Preparation Flashcard 1

B. Rationale: The scoop-and-run in which the newborn is carried and brought to an area with neonatal resuscitation equipment readily available is not recommended. The risk of a fall or other injury is great if you collide with a person, equipment, or a door. Therefore, the facility must design a maternal ward with resuscitation equipment within easy reach of healthcare providers. It may include a self-inflating bag for urgent PPV until a resuscitation team arrives, bringing additional equipment for initial stabilization and safe transfer to the NICU.

D. Rationale: Thickly stained amniotic fluid indicates that there is a possibility of meconium aspiration, which can significantly block the airways. Suction catheters (size 10F or 12F) are needed to clear the airway. A meconium aspirator may be necessary as well. It is designed especially for clearing the airway from meconium aspiration. NRP no longer recommends repeated intubation and suction with the meconium aspirator. Current guidelines emphasize adherence to the same sequence of resuscitation events for all babies, including those with meconium aspiration.

B. Rationale: There are many types of births that require resuscitative measures occurring in hospitals, and a problematic birth may happen at any time. Therefore, NRP recommends that a neonatal resuscitation team be present during every delivery.

D. Rationale: The 3-lead ECG is an accurate and efficient device that can measure heart rate instantaneously by measuring the heart’s electrical activity. A newly born is often hypothermic during and right after delivery. The body compensates by constricting blood vessels in the extremities where a pulse oximeter is likely to be applied, which causes an underestimation of the pulse rate.

A. Rationale: The following are antepartum risk factors: gestational age < 36 weeks or > 41 weeks, preeclampsia or eclampsia, maternal hypertension, multiple gestation, fetal anemia, poly/oligohydramnios, fetal hydrops, fetal macrosomia, intrauterine growth restriction, congenital malformations, and lack of prenatal care.

C. Rationale: The room temperature should be kept in the range of 23–25°C.

B. Rationale: The oxygen blender is used to adjust the oxygen concentration to maintain the patient’s oxygen saturation between 94% to 100%, which is the optimal level. Too low or too high oxygen saturation is not favored due to high morbidity and mortality.

C. Rationale: After exchanging notes between the neonatal resuscitation team and the obstetrician and pediatrician, the team attends a pre-resuscitation team briefing, during which a team leader is assigned. This person must be experienced and have mastered all roles in neonatal resuscitation. The team leader then delegates the different tasks to the available personnel and assigns their roles. They construct a plan for the upcoming resuscitation and ensure the necessary instruments are prepared.

A. Rationale: Laryngoscope blade No. 0 is specifically designed for the preterm newborn.

D. Rationale: It is recommended to use a self-inflating bag, flow-inflating bag, or a T-piece resuscitator when providing positive pressure ventilation.