CPR Pediatric and Neonatal Resuscitation 3

Question 1

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

Accepted Answer

Routine care without tracheal suctioning

Answer

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

Question 2

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

Accepted Answer

One-third of the anterior-posterior chest diameter

Answer

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

Question 3

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

Accepted Answer

30:2

Answer

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

Question 4

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

Accepted Answer

Intraosseous

Answer

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

Question 5

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

Accepted Answer

3:1

Answer

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

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