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NRP 8th Edition Test Of 35 Complete Qestions And Answers Graded A_ Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended? - Correct answer The
baby's heart rate remains less than 100 bpm and is not increasing. During a delivery, when and where should a person with intubation skills be available? -
Correct answer In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the
trachea? - Correct answer Demonstration of exhaled carbon dioxide (CO2) and a
rapidly increasing heart rate You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated and the endotracheal tube insertion depth is correct. You can see chest movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector
does not turn yellow. What is the likely reason for this? - Correct answer Low cardiac
output. According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point during resuscitation is a cardiac monitor recommended to assess the baby's heart
rate? - Correct answer When an alternative airway is inserted
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)? - Correct
answer 0
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is also important to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest
compressions? - Correct answer Briefly interrupt chest compressions every 60
seconds to assess the heart rate using the cardiac monitor. Your team is resuscitating a newborn at birth. The heart rate is low and the baby has
poor perfusion. Which is the preferred method to assess the heart rate? - Correct
answer Cardiac monitor
When are chest compressions indicated? - Correct answer When the heart rate
remains less than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action? - Correct
answer Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? - Correct answer One-third
of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? - Correct answer To
coordinate compressions and ventilations, the compressor calls out one-and-two-and- three-and-breathe-and.... Your team is resuscitating a newborn whose heart rate remains less than 60 bpm despite effective PPV and 60 seconds of chest compressions. You have administered epinephrine intravenously. According to the Textbook of Neonatal Resuscitation, 8th
edition, what volume of normal saline flush should you administer? - Correct
answer 3 mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested
initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - Correct answer 0.
mg/kg (equal to 0.2 mL/kg) When is the administration of a volume expander indicated during newborn
resuscitation? - Correct answer The baby's heart rate is not increasing and there are
signs of shock or a history of acute blood loss. Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, chest compressions, and intravenous epinephrine administration. There is a history of acute blood loss around the time of delivery. You administer 10 mL/kg of normal saline (based on the newborn's estimated weight). At what rate should
this be administered? - Correct answer Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - Correct answer 60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment, what concentration of oxygen will you use initially if PPV is required? -
Correct answer 21% to 30%
A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have been completed and the baby is nearly 1-minute old. The baby is not
breathing. What is the most appropriate next step? - Correct answer Begin PPV by
mask.
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 bpm and the oxygen saturation is 90% without respiratory support. The baby's respirations
are labored. Which of the following is an appropriate action? - Correct
answer Administer CPAP at 5 cm H2O pressure with 21% oxygen.
Ideally, how quickly should the intubation procedure be completed? - Correct
answer 30 seconds
Which of the following is an indication for placement of an alternate airway? - Correct
answer The need for PPV is prolonged
What size (internal diameter) endotracheal tube should be used to intubate a newborn with an estimated gestational age of 26 weeks (estimated birth weight of 0.8 kg)? -
Correct answer 2.5 mm
When coordinating PPV with chest compressions how long does it take to complete a
cycle of 3 compressions and 1 breath? - Correct answer 2 seconds
When chest compressions are in progress, how often should the heart rate be
assessed? - Correct answer Every 60 seconds
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing spontaneously while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A pulse oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is
increasing. What is the most appropriate next step? - Correct answer Decrease the
oxygen concentration.
