NRP Megacode Scenario 2

When delivered, the baby boy is flaccid and is not breathing or crying. You warm, dry, and stimulate the infant and then position the airway. He still is not breathing, but you auscultate for a heart beat and note that the heart rate is 56 bpm.

1. You know that a normal heart rate for a newly born baby is:

You reposition the infant and begin positive pressure ventilation using a T-piece resuscitator. Another team member applies a pulse oximeter and a cardiac monitor. 

2. When providing PPV, you know that the clinician must deliver breaths at:

After you provide PPV for 15 seconds, you instruct the team to do a quick assessment of the newborn.

3. The most significant finding of successful resuscitation of this infant is:

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.

4. You know that the next intervention you must do is:

5. The correct rate for chest compressions for an infant is:

6. After intubation, chest compression to ventilation ratio should be:

7. High-quality chest compressions on an infant include all the following techniques EXCEPT:

8. Before reassessing the infant, the team should perform chest compressions and ventilations for:

The heart rate on the monitor is still 56 bpm.

9. At this point, the team should:

The team notes that the infant’s heart rate is now 80 bpm.

10. The best intervention now is to: