Emergency Response & Critical Care Flashcards
7 cards from real Low Risk Neonatal Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Emergency Response & Critical Care flashcards as text
During neonatal resuscitation with two rescuers, what is the compression-to-ventilation ratio?
Answer: 3:1
NRP uses a 3:1 ratio (90 compressions and 30 breaths per minute) because most neonatal arrests are asphyxial.
A newborn's heart rate remains below 60 bpm after 30 seconds of effective ventilation that moves the chest. What is the next step?
Answer: Start chest compressions and increase oxygen to 100%
HR <60 despite effective ventilation requires compressions with 100% oxygen and intubation if not already done.
What is the preferred route for emergency epinephrine during newborn resuscitation?
Answer: Umbilical venous catheter
Intravenous (umbilical venous) epinephrine at 0.01–0.03 mg/kg is preferred over the endotracheal route.
What are the initial steps for a term newborn who is breathing and has good tone?
Answer: Routine care: warm, dry, and keep with mother, with ongoing assessment
Term vigorous infants stay with the mother for skin-to-skin warmth, drying, and observation.
Which target preductal SpO2 is expected at 5 minutes of life in a healthy newborn?
Answer: 80–85%
NRP target preductal SpO2 is about 80–85% at 5 minutes, rising to 85–95% by 10 minutes.
Which heart rate is the threshold below which positive-pressure ventilation is indicated in an apneic or gasping newborn?
Answer: Below 100 bpm
PPV is indicated for apnea, gasping, or HR below 100 bpm after initial steps.
A symptomatic newborn has a blood glucose of 25 mg/dL. What is the appropriate emergency treatment?
Answer: IV dextrose 10% at 2 mL/kg bolus followed by an infusion
Symptomatic hypoglycemia is treated with 10% dextrose 2 mL/kg IV then continuous glucose infusion.
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