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Neonatal Resuscitation

  1. Initial Steps:
    • Clear Airway: Clear the neonate's airway using a bulb syringe to remove mucus and amniotic fluid.
    • Provide Stimulation: Provide tactile stimulation (rubbing the back or feet) to stimulate breathing.
  2. Positive Pressure Ventilation (PPV):
    • Bag-Mask Ventilation: Use a neonatal bag-mask device to provide PPV if the newborn is not breathing or has inadequate breathing efforts.
    • Proper Technique: Ensure a proper seal and deliver gentle breaths, observing for chest rise.
  3. Chest Compressions for Neonates:
    • Indications: Initiate chest compressions if the heart rate remains below 60 bpm despite adequate ventilation.
    • Technique: Use two fingers in the center of the chest, compressing to approximately one-third the depth of the chest.

Questions on Neonatal Resuscitation

Correct Answer is A

Explanation

<p>D. 2.5 inches (6.5 cm) is not the recommended compression depth for any age group in BLS.</p>

Correct Answer is B

Explanation

<p>D. Hyperextension of the head is not appropriate maneuvers for neonatal airway management.</p>

Correct Answer is C

Explanation

<p>D. Gasping respirations are not a reliable indicator of effective ventilation and may indicate cardiac arrest.</p>

Correct Answer is B

Explanation

<p>D. 5:1 is not a standard compression-to-ventilation ratio for any age group in CPR.</p>

Correct Answer is B

Explanation

<p>D. 2.5 inches (6.5 cm) is not the recommended compression depth for any age group in BLS.</p>

<p>D. Inserting an advanced airway device is part of the advanced steps in neonatal resuscitation after positive-pressure ventilation, chest compressions, and administering epinephrine.</p>

<p>D. Albuterol is a bronchodilator and is not indicated for bradycardia in neonatal resuscitation.</p>

<p>D. 120-140 compressions per minute is not a standard rate of chest compressions in neonatal resuscitation.</p>

<p>Hyperextension of the head is not appropriate maneuvers for newborn airway management.</p>

<p>D. Defibrillation, if indicated, is performed after the initial steps of neonatal resuscitation, including airway, breathing, and chest compressions. Drugs are administered after defibrillation if necessary.</p>
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