Neonatal Resuscitation Flashcards Preview

Paramedic > Neonatal Resuscitation > Flashcards

Flashcards in Neonatal Resuscitation Deck (25)
0

What is a baby a newborn?

First few hours of life

1

When is a baby considered a neonate?

The first 28 days of life

2

When is a baby considered an infant?

1 month to 1 year

3

What is the ductus arteriosus?

The bridge that connects the left pulmonary artery and the aorta in neonates

It temporarily reroutes oxygenated blood from the mother away from the lungs of the fetus and into the baby's circulatory system

4

What are three physiological changes a fetus undergoes during the fetal transition process?

Fluid in alveoli is absorbed into lung tissue and replaced with oxygen

Umbilical cord is clamped

Alveoli become distended and blood vessels dilate which causes increased blood pressure

5

What is prostaglandin-E2?

Hormone that causes the ductus arteriosus to remain open

6

When does the fetus no longer receive prostaglandin-E2?

When the umbilical cord is clamped

7

What are four causes of fetal distress?

Neonates initial respiratory efforts are inadequate to force fluid from alveoli

Foreign material (meconium) blocks airway

Excessive blood loss (maternal trauma)

Pulmonary hypertension

8

What are the five initial steps of neonatal resuscitation?

Drying (Do)
Warning (What)
Positioning (Probably)
Suctioning (Seems)
Stimulation (Simple)

9

What is vernix caseosa?

Slippery substance covering newborns

10

What are the two methods for tactile stimulation?

Slapping/flickering soles of feet
Gently rubbing the back,trunk, or extremities

11

What are the three key assessment parameters for determining further neonatal resuscitation?

Respiratory effort
Heart rate
Color

12

When should the apgar score be performed?

At 1 minute and 5 minutes after birth

13

What is the respiratory rate for a newborn?

40-60 breaths a minute

14

When will primary apnea reverse?

With simple stimulation by touching and suctioning

15

When will secondary apnea reverse?

Only with assisted ventilations

16

At what rate should you start compressions on a newborn?

Less than 60 beats

Even though there is a pulse it's not adequate enough for metabolic needs

17

What is acrocyanosis?

Cyanosis of extremities
Peripheral cyanosis

Common finding with new horns. No therapy required

18

How much fluid do you give to a new born with hypovolemia?

10 mL/kg of normal saline over 5-10 minutes

19

Wha four drugs are used for neonatal resuscitation?

Epinephrine 1:10,000
Sodium bicarbonate
Naloxone
Dextrose 10%

20

What amount defines neonatal hypoglycemia?

Blood glucose less than 40mg/dL

21

What is diaghragmatic hernia?

A hole in the diaphragm that allows bowels to move into the thoracic cavity

22

How can you tell if there was identical twins during birth?

There are two cords coming out of one placenta

23

How can you tell there are fraternal twins during birth?

There's 2 placentas each with one cord

24

What is considered premature?

Born before 37 weeks or less than 5.5 pounds