NRP Megacode Scenario 1

When delivered, the baby boy is flaccid and is not breathing or crying. You warm, dry, stimulate, and position the infant. He still is not breathing. You auscultate for a heart beat and note that the heart rate is 80 bpm.

1. You know that a normal heart rate for a newly born baby is:

You begin positive pressure ventilation (PPV) using a bag-mask device. Another team member applies a pulse oximeter and a cardiac monitor. 

2. When providing PPV, you know that the provider must deliver breaths at:

After you provide PPV for 15 seconds, you instruct the team to do a quick assessment of the newborn.

Two minutes after birth, the infant’s oxygen saturation is 60% on room air. 

3. At two minutes after birth, you would expect the baby’s oxygen saturation on room air to be at least:

4. The most significant finding of successful resuscitation using PPV is:

As the resuscitation team leader, you go through the MR. SOPA interventions to improve ventilation and increase the heart rate. After an additional 15 seconds of PPV, the team reports that the infant’s heart rate has fallen to 56 bpm.

5. You know that the next intervention you must do is:

6. When delivering compressions with PPV, the total number of events (compressions plus breaths) per minute should be:

7. Given the 39 weeks gestational age and weight of 2400 grams, you anticipate that the appropriate ET tube size would be:

8. Indications that the ET tube has good placement include all the following EXCEPT:

However, the heart rate continues at 56 bpm. The team continues chest compressions coordinated with ventilation through the ET tube.

9. The next intervention you should complete is: