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 fails to respond to PPV and chest compressions. Epinephrine has been given via the endotracheal tube. What should be done next?
Answer: Obtain IV or IO access and administer epinephrine
Endotracheal epinephrine has unreliable absorption; IV or IO access should be obtained promptly to deliver a reliable dose.
Which pediatric arrhythmia is most likely to respond to vagal maneuvers or adenosine?
Answer: Supraventricular tachycardia
SVT involving the AV node as part of a re-entrant circuit is typically terminated by vagal maneuvers or adenosine, which blocks the AV node.
During neonatal resuscitation, which finding on assessment after 30 seconds of PPV indicates that ventilation is effective?
Answer: Heart rate increase to above 100 bpm
A rise in heart rate to above 100 bpm is the most reliable indicator that PPV is effective and that ventilation is adequate.
A 7-year-old child in SVT is hemodynamically unstable with altered mental status. What is the correct initial energy dose for synchronized cardioversion?
Answer: 0.5-1 J/kg
Synchronized cardioversion for pediatric SVT begins at 0.5-1 J/kg, increasing to 2 J/kg if the initial attempt is unsuccessful.
What is the correct intraosseous epinephrine dose during pediatric cardiac arrest?
Answer: 0.01 mg/kg (1:10,000)
The standard pediatric epinephrine dose is 0.01 mg/kg of 1:10,000 solution IV or IO, repeated every 3-5 minutes.
A premature neonate is born at 32 weeks and has labored breathing with grunting. Which condition is most likely causing these symptoms?
Answer: Respiratory distress syndrome due to surfactant deficiency
Respiratory distress syndrome (RDS) caused by surfactant deficiency is the most common cause of respiratory distress in premature neonates.
A newborn has received 30 seconds of PPV but still has poor chest rise. After adjusting the mask seal and repositioning the airway, there is still no improvement. What is the next step?
Answer: Consider endotracheal intubation
If corrective ventilation steps (MRSOPA) fail to achieve adequate chest rise, endotracheal intubation should be performed.