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 like...
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?
The endotracheal tube is not in the trachea.
Excessive ventilation pressure.
Epinephrine contamination.
Low cardiac output. - ANSWER-low cardiac output
What are the primary methods of confirming endotracheal tube placement within the trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the abdomen
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
Absence of crying and no abdominal distension - ANSWER-Demonstration of exhaled carbon dioxide
(CO2) and a rapidly increasing heart rate
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of
an endotracheal tube strongly recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
The baby's heart rate is >100 bpm and oxygen saturation is less than the target range. - 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?
In the hospital and immediately available
In the delivery room or operating room at every birth
Available on call at home
Available on call from a remote area of the hospital - ANSWER-In the hospital and immediately
available
, 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?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation - ANSWER-alternative airway
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)?
2
1
0
00 - 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?
Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
Briefly interrupt chest compressions and palpate the brachial pulse.
Briefly interrupt chest compressions every 60 seconds to assess the heart rate using the cardiac
monitor.
Briefly interrupt chest compressions to palpate the umbilical cord. - 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?
Cardiac monitor
Pulse oximeter
CO2 detector
Direct auscultation - ANSWER-Cardiac monitor
When are chest compressions indicated?
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