Pediatric and Neonatal Resuscitation Flashcards
7 cards from real CPR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric and Neonatal Resuscitation flashcards as text
A neonate born at 28 weeks gestation requires resuscitation. Compared to a term neonate, which modification is most appropriate?
Answer: Wrap the body in polyethylene plastic wrap to prevent heat loss
Premature neonates are at high risk for hypothermia; placing the body (not the head) in a polyethylene wrap immediately after birth is recommended.
A 6-month-old infant has a pulse of 45 bpm with no adequate breathing. What is the most appropriate initial intervention?
Answer: Provide rescue breaths and reassess after 2 minutes
In infants with symptomatic bradycardia caused by hypoxia, rescue ventilation correcting hypoxia often resolves the bradycardia.
During neonatal resuscitation, the oxygen concentration should be titrated to achieve target SpO2 of what range at 10 minutes of life?
Answer: 85-95%
At 10 minutes of life, the target preductal SpO2 for a resuscitated neonate is 85-95% per NRP guidelines.
What is the primary reason two-thumb technique is preferred over two-finger technique for neonatal chest compressions?
Answer: It generates higher coronary perfusion pressure
The two-thumb encircling technique generates higher coronary perfusion pressure and is the preferred method during neonatal resuscitation.
A pediatric patient with known cardiomyopathy presents in pulseless electrical activity (PEA). Which reversible cause should be considered FIRST in this population?
Answer: Cardiac tamponade
Children with cardiomyopathy are at elevated risk for pericardial effusion and tamponade, making it the highest-priority H&T cause to consider.
In a newborn requiring resuscitation, supplemental oxygen therapy should be guided by pulse oximetry placed on which location?
Answer: Right hand or wrist (preductal)
Preductal SpO2 is measured on the right hand or wrist to reflect oxygen delivery to the brain and coronary arteries before the ductus arteriosus.
A 3-year-old child has received high-quality CPR for 2 minutes and remains in ventricular fibrillation after one defibrillation attempt. What is the next drug administered?
Answer: Epinephrine 0.01 mg/kg IV
Epinephrine 0.01 mg/kg IV/IO is administered every 3-5 minutes during pediatric pulseless arrest, including VF refractory to initial defibrillation.