Initial Steps
What should all providers do before starting PPV to prevent aspiration?
Suction
This is the duct that shunts blood from the pulmonary artery to the aorta in utero and through the first few days of life.
Ductus arteriosus
What is the significance of placing the pulse ox on the right wrist of a newborn?
Pre-ductal reading, it's the same saturation as what the brain is receiving
Why are infants of diabetic mothers high risk to be large for gestational age?
Insulin is a growth hormone and they produce high amounts of insulin to cover for high glucose in utero.
Give 3 interventions used to protect an infant from heat loss right after delivery
Hat
Dry with blankets
Place in a plastic bag
Place skin-to-skin with parent
Place on a thermal mattress or warm saline bags with a barrier
Turning up the heat in the ambulance
When in utero is surfactant produced
Production starts around 28 weeks, but is not adequate until nearly full term.
List the 4 pre-birth questions that the Neonatal Resuscitation Program suggests asking prior to delivery
How many babies are you having today?
Have you had any complications with this pregnancy?
What color was your amniotic fluid?
How many weeks pregnant are you? What is the gestational age of the infant?
This condition is a caused by excess build up of the byproduct of red blood cell breakdown
Jaundice, hyperbilirubinemia
Name all the interventions of the MR.SOPA accronym
M- mask
R-reposition
S- suction
O - open mouth
P - pressures
A - Advanced/artificial airway
The release of this hormone in neonates results in peripheral vasoconstriction, pulmonary vasoconstriction, increased metabolic rate, increased glucose utilization, and decreased O2 delivery to tissues.
Norepinephrine