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NRP Megacode Scenario 4 Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Megacode at a Glance

  • A newborn is delivered with an unknown gestational age, requiring rapid assessment using the Ballard score.
  • The infant has a Ballard score of 40, indicating an estimated gestational age of 40 weeks.
  • Initially, the baby is not breathing or crying, so the team warms, dries, and stimulates the infant as the first intervention.
  • The newborn responds with spontaneous breathing at 28 breaths per minute, and the heart rate is confirmed at 120 bpm.
  • With stable vitals and no cyanosis, the focus shifts to monitoring oxygenation, heart rate, and maintaining a clear airway, with no need for intubation.

ACLS Certification Association (ACA) uses only high-quality medical resources and peer-reviewed studies to support the facts within our articles. Explore our editorial process to learn how our content reflects clinical accuracy and the latest best practices in medicine. As an ACA Authorized Training Center, all content is reviewed for medical accuracy by the ACA Medical Review Board.

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