The ABCs of NRP
The most important step in the resuscitation of the newborn.
What is ventilation if the newborn's lungs?
This is placed on the right hand of an infant to assess oxygenation.
What is a pulse oximeter?
Preeclampsia, gestational diabetes, multiple gestation, and no prenatal care are all considered this type of risk factor.
What are antepartum risk factors increasing the likelihood on neonatal resuscitation?
Throughout resuscitation and stabilization interventions should be prioritized to maintain temperature of the infant in this range.
What is 36.5-37.5 degrees C?
The three main layers of the skin.
What are the epidermis, dermis, and subcutaneous layer?
The 3 indications to begin PPV.
What is apnea, gasping and HR less than 100 despite respiratory effort following the initial steps?
Yellow equals "Yes" on this device.
What is a CO2 detector?
These 4 questions are asked to assess the risk and needs for each baby being born.
What are:
1. gestational age
2. appearance of amniotic fluid
3. Additional risk factors
4.What is the umbilical cord management plan
These are the extra measure for thermoregulation support of a premature infant born less than 32 weeks
What are use of plastic bag/covering, hat, chemical thermal mattress under a blanket, servo control warmer, room temperature increased to 74-77F?
The thin layers of the premature infants skin, predisposes them to these four concerns.
What are hypothermia, skin injury, increased insensible water loss, and increased permeability from topical agents?
MRSOPA is the best guy to bring with you to every delivery. His name stands for these troubleshooting steps.
What is...
M=Mask seal
R=Reposition the airway
S=Suction mouth and nose
O=Open the mouth
P=Pressure increase
A=Alternative Airway
This is used to decrease gastric distention during a resuscitation.
What is an OG/NG tube?
Breech, placental abruption, shoulder dystocia and prolapsed cord are all this type of risk factor.
What are intrapartum risk factors increasing the likelihood of neonatal resuscitation?
These are the 4 mechanisms of heat loss
What are Conduction, Convection, Evaporation, and Radiation?
This benign skin finding is characterized by small white or yellow pustules surrounded by an erythematous base.
What is Erythema Toxicum?
By 5 minutes of life the preductal target saturation should be at this level.
What is 80-85%?
LMA means this.
What is a Laryngeal Mask Airway?
A team of this many people should be present to care for the baby when antepartum or intrapartum risk factors are present.
What is at least 2 qualified(NRP trained) people with more based on risk, number of babies and setting.
The function of brown fat is to do this.
What is generate heat for the newborn when metabolized?
This skin complication is sometimes reported in infants undergoing therapeutic hypothermia.
What is subcutaneous fat necrosis?
According to the 8th edition NRP algorithm, this intervention to assure effective ventilations, should be completed prior to beginning chest compressions.
What is intubation or insertion of an alternative airway?
The ventilation device that delivers consistent pressures with PPV and is preferred device for newborn resuscitation.
What is the T-piece resuscitator?
The category of fetal heart rate tracing that suggests an abnormal acid base status in the fetus and cause for a full resuscitation team to be present at the delivery.
What is a category III FHR tracing?
Hypothermia is a key indicator of this.
What is mortality? The mortality rate for newborns who become hypothermic is 5-fold higher when it occurs in the first 5 days of life.
This protects the skin in utero from fluid and bacteria and insulates the stratum corneum, thus should not be removed during the initial bath.
What is a vernix caseosa?