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Flashcards in Newborn Life Support Deck (17):
1

Name ELEVEN risk factors associated with the mother, which may result in a need for neonatal rescusitation

-Premature / prolonged rupture of the membranes
-Bleeding in second or third trimester
-Severe pregnancy induced hypertension
-Chronic hypertension
-Substance abuse
-Diabetes
-Chronic illness
-Maternal infection
-Heavy / late sedation
-Previous fetal / neonatal death
-No antenatal care

2

Name TEN risk factors associated with the baby, which may result in a need for neonatal rescusitation

-Multiple gestation
-Preterm baby
-Postterm baby
-Intrauterine growth restriction
-Size-date discrepancy
-Rhesus isoimmunisation / hydrops
-Polyhydramnios / oligohydramnios
-Reduced fetal movement
-Congenital abnormalities
-Intrauterine infection

3

Name ELEVEN risk factors associated with birth, which may result in a need for neonatal rescusitation

-Fetal distress
-Abnormal presentation
-Prolapsed cord
-Prolonged rupture of membranes
-Prolonged labour / prolonged second stage
-Preceipitous labour
-Antepartum haemorrhage (abruption, placenta praevia)
-Thick meconium staiing
-Nonreassuring CTG
-Late sedation
-Instrumental delivery

4

Within how many seconds following birth do most mature babies breathe or cry?

90 seconds

5

Approximately what percentage of newborns require some degree of active resuscitation?

5-10%

6

What is the difference in cause between adult and neonatal resuscitation?

Adults are likely to be from cardiac arrest
Neonates/children are likely to be from respiratory problems

7

For approximately how many minutes can babies keep their heart going for on their own?

20 minutes or more

8

Can a baby's brain withstand lack of oxygen, for longer or shorter than an adults?

Longer

9

Describe what happens to a neonate's respiratory rate when it's blood circulation is cut off and it does not have access to oxygen

Initially, the neonate will attempt rapid, irregular short gasping
Then primary apnoea will occur when no breaths occurs
Then it will attempt long, drawn out gasps
Finally, terminal apnoea will occur

10

Describe what happens to a neonate's oxygen, carbon dioxide and excess acid levels when it's blood circulation is cut off and it does not have access to oxygen

Oxygen levels will drop and then level off
Carbon dioxide and excess acid levels will steadily increase

11

Describe what happens to a neonate's heart rate when it's blood circulation is cut off and it does not have access to oxygen

It will initially rise to around 180 bpm during the rapid short breathing and then dramatically fall to around 60 bpm during primary apnoea.
A small rise will then occur to around 70 bpm during the long gasping but will then drop completely and stop once terminal apnoea has occured

12

Describe what happens to a neonate's blood pressure when it's blood circulation is cut off and it does not have access to oxygen

It will initially rise during the rapid short breathing and then dramatically fall during primary apnoea.
A small rise will then occur during the long gasping but will then drop completely and stop once terminal apnoea has occured

13

What FOUR things should be continually assessed during resuscitation of the neonate?

Colour
Tone
Heart rate
Breathing

14

What position should the baby's head be in during resuscitation?

The baby's face should be lying in a horizontal position, parallel to the floor

15

Describe how chest compressions of a baby should be

Either with two perpendicular fingers gently pushing straight down, placed in the centre of the chest, a width of a finger down from the nipples
OR
Holding the chest with both thumbs, taking care to only apply pressure with the tips of the thumbs and gently pushing down in the centre of the chest about a width of a finger down from the nipples

16

Describe the initial breaths to be given to the baby at the start of resuscitation

Five long breaths lasting 3 seconds each:
1...2...3
2...2...3
3...2...3
4...2...3
5...2...3

17

Describe the breaths to be given to the baby in conjunction with chest compressions

One quick breath should be followed by three quick chest compressions, roughly every second