NRP Megacode Scenario 9
By Lisa Wright, MHA, RRT-NPS | Medically reviewed by Gina Maria Jansheski, MD on December 13, 2024
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Question 1 of 6
1. Question
You are the team leader for the neonatal resuscitation unit at the hospital.The labor and delivery team is preparing Dr. Stone’s patient for delivery, and you are meeting with Dr. Stone to discuss the upcoming delivery. The patient’s membranes have ruptured, and her cervix is dilated to 9 cm.
1. The four pre-birth questions the team must answer include all the following EXCEPT:
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Question 2 of 6
2. Question
Dr. Stone reports that the amniotic fluid is clear, and the gestational age of the single expected infant is 34 weeks.Based on this information, you know that the delivery might require a resuscitation team based on gestational age.
2. The optimal gestational age range for a term delivery is:
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Question 3 of 6
3. Question
You ask Dr. Stone if there are any additional risk factors for this delivery. He reports that he was on call for the emergency department when the woman arrived.She does not have a regular obstetrician. The mother’s blood pressure has been 182/84 mmHg today. The ultrasound showed the fetus was head down in the uterus. The mother received a dose of meperidine in the ED before being transported to labor and delivery two hours ago.
3. All of the following might be risk factors for this delivery EXCEPT:
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Question 4 of 6
4. Question
As the team leader, you prepare for resuscitation of the infant at birth. Dr. Stone says he expects the delivery will happen in approximately one hour.4. At this time, you know that the most important task you must do is:
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Question 5 of 6
5. Question
As you are checking the equipment, you note that there is a radiant warmer that is being preheated, a bulb syringe and meconium aspirator, an oxygen flowmeter set to 10 L/min, a positive pressure device, a pulse oximeter, endotracheal tubes in sizes 2.5, 3.0 and 3.5, and a working laryngoscope with size 2 and 3 straight blades.5. You know that all of that equipment is correct EXCEPT:
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Question 6 of 6
6. Question
6. As you assemble the resuscitation team prior to the birth, you know that the most important skill when attending a high-risk birth is:
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NRP Megacode Scenario 9 Video
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