CPR Neonatal Resuscitation 2 — Questions and Answers
Question 1: What are the three initial questions asked at every birth to determine if a newborn needs resuscitation?
- Term gestation? Good tone? Breathing or crying? (Correct answer)
- Pink color? Heart rate? Weight?
- Apgar score? Blood pressure? Temperature?
- Sex? Gestational age? Birth weight?
Correct answer: Term gestation? Good tone? Breathing or crying?
Assessing term gestation, good tone, and breathing/crying determines whether the baby can stay with the mother or needs the warmer.
Question 2: What is the target heart rate that indicates a newborn is responding well to resuscitation?
- Greater than 100 bpm (Correct answer)
- Greater than 60 bpm
- Greater than 80 bpm
- Greater than 140 bpm
Correct answer: Greater than 100 bpm
A heart rate above 100 bpm is the goal and indicates effective ventilation and adequate cardiac output.
Question 3: What is the most important and effective action in neonatal resuscitation?
- Effective ventilation of the lungs (Correct answer)
- Chest compressions
- Administration of epinephrine
- Endotracheal intubation
Correct answer: Effective ventilation of the lungs
Ventilation of the newborn's lungs is the single most important and effective step in neonatal resuscitation.
Question 4: Within how many seconds should positive pressure ventilation begin if a newborn is apneic or gasping?
- 60 seconds (the 'Golden Minute') (Correct answer)
- 30 seconds
- 120 seconds
- 10 seconds
Correct answer: 60 seconds (the 'Golden Minute')
PPV should be initiated within the first 60 seconds of life, known as the Golden Minute, if the baby is not breathing.
Question 5: What initial oxygen concentration is recommended when starting PPV for a term newborn?
- 21% (room air) (Correct answer)
- 100%
- 60%
- 40%
Correct answer: 21% (room air)
Term newborns should be resuscitated starting with 21% oxygen (room air) to avoid hyperoxic injury.
Question 6: What corrective ventilation steps does the MR. SOPA mnemonic represent?
- Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Airway alternative (Correct answer)
- Monitor, Resuscitate, Suction, Oxygen, Position, Assess
- Mask, Rate, Suction, Speed, Oxygen, Pulse
- Move, Rotate, Stabilize, Open, Push, Apply
Correct answer: Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Airway alternative
MR. SOPA stands for Mask adjustment, Reposition, Suction, Open mouth, Pressure increase, and Airway alternative to correct ineffective ventilation.
Question 7: Where should a pulse oximeter probe be placed on a newborn to measure preductal saturation?
- Right hand or wrist (Correct answer)
- Left foot
- Left hand
- Right foot
Correct answer: Right hand or wrist
The probe is placed on the right hand or wrist to measure preductal oxygen saturation, which reflects oxygen reaching the brain.
CPR Neonatal Resuscitation 2
What are the three initial questions asked at every birth to determine if a newborn needs resuscitation?