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Question 1 of 9
1. Question
Dr. Jenkin’s patient is in the delivery room to deliver her second child. The infant is born. The resuscitation team determines that the infant is born at 39 weeks.
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:
Correct
Incorrect
Question 2 of 9
2. Question
You notice some acrocyanosis. The infant has gasping respirations.
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:
Correct
Incorrect
Question 3 of 9
3. Question
You begin to bag the term 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.
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:
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Question 4 of 9
4. Question
4. The most significant finding of successful resuscitation using PPV is:
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Incorrect
Question 5 of 9
5. Question
The team member doing the assessment announces that the chest is rising, and the heart rate is still at 80 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 fallen to 56 bpm.
5. You know that the next intervention you must do is:
Correct
Incorrect
Question 6 of 9
6. Question
You instruct the team to prepare for endotracheal tube insertion and begin chest compressions.
6. When delivering compressions with PPV, the total number of events (compressions plus breaths) per minute should be:
Correct
Incorrect
Question 7 of 9
7. Question
As chest compressions and PPV continue, you prepare to intubate the infant.
7. Given the 39 weeks gestational age and weight of 2400 grams, you anticipate that the appropriate ET tube size would be:
Correct
Incorrect
Question 8 of 9
8. Question
You intubate the infant and instruct the team to use the PPV device to deliver breaths at 100% oxygen concentration.
8. Indications that the ET tube has good placement include all the following EXCEPT:
Correct
Incorrect
Question 9 of 9
9. Question
The baby’s chest is rising symmetrically, and the infant’s oxygen saturation has increased to 75%.
However, the heart rate continues at 56 bpm. The team continues chest compressions coordinated with ventilation through the ET tube.
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.