Pneumonic
What does ROP stand for? And what causes this?
Retinopathy of prematurity which is caused by hyperoxygenation
A.) __% of term baby’s will receive positive pressure ventilation (PPV)
B.) __ % of term newborns will be intubated
C.) Within 30 seconds after birth, approximately ____% of term newborns will begin breathing and an additional ___% will begin breathing in response to drying and stimulation
A.) 5%
B.) 2%
C.) 85% and 10%
A.) the fetal lungs are filled with ____, NOT AIR and they do not participate in gas exchange
B.) The oxygenated fetal blood leaves the placenta through the…
C.) Blood flows directly from the right side of the heart to the left side without...
D.) After birth, as the baby takes deep breaths and cries, fluid is...
E.) What type of laryngoscope blades do you use for a newborn intubation?
A.) fluid
B.) umbilical vein
C.) Entering the lungs
D.) absorbed from the alveoli and the lungs fill with air
E.) straight blade
A.) Where does the pulse ox go on baby?
B.) When do you set the timer for birth?
C.) Rapid evaluation for every newborn
D.) What do you do if baby is apneic or gasping?
E.) If the baby's heart rate is less than 100 then
A.) right wrist
B.) when the baby is pulled out of the womb
C.) term? Tone? Breathing or crying?
D.) Do PPV
E.) start PPV even if the baby is breathing
NRP quick checklist for oxygenation
HINT there are 3 things
Equipment to give free-flow o2, pulse ox, and target 02 sat table
What does DOPE stand for when the baby’s condition worsens after intubation?
D: Displacement
O: Obstruction
P: Pneumothorax
E: Equipment failure
A.) 1-3 babies per ____ births will receive chest compressions or emergency medicine.
B.) initial pressure for newborns is
C.) Depress the sternum approximately _____ of the AP diameter of the chest then release pressure to allow the chest to fully recoil
A.) 1,000
B.) 20-25 CM H2O
C.) 1/3
A.) if babies get too cold they will go into
B.) why do we put hats on babies
C.) Cord clamping should be delayed for
D.) Administering CPAP may increase the chance of developing a
E.) self inflating bag
F.) flow inflating bag
A.) respiratory distress
B.) because they loose a lot of heat from their head
C.) 30 to 60 seconds
D.) Pneumothorax
E.) fills spontaneously after it has been squeezed, pulling gas into the bag
F.) only fills when gas from a compressed source flows into it and the outlet is sealed
A.) Indications for positive pressure ventilation
B.) Endotracheal tube sizes for babies
C.) The bigger RT tube the bigger the….
D.) what rhythm do you use for giving breaths?
A.) Baby is apneic, Baby is gasping, Baby's heart rate is less than 100 BPM, When delivering PPV, have baby in "SNIFFING" position, Make sure mask is sealed, Start with a PIP of 20-25 cm H2O and a PEEP of 5
B.) 2.0, 2.5, 3.0, 3.5, and 4.0
C.) Suction catheter
D.) one and two and three and breathe and
NRP quick checklist for clear airway supplies:
HINT there are 3 things
Bulb syringe, 10F or 12F suction catheter attached to wall suction set at 80-100 mmhg, and tracheal aspiration
What are the ABCD abbreviations for rapid evaluation?
A :airway
B: breathing
C: circulation
D: drugs
A.) Once compressions have stopped then resume ventilations to
B.) Stop chest compressions when the heart rate is greater than
C.) Compression rate is ___ BPM and breathing rate is ___ BPM
D.) What do you put the PPV on?
E.) ventilation rate is
F.) If the heart rate is less than _____ start CPR
G.) If baby is breathing efficiently then heart rate should be at least ___ bpm
A.) 40-60 BPM
B.) 60 bpm
C.) 90 and 30 BPM
D.) 20-25 cm H20 and a PEEP of 5
E.) 40-60 breaths per minute
F.) 60 BPM
G.) 100 bpm
A.) CPAP cannot be given with the
B.) After 40+ weeks you have a higher change of
C.) What is it important to know the color of the amniotic fluid?
