NRP Megacode Scenario 7
By Lisa Wright, MHA, RRT-NPS | Medically reviewed by Eileen Johnson, RN on December 9, 2024
Quiz Summary
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Question 1 of 12
1. Question
Dr. Andrews’ patient is in the delivery room to deliver her second child. The infant is born in a precipitous delivery.Prior to the delivery, Dr. Andrews told you that the fetus is at 29 weeks gestational age. When delivered, the baby boy is flaccid and is not breathing or crying.
1. Medical conditions that increase the risk of complications in a preterm infant include all of the following EXCEPT:
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Question 2 of 12
2. Question
You warm, dry, and stimulate the infant and position his airway. You suction the mouth and nose.You know that the preterm infant is at high risk for hypothermia and that the routine methods of warming may not be sufficient.
2. Other methods to provide warmth to the preterm infant include:
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Question 3 of 12
3. Question
You place the infant on a thermal mattress under a radiant warmer. He still is not breathing, but you auscultate for a heart beat while the team stimulates and dries him.You note that the heart rate is 84 bpm.
3. You know that a normal heart rate for a newly born baby is:
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Question 4 of 12
4. Question
The infant has gasping respirations. A team member applies a pulse oximeter and a cardiac monitor.You reposition the infant to open his airway and begin positive pressure ventilation using a T-piece resuscitator.
4. When providing PPV to the preterm infant, you know that the provider should deliver breaths with the initial pressure of:
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Question 5 of 12
5. Question
You deliver positive pressure breaths to the infant at 40 to 60 breaths per minute with an oxygen concentration of 21%.After you provide PPV for 15 seconds, you instruct the team to do a quick assessment of the newborn.
5. The most significant finding of successful resuscitation of this infant is:
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Question 6 of 12
6. Question
The team member doing the assessment announces that the chest is not rising, and the heart rate has decreased to 56 bpm.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 not changed.
6. You know that the next intervention you must do is:
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Question 7 of 12
7. Question
As you prepare for endotracheal tube insertion, you instruct the team to begin chest compressions.7. The correct rate for chest compressions for an infant is:
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Question 8 of 12
8. Question
As chest compressions and PPV continue, you intubate the infant and order the oxygen concentration to be increased to 100%.8. After intubation, the chest compression to ventilation ratio should be:
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Question 9 of 12
9. Question
The team is providing compressions and PPV. PPV breaths are resulting in visible chest rise.The oxygen saturation on the pulse oximeter shows an oxygen saturation of 60%.
9. During this cycle of compressions and PPV, the team leader may consider administration of which medication through the ET tube:
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Question 10 of 12
10. Question
The team administers surfactant and continues with chest compressions and PPV.At the end of 60 seconds, the team stops CPR and looks at the ECG monitor to determine the heart rate. The heart rate on the monitor is still 56 bpm.
10. At this point, the team should:
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Question 11 of 12
11. Question
You ask a team member to prepare to insert an umbilical line and administer epinephrine.After another 60 seconds of chest compressions and PPV, the team stops for a quick reassessment of the heart rate. The team notes that the infant’s heart rate is now 80 bpm, and the pulse oximeter shows 96% oxygen saturation.
11. The best intervention now is to:
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Question 12 of 12
12. Question
12. At this point, the team should also:
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NRP Megacode Scenario 7 Video
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