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NRP 8th edition study guide questions with complete solutions graded A+
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NRP 8th edition study guide questions with complete solutions graded A+
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NRP 8th edition study guideYour 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
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 28 weeks? - correct answer ✔✔00
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....
During chest compression with of the following is correct? - correct answer ✔✔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 ✔✔0.02 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
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