Neonatal Resuscitation Flashcards

For a non-vigorous newborn born through meconium-stained fluid, what is the current recommended initial approach?

Answer: Begin the usual steps including PPV if not breathing, without routine tracheal suctioning

Routine intubation for tracheal suctioning is no longer recommended; standard resuscitation including PPV takes priority.

What is the recommended timing for delayed cord clamping in a vigorous term newborn?

Answer: At least 30 to 60 seconds after birth

Delaying cord clamping for at least 30 to 60 seconds improves the newborn's iron stores and transition.

How should a preterm newborn less than 32 weeks be kept warm immediately after birth?

Answer: Place in a polyethylene plastic wrap or bag under a radiant warmer

Very preterm infants are placed in plastic wrap without drying to prevent rapid heat and evaporative loss.

What is the recommended target temperature range for a newborn after birth?

Answer: 36.5°C to 37.5°C

Newborn axillary temperature should be maintained between 36.5°C and 37.5°C to avoid hypo- and hyperthermia.

If a newborn has labored breathing or persistent cyanosis but a heart rate above 100, what intervention is appropriate?

Answer: Clear the airway, monitor SpO2, and consider CPAP or supplemental oxygen

A breathing newborn with labored effort or cyanosis may need airway clearing, oxygen monitoring, and CPAP rather than PPV.

After what duration of asystole despite all appropriate resuscitation may discontinuing efforts be considered?

Answer: No detectable heart rate after about 20 minutes of resuscitation

Discontinuing resuscitation may be reasonable if there is no heart rate after about 20 minutes of adequate efforts.

Which newborns may be candidates for therapeutic hypothermia after resuscitation?

Answer: Term/near-term infants with moderate to severe hypoxic-ischemic encephalopathy

Therapeutic hypothermia is offered to term and near-term newborns with moderate to severe hypoxic-ischemic encephalopathy.