What is the preferred method for assessing heart rate during chest
compressions? - ANSWER-ECG monitoring
A baby required ventilation and chest compressions. After 60
seconds of chest compressions, the electronic cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next
action? - ANSWER-Stop chest compressions; continue
positivepressure ventilation.
A baby's heart rate does not increase after intubation and the breath
sounds are louder on the right side than the left side of the chest.
Which of the following is a common cause of asymmetric breath
sounds in an intubated baby? - ANSWER-Endotracheal tube inserted
too deep
A newborn requires complex resuscitation. You have intubated and
are administering positive-pressure ventilation and chest
compressions. Which 3 signs are used to evaluate the effectiveness
of your actions, and the need to continue one or both of these
measures? - ANSWER-Respirations, heart rate, oxygen saturation
A baby born at 36 weeks' gestation was apneic after birth and
required positive-pressure ventilation and oxygen supplementation in
, the delivery room. He continues to require supplemental oxygen after
birth. Which of the following statements is true? - ANSWER-His blood
glucose level should be checked soon after resuscitation and then at
regular intervals until stable and normal.
You are in the delivery room caring for a preterm newborn at 27
weeks' gestation. Resuscitation has been completed and the baby is
ready to be transported to the neonatal intensive care unit. Which of
the following is a true statement about the baby's subsequent care? -
ANSWER-Monitor blood glucose levels because of the risk of
hypoglycemia after birth.
Which of the following may be associated with delayed cord clamping
in vigorous preterm newborns? - ANSWER-Decreased need for blood
transfusions
After what duration of time might it be reasonable to consider
discontinuing resuscitation following complete resuscitation efforts
with no detectable heart rate? - ANSWER-10 minutes
When a newborn has a high risk of mortality and there is a significant
burden of morbidity among survivors, what should be included in
your discussion with the parents concerning options for
resuscitation? - ANSWER-The option of providing comfort care can
be considered.
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