Baby, It's Cold Outside
This is lost by conduction, convection, radiation and evaporation
What is: Heat
NRP
What is: Neonatal Resuscitation Program
Substance that we can give to lower tension in the alveoli
What is: Surfactant
Bonus 100 Pts.. what do we use here and what is the initial dose?
Dr. Megan Saathoff's married name & spelling
What is: Cole?
Bonus 100 pts: Where does another Dr. Cole practice in this area?
Preferred method of performing chest compressions during resuscitation
What is: 2 thumb-encircling technique
When a preterm birth is expected, anticipate that temperature regulation will be challenging. What are two interventions to assist with temperature management?
What is:
1. Increase temperature in the room where the baby will receive initial care (74-77 degrees)
2. Preheat the radiant warmer before the time of birth and any other equipment that comes in contact with infant
3. Place a hat on the baby's head
UVC
What is: Umbilical Venous Catheter
What are the 3 rapid evaluation questions that determine which newborns should be brought to the radiant warmer for the initial steps?
What is:
1. Is the baby term?
2. Does the baby have good tone?
3. Is the baby breathing or crying?
A sepsis calculator score needs to be calculated on every newly born infant/admission above this gestational age.
What is: 34 weeks
An infant is born thru thick meconium stained fluid and is not breathing with a HR of 60 after the initial steps of resuscitation are complete. What is the next step?
What is: Proceed with PPV
For babies born at less than 32 completed weeks' gestation what particular items do we have available to help with temperature management?
What is: A chemical mattress and polyethylene plastic bag or wrap
50 Bonus pts: Where can both these items be found?
HIE
What is: Hypoxic Ischemic Encelopathy
PPV is indicated if baby is?
What is:
Apneic or gasping, or the initial HR is < 100 BMP after the initial steps
Place where information is shared if parents refuse Vitamin K for their newly born infants?
What is:
Vit K refusal log book and both emergency rooms in town
Your newly delivered infant is breathing, HR is > 100 BMP, airway is clear and correctly positioned, but he/she has labored respirations, you could consider
What is: CPAP at 5 cm for 5-10" and oxygen as needed to keep saturations in targeted range for age
Per NRP recommendations, what temperature do we want to maintain the baby's axillary temp after delivery
What is: 36.5 to 37.5 degrees C or 97.7 to 99.5 degrees F
NTL
What is: Nasal-tragus length
Bonus: 300 pts if you define how this measurement is calculated.
4 pre-birth questions to help determine if you have assembled the necessary personnel and equipment
What is:
1. What is the expected gestational age?
2. Is the amniotic fluid clear?
3. How many babies are expected?
4. Are there any additional risk factors?
Removal of all positioning devices, blankets and toys from crib
What is: Safe Sleep
Single most important and most effective step in neonatal resuscitation is
What is: Ventilation of the lungs
OK... this has nothing to do with temperature but when are chest compressions indicated?
What is: After at least 30 seconds of PPV that inflates the lungs, as evidenced by chest movement with ventilation
*In most cases, you should have given at least 30 seconds of ventilation through a properly inserted endotracheal tube or laryngeal mask
MR SOPA
What is:
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Increase pressure
A - Alternate Airway
How are compressions coordinated with positive pressure ventilations?
What is: 3 compressions to 1 ventilation.
*one-and-two-and-three-and-breathe-and; one-and-two-and-three-and-breathe.....
This newborn presents as cyanotic at rest, pinks up when crying.
What is: Choanal atresia
What could you consider giving if a baby remains bradycardic after epinephrine has been given?
What is: Volume expansion ~ NS or O NEG, CMV neg blood (10 ml/kg)