NRP 8th Edition Exam Questions With Complete Solutions!!
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Course
NRP 8th Edition
Institution
NRP 8th Edition
What is the single most important and effective step in neonatal resuscitation? - ANSWER-Ventilation of the newborn's lungs
Abnormal Transition Findings - ANSWER--Irregular Breathing, absent breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
...
After the birth of the baby, what do you ask? - ANSWER-1. Term Gestation?
2. Good Tone?
3. Breathing or crying?
FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing) what do you do? - ANSWER-
Warm
Dry
Stimulate
Position airway
Suction if needed
Apnea or gasping? HR >100 bpm with laboured breathing/cyanosis - ANSWER-Position airway,
suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
, Apnea or gasping? HR <100bpm= YES - ANSWER-PPV
Pulse Oximeter
Consider Cardiac Monitor
HR STILL less than 100bpm= YES - ANSWER-Ensure adequate ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
HR <60 bpm? - ANSWER-ETT or laryngeal mask
Chest compressions
Coordinate PPV-100% oxygen
UVC
HR STILL <60 bpm? - ANSWER-IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
REVIEW: Three questions you ask during rapid evaluation? - ANSWER-1. Term?
2. Good Muscle Tone?
3. Breathing/crying?
If the answer is NO to any of these, baby should be brought to radiant warmer.
What are the 4 pre-birth questions to ask the provider before every delivery? - ANSWER-1. Expected
Gestational Age
2. Is the amniotic fluid clear?
3. Are there any additional Risk Factors?
4. What is our umbilical cord management plan?
Equipment Check- Clear the airway - ANSWER--Bulb Syringe
-10F or 12F Suction catheter attached to wall suction set at 80-100mm Hg
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