.Conducted a Pre-briefing to clarify roles and responsibilities
- Discussed the plan for delayed cord clamping with the ob provider
- Spoke to parents
At least 2 (two) qualified people should be present to solely manage the baby if factors are present. Correct answer -Depending on the setting, four (4) or more qualified providers.
Meconium: 2 people
intubation skills: identified and available Correct answer -When the
assessment of risk factors indicate the likelihood of extensive resuscitation, who should be present at the time of birth? Advance resuscitation team What is included in the Neonatal Resuscitation program quick equipment checklist?Equipment to give free-flow oxygen Preheat warmer, towels and blankets ET tubes 1 / 2
Bulb syringe Correct answer -According to the Neonatal Resuscitation program quick equipment checklist, how should the flowmeter be set to prepare for ventilation? 10L/min According to NRP 8th edition, for how long should umbilical cord clamping be delayed for eligible babies? At least 30-60 seconds In term and late Preterm newborns, improves hematologic measures (decrease chance of needing meds to support bp after birth-few blood transfusion) and neurodevelopmental outcomes What ae the potential benefits of delayed cord clamping for term and late preterm babies? Although uncertain, it may be beneficial for neurodevelopmental outcomes. Improved early hematologic measurements.Correct answer -What are the potential benefits of delayed cord clamping for preterm babies?-Possible improved survival -Requiring fewer blood transfusions during hospitalization -Decreasing the chance of needing medications to support blood pressure after birth What is the purpose of the rapid evaluation of the newborn at birth?Determines if the baby can stay with the mother or should be moved to the radiant warmer. Correct answer -What are the 3 rapid evaluation questions?
- Breathing- Is the baby breathing or crying?
2.Tone- Does the baby have good muscle tone?
3.Term-Does the baby appear to be term?Before birth, pulmonary resistance is HIGH in the fetal lungs Correct answer -A qualified team with full resuscitation skills should be identified and immediately available for every resuscitation. What should their skills include?
1.Endotracheal intubation
2. PPV
3.Chest compressions 4.Emergency vascular access and medication administration
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