Pediatric and Neonatal Resuscitation Flashcards

A term neonate is born with meconium-stained amniotic fluid and is vigorous at birth. What is the correct management?

Answer: Routine care without tracheal suctioning

Current guidelines state that vigorous neonates born with meconium-stained fluid should receive routine care; tracheal suctioning is not recommended.

When performing two-thumb encircling chest compressions on a neonate, the sternum should be compressed to what depth?

Answer: One-third of the anterior-posterior chest diameter

Neonatal chest compressions should compress the sternum approximately one-third of the anterior-posterior diameter of the chest.

A 2-year-old child is unresponsive with no pulse. A single rescuer is present. What is the correct compression-to-ventilation ratio?

Answer: 30:2

A single rescuer performing pediatric CPR uses a 30:2 compression-to-ventilation ratio, the same as adult CPR.

Which route is preferred for epinephrine administration during neonatal cardiac arrest when IV access is unavailable?

Answer: Intraosseous

IO access is preferred over the endotracheal route because endotracheal epinephrine results in unpredictable drug absorption in neonates.

What is the correct ratio of compressions to ventilations used during two-rescuer neonatal CPR?

Answer: 3:1

Neonatal resuscitation uses a 3:1 compression-to-ventilation ratio, providing 90 compressions and 30 breaths per minute.

An 8-year-old child in SVT is hemodynamically stable. Which is the FIRST intervention attempted?

Answer: Vagal maneuvers such as ice water immersion of the face

In a stable pediatric patient with SVT, vagal maneuvers are attempted first before adenosine or cardioversion.

Which condition is the most common cause of cardiac arrest in infants and children?

Answer: Respiratory failure or shock leading to hypoxia

Pediatric cardiac arrest is almost always secondary to respiratory failure or circulatory shock rather than a primary cardiac event.