NRP 7th Edition
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Pre-ductual Spo2 Target 1 min
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60-65%
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Pre-ductual Spo2 Target 2 min
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65-70%
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Pre-ductual Spo2 Target 3 min
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70-75%
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Pre-ductual Spo2 Target 4 min
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75-80%
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Pre-ductual Spo2 Target 5 min
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80-85%
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Pre-ductual Spo2 Target 10 min
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85-95%
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Abnormal transition for a newborn
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apnea tachypnea Bradycardia/tachycardia decreased muscle tone low oxygen saturation low blood pressure
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If severe Bradycardia persists despite assisted ventilation and coordinated compressions what drug is administered?
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Epinephrine
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If severe Bradycardia persists despite assisted ventilation then circulation is supported with what?
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Chest Compressions
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Before birth, the alveoli in the fetal lungs are expanded and filled with what?
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Fluid
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Before birth, oxygen is supplied to the fetus by the what?
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placenta
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After birth, air in the alveoli causes vessels in the baby's lungs to?
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relax
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What are the 4 pre-birth questions to ask the provider before every delivery?
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Gestational age expected amniotic fluid clear or not How many babies expected any risk factors
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If 2 risk factors are present how many qualified people should be present solely to manage the baby?
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two
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What is the appropriate suction catheter pressure set at?
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80 to 100 mm Hg
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What is the Flowmeter set to?
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10 L/min.
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What is the oxygen blender set at for less than 35 wks gestation?
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21%-30%
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Umbilical cord clamping should be completed with how many seconds of birth?
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30 seconds
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Wet skin on a new born causes what?
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rapid body cooling (heat loss)
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What are the 3 main assessments after a newborn is born?
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Does the baby appear term Does the baby have good muscle tone Is the baby breathing or crying
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When using suction to clear secretions what should you suction first?
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Mouth
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If a baby does not have adequate spontaneous respirations and a heart rate of 100 bpm or higher within 1 minute of birth what should you begin?
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PPV
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What is the most important and effective action during neonatal resuscitation?
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Ventilation of the baby's lungs
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Auscultation on what side of a newborn's chest is the most accurate determination of heart rate?
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Left side of the chest
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Calculation for determining heart rate?
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6 seconds X 10 (example: 6 seconds/12 beats = 120 bpm)
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What two reasons should you start PPV?
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Baby is apneic or gasping heart rate less than 100 bpm
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Pre-ductal stat is found where?
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Right hand or wrist
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Post-ductal is found where?
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Left arm or legs