D.) The most important indication of successful PPV is
E.) T-piece resuscitator
A.) self-inflating bag
B.) meconium deliveries
C.) The baby might've pooped in the womb creating meconium-stained amniotic fluid which can cause respiratory infections and distress
D.) a rising heart rate
E.) Continuously directs compressed gas toward the baby. Pressure increases when an opening on the top of the T-shaped device is occluded.
A.) ___________ is indicated if the baby's heart rate remains less than 60 BPM
B.) Things you need to do before administering epinephrine
A.) Epinephrine
B.) At least 30 seconds of PPV, another 60 seconds of chest compressions with 100% oxygen, and given ventilation via an ET tube or LMA
NRP quick checklist for intubation
HINT there are 7 things
Laryngoscope with size 0 and 1 straight blades, stylet, ETT (two of each size and sterile), co2 detector, measuring tape/ett insertion depth table, waterproof tape, and scissors.
When heart rate is not increasing with PPV and there is no chest rise we use MR.SOPPA. What does the abbreviation MR.SOPPA stand for?
M: Mask adjustment
R: reposition the head and neck
S: suction the mouth and nose
O: open the mouth
P: pressure increase
A: Alternate Airway
A.) start at __ % NOT 100%
B.) Cord clamping should be delayed for
C.) Intubation should be completed within ___ seconds
D.) Make sure to give ____ seconds of PPV before starting chest compressions
E.) Neonates get breaths every ___ seconds
F.) How long should you wait to check the heart rate during CPR
A.) 21%
B.) 30 to 60 seconds
C.) 30
D.) 30
E.) 3
F.) 60 seconds
A.) Peak inflation pressure (PIP)
B.) positive end-expiratory pressure (PEEP)
C.) Continuous positive airway pressure (CPAP)
D.) Rate
E.) inflation time (It)
F.) manometer
A.) The highest Pressure administered with each breath
B.) Gas pressure maintained in the lungs between breaths when the baby is receiving assisted breaths
C.) The gas pressure maintained in the lungs between breaths when a baby is breathing spontaneously
D.) The number of assisted breaths administered per minute
E.) The time duration (seconds) of the inflation phase of each positive-pressure breath
F.) a gauge used to measure gas pressure
4 pre birth questions
1. expected gestational age
2. is amniotic fluid clear
3. additional risk factors
4. umbilical cord management plan
NRP quick checklist medications
HINT there are 4 things
Epinephrine, normal saline, supplies for placing emergency umbilical venous catheter and administering medications, and table of pre calculated emergency medications.
The pneumonic CARDIO is looked into closely while doing chest compressions. What does CARDIO stand for?
C: chest compressions
A: airway
R: rate
D: depth
I & O: inspired oxygen
A.) Things you need to do before administering epinephrine
B.) 3 compressions go with _ ventilation every _ seconds
A.) At least 30 seconds of PPV, another 60 seconds of chest compressions with 100% oxygen, and given ventilation via an ET tube or LMA
B.) 1 every 2 seconds
A.) Medical conditions that could occur after resuscitation
B.) Common ethical principles
A.) Temperature instability, pneumonia, pulmonary hypertension, hypo/hyperglycemia, hypotension, feeding problems, renal failure, metabolic acidosis, seizures or apnea
B.) Respecting an individuals rights to make choices that affect their life (autonomy). Acting to benefit others (beneficence). Avoiding harm (nonmaleficence). Treating people truthfully and fairly (justice). Make sure to be humane, compassionate, and culturally sensitive with palliative care.
Clinical findings of abnormal transitions
• IRREGULAR BREATHING, APNEA, TACHPNEA
• SLOW HEART RATE
• DECREASED MUSCLE TONE
• PALE SKIN OR BLUE SKIN
• LOW OXYGEN SAURATION
• LOW BLOOD PRESSURE
NRP quick checklist for ventilation:
Hint there are 7 things
Flow meter set to 10 lpm, oxygen blender set to 21%, positive-pressure device (Ambu bag), term & pre-term masks (different sizes), 8F oragastric tube/20ml syringe, LMA/ 5ml syringe, and cardiac monitor with leads