NRP ch. 6

Question 1

A newborn is apneic. She does not improve with initial steps, and PPV is sarted. The first assessment of HR is 40 BPM. After 30 seconds of PPV that moves the chest, her HR is 80 BPM. Chest compressions (should)/(should not) be started. PPV (should)/(should not) continue.

Answer 1

Chest compressions should not be started. PPV should continue.

Question 2

A newborn is apneic. She does not improve with the initial steps or PPV. Her HR remains 40 BPM. An ETT is placed properly, the chest is moving, bilateral breath sounds are present, and ventilation has continued for another 30 seconds. Her HR is still 40 BPM. Chest compressions (should)/(should not) be started. PPV (should)/(should not) continue.

Answer 2

Chest compressions should be started. PPV ventilation should continue.

Question 3

The correct depth of chest compressions is approximately?

Answer 3

1/3 of the AP diameter of the chest

Question 4

What is the ratio of chest compressions to ventilation?

Answer 4

3 compressions to 1 ventilation

Question 5

What phrase is used to achieve the correct rhythm for coordinating chest compressions and ventilation?

Answer 5

“One-and-Two-and-Three-and-Breathe-and…”

Question 6

You should briefly stop compressions to check the baby’s HR response after (30 sec)/(60 sec) of chest compressions with coordinated ventilations.

Answer 6

60 seconds

Question 7

A baby has received chest compressions and coordinated ventilation. You briefly stop compressions and the ECG monitor shows the baby’s HR is 80 BPM. You should (continue)/(stop) chest compressions. You should (continue)/(stop) PPV.

Answer 7

You should stop chest compressions. You should continue PPV.