Set up
What should your suction be set to?
80-100
What questions are asked during a rapid evaluation of a newly born infant?
Term? Tone? Breathing?
What is the ratio of chest compressions to breaths?
3 chest compressions to 1 breath
What should the Neo-Pip be set to?
20/5
What is a code "Cotton ball"?
How many blankets should be ready for delivery?
At least 3 plus the catching blanket
What are the initial steps of resuscitation?
maintain warmth, dry and stimulate, position airway, suction prn
When is PPV indicated during resuscitation?
What is the normal NS bolus amount?
10 mL/kg
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.
What is additionally necessary for infants born less than 32 weeks?
Transwarmer mattress, thermal hat, neo wrap
True or False: Suctioning is required for all deliveries.
False - only suction infant as needed
How long should a code continue if there is no signs of recovery by the infant?
20 Mins
What is the starting dose of Epi in mL/kg?
What is the flush amount after Epi?
0.2 cc/kg
3cc
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.
What are the starting O2 levels for resuscitation of a baby that is 36 weeks?
30 weeks?
21%
30%
What are the 4 pre-birth questions?
Gestational age? Amniotic Fluid? Additional Risk Factors? Cord Management?
What else should be considered once an alternate airway is in place?
Initiating cardiac monitoring
What should the target oxygenation be for an infant that is 1 min old?
60-65%
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.
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
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.
When should you consider giving a fluid bolus or emergency transfusion?
Consider risk factors such as abruption, cord prolapse, T2T transfusion, etc.
What size ET Tube should be used for a 35 week SGA infant weighing 1.25kg
3.0
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.