Which statement best describes normal transitional physiology at the time of birth?
  • place pulse oximeter on right hand and use minute by minute specific O2 SAT TARGET
  • Place and oximeter sensor in the baby's right hand or rest and assess oxygen saturation
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
  • Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%.
Four pre-birth questions should be asked to assess perinatal risk and determine who should be present at the birth. Which is one of the questions?
  • Suction the mouth before the nose.
  • present at the birth.
  • What is the gestational age?
  • POSITIVE PRESSURE VENTILATION
You have determined a baby needs resuscitation at birth. What are the initial steps of newborn care?
  • term?muscle tone?breathing or crying?
  • place pulse oximeter on right hand and use minute by minute specific O2 SAT TARGET
  • warmposition headclear secretionsdrystimulate
  • They should be able to maintain situational awareness
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not breathing (apneic). What are the next steps?
  • Initiate positive-pressure ventilation and check for increasing heart rate
  • Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand or wrist, evaluate heart rate.
  • insert a laryngeal mask
  • teamwork, leadership, communication.
A full-term newborn has a heart rate less than 60 beats per minute despite 30 seconds of positive-pressure ventilation that moves the chest. Your team plans to intubate. Which of the following is a true statement regarding the procedure?
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
  • They should be able to maintain situational awareness
  • term?muscle tone?breathing or crying?
  • The baby should be positioned on a flat surface with the neck slightly extended
What is the appropriate technique to stimulate a baby to breathe?
  • POSITIVE PRESSURE VENTILATION
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
  • Suction the mouth before the nose.
  • Gently rub the baby's back or extremities
Your hospital is planning Neonatal Resuscitation Program® training and trying to decide who should be included. For every delivery, what is the minimum requirement for care of the newborn at birth?
  • present at the birth.
  • term?muscle tone?breathing or crying?
  • rising heart rate
  • Someone capable of initiating neonatal resuscitation should be present at every delivery whose only responsibility is management of the newborn.
Which statement describes recommended practice when using a pulse oximeter in the delivery room?
  • place pulse oximeter on right hand and use minute by minute specific O2 SAT TARGET
  • Place and oximeter sensor in the baby's right hand or rest and assess oxygen saturation
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
  • Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than 90%.
You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a category III fetal heart rate tracing. A person skilled in endotracheal intubation should be
  • What is the gestational age?
  • present at the birth.
  • term?muscle tone?breathing or crying?
  • rising heart rate
Effective team functioning is critical in ensuring the best performance. Which of these characteristics is critical in team leaders?
  • warmposition headclear secretionsdrystimulate
  • They should be able to maintain situational awareness
  • What is the gestational age?
  • The baby should be positioned on a flat surface with the neck slightly extended
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions should you ask to evaluate whether the baby can stay with his mother or be moved to the radiant warmer for further assessment?
  • present at the birth.
  • warmposition headclear secretionsdrystimulate
  • term?muscle tone?breathing or crying?
  • rising heart rate
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team?
  • What is the gestational age?
  • Suction the mouth before the nose.
  • 100 BPM
  • 2.5 mm
what is the recommended way to determine if a baby require supplemental oxygen in the delivery room?
  • place pulse oximeter on right hand and use minute by minute specific O2 SAT TARGET
  • Place and oximeter sensor in the baby's right hand or rest and assess oxygen saturation
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
  • Suction the mouth before the nose.
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial steps and requires positive-pressure ventilation. What concentration of oxygen should be used as you begin positive-pressure ventilation?
  • What is the gestational age?
  • rising heart rate
  • 21 - 30% oxygen
  • present at the birth.
What is the recommended way to determine if a baby requires supplemental oxygen in the delivery room?
  • Gently rub the baby's back or extremities
  • Suction the mouth before the nose.
  • Place and oximeter sensor in the baby's right hand or rest and assess oxygen saturation
  • Determine the color of the baby's chest and abdomen, and monitor for central cyanosis
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