Set up
Normal Resusitation
Code Situation
Numbers Game
Misc.
100

What should your suction be set to?

80-100

100

What questions are asked during a rapid evaluation of a newly born infant?

Term? Tone? Breathing?

100

What is the ratio of chest compressions to breaths?

3 chest compressions to 1 breath

100

What should the Neo-Pip be set to?

20/5

100

What is a code "Cotton ball"?

Possible Fetal Drug Exposure - Anticipate placing cotton balls in the infants diaper as soon as possible for collection of the first urine for U-tox screening.
200

How many blankets should be ready for delivery?

At least 3 plus the catching blanket

200

What are the initial steps of resuscitation?

maintain warmth, dry and stimulate, position airway, suction prn

200

When is PPV indicated during resuscitation?

If the infant is not breathing or gasping and/or the heart rate is less than 100.
200

What is the normal NS bolus amount?

10 mL/kg

200

What should be considered for an infant who will be born with a known diaphragmatic hernia?

Infant should be intubated right away (no PPV) and an OG placed as soon as possible.

300

What is additionally necessary for infants born less than 32 weeks?

Transwarmer mattress, thermal hat, neo wrap

300

True or False: Suctioning is required for all deliveries.

False - only suction infant as needed 

300

How long should a code continue if there is no signs of recovery by the infant?

20 Mins

300

What is the starting dose of Epi in mL/kg?

What is the flush amount after Epi?

0.2 cc/kg

3cc

300

What should be considered for a patient being born with a gastroschisis? 

Peds surgery should be notified, have neowrap ready. Place a replogle to decompress the stomach and keep infant on their right side.

400

What are the starting O2 levels for resuscitation of a baby that is 36 weeks?

30 weeks?

21%

30%

400

What are the 4 pre-birth questions?

Gestational age? Amniotic Fluid? Additional Risk Factors? Cord Management?

400

What else should be considered once an alternate airway is in place?

Initiating cardiac monitoring

400

What should the target oxygenation be for an infant that is 1 min old?

60-65%

400

What should be considered for an infant who is to be born with a Myelomeningocele?

Bring sterile gauze and warm normal saline (found in L&D) to the radiant warmer. Keep infant prone.

500

What are the 6 things that must be checked before delivery is imminent?

1. Warmer on

2. Respiratory box is present

3. Blankets warm

4. Bag connected and oxygen flowing at 10L/min at set parameters

5. Suction is working 

6. Bulb suction is at the right-hand side of the radiant warmer

500

What are the qualifications and number of individuals required to be present at every delivery?

At least 1 person skilled in initial steps of resuscitation who is solely responsible for the infant if no risk factors are present.  

500

When should you consider giving a fluid bolus or emergency transfusion?

Consider risk factors such as abruption, cord prolapse, T2T transfusion, etc.

500

What size ET Tube should be used for a 35 week SGA infant weighing 1.25kg

3.0

500

What should be considered for an infant to be born with Hydrops?

Transilluminator should be brought to the DR as well as a needle aspiration kit. Chest tube set up should be placed at the bedside for the admitting room. 

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