NRP Megacode Scenario 10
By Lisa Wright, MHA, RRT-NPS | Medically reviewed by Tiffany Dao, MD on December 15, 2024
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Question 1 of 10
1. Question
Dr. Levi’s patient is in the delivery room to deliver her first child. The infant is born.The resuscitation team determines that the infant is born at 40 weeks. The baby is flaccid and is not breathing or crying.
1. As the resuscitation team lead, the first actions you should take include all the following EXCEPT:
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Question 2 of 10
2. Question
After completing the initial steps of resuscitation, you note that the infant still does not cry or breathe spontaneously.You auscultate the heart beat and note that the heart rate is 76 bpm.
2. You know that a normal heart rate for a newly born baby is:
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Question 3 of 10
3. Question
You notice circumoral cyanosis. The infant begins to have gasping respirations.3. At this point, you should do all the following EXCEPT:
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Question 4 of 10
4. Question
You reposition the infant and begin positive pressure ventilation using a bag-mask.Another team member applies a pulse oximeter on the infant’s right hand to obtain a preductal oxygen saturation.
4. When providing PPV, you know that the provider must deliver breaths at:
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Question 5 of 10
5. Question
You begin to bag the term infant at 40 to 60 breaths per minute.5. The oxygen concentration in this scenario should initially be set at:
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Question 6 of 10
6. Question
After you provide PPV for 15 seconds, you instruct the team to do a quick assessment of the newborn.6. The most significant finding of successful resuscitation is:
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Question 7 of 10
7. Question
The team member doing the assessment announces that the chest is not rising, and the heart rate is at 76 bpm.As the resuscitation team leader, you know that the MR. SOPA mnemonic provides corrective steps to take to ensure that PPV inflates the baby’s lungs.
7. You know that the first step in evaluating the reason for the lack of chest rise is:
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Question 8 of 10
8. Question
After adjusting the mask and repositioning the airway, you attempt to inflate the lungs using the bag-mask.You note that the chest still does not rise.
8. The next step you should take is to:
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Question 9 of 10
9. Question
You suction the mouth and nose but still cannot achieve good chest rise. Next you open the baby’s mouth by lifting the jaw forward (the O in the MR. SOPA mnemonic).You again attempt to inflate the lungs and see no chest rise.
9. The next action you should perform is to:
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Question 10 of 10
10. Question
After increasing the delivered pressure, you attempt to inflate the lungs and you notice the infant’s chest rises.After 15 seconds of PPV with an increased peak pressure, a team member reports that the heart rate has increased to 108 bpm.
It is now five minutes after birth and the infant’s oxygen saturation is 82% on room air.
10. At five minutes after birth, you would expect the baby’s oxygen saturation on room air to be at least:
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NRP Megacode Scenario 10 Video
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