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Neonatal resuscitation exam practice flashcards

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Approximately ____ % of neonates will require some help to begin normal breathing. 10 %

Approximately _____% of neonates will require extensive resuscitation to survive. 1 %

Thorough assessment of risk factors during pregnancy and labor can identify all babies who will need resuscitation. False

Chest compression and medications are (rarely) (frequently) required when resuscitating neonates. Rarely

Before birth, the alveoli in the baby's lungs are filled with (fluid) (air) and are ( collapsed) (expanded). Filled with fluid and expanded.

During the normal transition, the air that fills the baby's lungs contains _____ % of oxygen. 21 %

Who first used a large bore needle to treat a pneumothorax? Josh Sturgill

If a neonate does not begin breathing even after stimulation, you should presume that the baby is in _____ apnea and will require _____. secondary / PPV

_____ supplies oxygen to the fetus before birth. The placenta

What are the four pre-birth questions to be asked by the obstetric provider? What is the expected gestational age?
Is the amniotic fluid clear?
How many babies are expected?
Are there any additional risk factors?

Adequate ventilation usually results in a (rapid) (gradual) (slow) improvement in heart rate. Rapid

What does the ABC of resuscitation stand for? Airways (-position and clear – suction only if necessary), breathing (after stimulation – consider spontaneous or assisted), circulation (-assess heart rate and color)

Resuscitation equipment (should) (should not) be unpacked and ready for use when a neonatal depression is expected. Should

Who most likely drew on the ventilator for everyone to see instead of the whiteboard in the patient's room? Holbrook

Members of an effective resuscitation team (do) (do not) share information. do

How many skilled clinicians should be in the room for resuscitative care when twins are expected. At least 4 (2 per child).

Every delivery should be attended by at least one skilled clinician who will be responsible for_______. Management of the neonate

A qualified team should be present at a high-risk birth. - True-

First clean the _____ then the _____ when clearing the newborn's airway. mouth/nose

During the pre-resuscitation team briefing, anticipate potential complications and discuss_________. How responsibilities will be delegated

The team leader should be a qualified nurse or RCP who has strong leadership skills and is trained in… neonatal resuscitation

What is the correct epinephrine dose for neonatal resuscitation? 1:10,000

What are the first steps in neonatal resuscitation? Warm and maintain normal temperature;
position;
clear airway;
dry and stimulate if needed.

What actions should be taken after the initial steps of neonatal resuscitation? Assess and prepare for PPV or chest compression if necessary.

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Written by Elaine Francis, a staff nurse in cardiology and coronary care with NHS since 2009. Formerly Healthwatch Newcastle, Newcastle University, and Northumbria University.

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