1. What are the five blocks of the NRP 1) Rapid evaluation: this evalua-
algorithm? tion determines if the baby can
stay wit the mother for routine care
or should be moved to the radiant
warmer
2) Airway: The initial steps open
the airway and support sponta-
neous respirations.
3) Breathing: Assist breathing with
PPV if baby apneic, gasping, or
bradycardic. CPAP or or O2 may
be appropriate for labored breath-
ing or low O2 sat.
4) circulation: Perform chest com-
pressions coordinated with PPV if
severe bradycardia exists despite
assisted ventilation
5) drug: administer epinephrine if
severe bradycardia persists de-
spite PPV and coordinated chest
compressions.
2. What skills must be present to com- Persons skilled in endotracheal
prise a qualified team that must be im- intubation, chest compressions,
mediately available for every resuscita- emergency vascular access, and
tion? medication administration. (proba-
bly requires 4 or more qualified
persons)
3. What is a NRP quick equipment check- List of all supplies and equipment
list? for a complete resuscitation that
, NRP 8th Edition, Ch 1-4
must be readily available and func-
tional for every birth.
4. NRP checklist - warming and clear air-
way supplies
6. After completing the rapid evaluation, After completing the rapid evalua-
the next step is completion of the initial tion, the next step is completion of
steps of newborn care, which include the initial steps of newborn care,
__________ and __________. which include opening the airway
and supporting spontaneous res-
piration.
7. What is looked at in determining if baby -Term gestation?
can stay with Mum? -Good tone?
-breathing or crying?
Determine within 1 minute.
8. What if baby fails rapid evaluation? Warm, dry, stimulate, position air-
way, suction if needed.
9. What if baby is apneic or gasping or PPV, pulse oximetry, consider car-
heart rate under 100 bpm after stimula- diac monitor.
tion, et al?
10.
, NRP 8th Edition, Ch 1-4
What if severe bradycardia persists ETT or laryngeal mask, chest
(under 60) compressions.
11. Heart rate still under 60 bpm? epinephrine q 3-5 minutes. Con-
sider hypovolemia or pneumotho-
rax
12. According to the NRP algorithm, what According to the NRP algorithm,
are the indicators for PPV? what are the indicators for PPV?
_cyanosis _cyanosis
-apnea -apnea
-tachycardia -tachycardia
-gasping -gasping
-heart rate less than 100 bpm -heart rate less than 100 bpm
13. What is the single most important and Learning how to provide positive
effective step in neonatal resuscita- pressure ventilation.
tion?
14. Newborn resuscitation is usually the Respiratory failure.
result of _____________.
15. What are the four prebirth questions to -What is the expected gestational
ask to determine appropriate team and age?
equipment? -Is the amniotic fluid clear
-Are there any additional risk fac-
tors?
-What is our umbilical cord man-
agement plan?
16. How many qualified people should be at least two qualified people to
at the birth if there is meconium stained only manage the baby, including
fluid? person with intubation skills, if this
is the only risk factor.
17. How many people should be present at Every birth should be attended by
a birth to manage the baby if there is no at least one qualified individual
risk factors? skilled in the initial steps of new-
born care and PPV whose only re-
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