Perinatal Assessment Questions
How Old?
Gestational Age
True or False: A flow bag is the primary tool for oxygenating the neonate at NNMC?
FALSE: Use a T-piece
A baby is born- what 3 questions for fetal well-being?
1) Term?
2) Tone?
3) Breathing?
M
Mask adjustment
Tool used to assist in sniffing position
A wash cloth can be used to assist in getting an infant into sniffing position.
Fluids?
Is the amniotic fluid clear?
What concentration of O2 should be used to start PPV?
21%
The pulse oximeter is placed on which hand during a resuscitation?
The right hand
Reposition the head and neck.
Positive pressure ventilation is given at what rate?
40-60 breaths per min.
Wait? It's TWINS!?
How many babies are expected?
Flowmeter set to?
10L
Epinephrine dose for IV/IO & ET
IV/IO dose: 0.01-0.03mg/kg
ET: 0.01mg/kg
S
Suction the mouth and nose.
A baby is born limp and apneic. It has been 1 minute since birth and the baby remains apneic- what do you do?
Start PPV.
GDM, HTN, congenital anomalies, OH MY!
Are there additional risk factors?
PIP & PEEP are set to?
PIP: 20 (cmH2O)
PEEP: 5 (cmH20)
If the HR remains less that 60 bpm despite at least 30 sec of PPV that inflates the lungs, you've completed MR.SOPA steps, inserted an alternative airway and provided an additional 30 sec of PPV and the HR is still below 60bpm- what do you do?
Start compressions, increase FIO2 to 100%.
O
Open the mouth
Inflation and aeration of the lungs is suggested by a CO2 detector that turns _____?
Yellow
_____ you're doing _____
Designate a team leader & delegate roles.
Blade sizes for Term and Preterm
Term: No. 1
Preterm: No. 0
CPAP
P & A
Pressure increase followed by alternative airway.
Single most important step in NRP
Ventilation of newborn lungs