NRP Essentials
The first step immediately after birth in the initial rapid assessment includes asking three questions: does it look term, how's the tone, and this?
What is the neonate breathing or crying
One of the most important interventions to support normal newborn transition immediately after birth is this, which is also great for bonding.
A normal baseline fetal heartrate is between these two numbers.
This is the first set of nursing interventions for signs of intrauterine fetal distress on EFM?
What is intrauterine resuscitation?
This medication, dose and schedule, is most commonly used as prophylaxis for Group B Strep.
What is Pen G 5 million units x1 then 2.5 million units q4h until delivery?
If a newborn's heartrate is below this number after initial steps, positive pressure ventilation should be started.
What is 100 beats per minute?
This step in the ACoRN process begins with evaluating respiratory status, heart rate and oxygenation.
What is the Primary Survey?
This type of fetal heart rate deceleration is gradual in onset, mirrors the contraction, and is typically caused by fetal head compression. These are also generally considered benign.
What are early decelerations?
During a vacuum assisted delivery, the guidelines recommend abandoning the procedure after this many "pop offs".
What is three (3) pop offs?
Folic acid in prenatal vitamins prevents this type of birth defect.
What is Neural Tube Defects?
If the newborns heartrate remains below 60 bpm after 30 seconds of EFFECTIVE PPV, you should begin this intervention.
What is CPR?
What is the Systems-Based Approach?
These decelerations are abrupt in onset and commonly associated with cord compression.
This obstetrical emergency is characterized by sudden fetal bradycardia after rupture of membranes.
What is umbilical cord prolapse?
This medication is commonly administered during labour for analgesia, but may cause neonatal respiratory depression if given to close to delivery.
What is Morphine or Fentanyl ?
The recommended compression-to-ventilation ratio in NRP is this.
What is 3:1?
one and two and three and breath!
Minimal variability is defined as amplitude fluctuation of this many bpm or less.
What is 5bpm or less?
The recommended medication for treatment of Ecclampsia is this.
What is Magnesium Sulfate?
In the event of magnesium sulfate toxicity, this medication is the antidote.
What is Calcium Gluconate?
In the corrective sequence MR. SOPA for ineffective ventilation efforts, what does the P stand for?
The nurses assess a baby in respiratory distress, grunting, nasal flaring and intercostal retractions, but a heart rate above 100bpm. According to the ACoRN Primary Survey, this respiratory intervention may help.
What is Continuous Positive Airway Pressure (CPAP)?
What is 2 minutes?
In shoulder dystocia, this maneuver (hyperflexing maternal knees up to abdomen/chest) is typically tried first.
What is McRoberts Maneuver?
This drug given in postpartum hemorrhages to treat uterine atony is contraindicated in birthing parents with hypertension or pre-eclampsia?