7th edition NRP recommends 4 pre-birth questions are asked:
gestational age, number of babies anticipated, the colour of amniotic fluid and presence of additional risk factors
.
What are the 4 pre birth Questions?
7th edition NRP recommends 4 pre-birth questions are asked:
gestational age, number of babies anticipated, the colour of amniotic fluid and presence of additional risk factors
.
What is the best way to determine if a baby requires supplemental oxygen?
Pulse oximetry
is recommended whenever supplemental oxygen or PPV are required. The recommended initial oxygen concentrations for resuscitation are 21% for term infants and 21-30% for infants
What is the minimum requirement for care of the newborn at birth NRP?
At every delivery, you should anticipate the need for advanced resuscitation and be prepared and present at the hospital. For this reason, every birth should be attended by
at least 1 person skilled in
neonatal resuscitation whose only responsibility is the management of the newborn.
How do I make my baby spontaneous breathing?
Drying and suctioning produce enough stimulation
to initiate effective respirations in most newly born infants. If an infant fails to establish spontaneous and effective respirations after drying with a towel or gentle rubbing of the back, flicking the soles of the feet may initiate spontaneous respirations.
What does Mr SOPA stand for?
In the setting of inadequate ventilation, the most recent NRP guidelines devised the MR SOPA acronym (Figure 1) to remind resuscitators to initiate ventilation corrective steps: M (mask adjustment), R (
reposition
airway), S (suction mouth and nose), O (open mouth), P (pressure increase), A (alternate airway) [5].
Which device Cannot deliver free flow oxygen?
2 The NRP says that “free‐flow oxygen cannot be given reliably by a
mask attached to a self‐inflating bag
”. 2 Our observations, and those of others,3 indicates self‐inflating bags can provide free‐flow oxygen.
What is the ideal depth of chest compressions for a newborn?
Objective: For infant and child resuscitation, current basic life support guidelines recommend a compression depth of
one third to one half of the anteroposterior chest diameter
.
How long should the steps of intubation take?
The intubation procedure ideally should be completed
within 30 seconds
(not 20 seconds). Do not administer free-flow oxygen during the intubation procedure to an apneic newborn. at least 45-60 seconds before stopping briefly to assess the heart rate. 24.
What is the preferred technique for removing secretions from mouth and nose of a newborn?
Suctioning
involves removing excess secretions from the nasal cavity (in the nose), mouth, throat and trachea. It is usually done with a device called a suction machine.
What are the initial steps of newborn care?
Initial Steps. The initial steps of resuscitation are to
provide warmth by placing the baby under a radiant heat source
, positioning the head in a “sniffing” position to open the airway, clearing the airway if necessary with a bulb syringe or suction catheter, drying the baby, and stimulating breathing.
Who are the usual and appropriate decision makers for a newborn?
It is generally agreed that the most appropriate surrogate decision makers for young children are
their parents
, unless they are acting in such a way that the child may be harmed.
How many compressions does a newborn need?
Since the baby's lungs are small, only small puffs of air are needed to fill them. Repeat
30 compressions and 2 breaths for a total of 5 times
. If you still have not called 911 because you are alone and did not have a cell phone, call 911 after 5 sets of compressions and breaths. Then, resume CPR until help arrives.
Should be done for 30 seconds which warms and stimulates breathing of a newborn baby?
After about 30 seconds of ventilation and / or supplemental oxygen,
evaluation
is done again. If the newborn starts breathing, becomes pink and has a heart rate of > 100 bpm, post resuscitation care must be given.
When should you start CPR on a newborn?
Assess if they are breathing while feeling for the infant's femoral or brachial pulse for no more than 10 seconds (Figure 3a). If you cannot feel a pulse (or if you are unsure), begin CPR by doing 15 compressions followed by two breaths.
If you can feel a pulse but the rate is less than 60 beats per minute
, begin CPR.
