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Preterm Infant Resuscitation Flashcards

6 cards from real NRP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Preterm Infant Resuscitation flashcards as text

  1. What is the most important intervention for preventing heat loss in a preterm infant less than 32 weeks gestation in the delivery room?

    Answer: Placing the infant in a polyethylene plastic wrap or bag without drying

    For preterm infants less than 32 weeks, NRP recommends placing the infant immediately (without drying) into a polyethylene wrap or bag under a radiant warmer to minimize evaporative and conductive heat loss.

  2. What initial PEEP (positive end-expiratory pressure) is recommended when providing positive-pressure ventilation to a preterm infant?

    Answer: 5 cmH2O

    NRP recommends providing PEEP of 5 cmH2O during PPV for preterm infants to maintain alveolar recruitment and functional residual capacity, given their surfactant deficiency and tendency for atelectasis.

  3. When should surfactant therapy be considered for a preterm infant during delivery room management?

    Answer: For intubated preterm infants with respiratory distress syndrome who require ventilatory support

    Surfactant is indicated for preterm infants with respiratory distress syndrome (RDS) who require intubation and mechanical ventilatory support. NRP supports early surfactant via intubation or LISA/MIST for eligible infants.

  4. What is the target axillary temperature for a preterm infant in the delivery room according to NRP guidelines?

    Answer: 36.5–37.5°C

    NRP recommends maintaining the axillary temperature of preterm infants at 36.5–37.5°C to prevent both hypothermia and hyperthermia, as both are associated with adverse outcomes.

  5. Why is a preterm infant at increased risk for intraventricular hemorrhage (IVH) during delivery room resuscitation?

    Answer: Preterm infants have fragile germinal matrix vessels that are vulnerable to fluctuations in cerebral blood flow

    Preterm infants have a highly vascularized germinal matrix adjacent to the lateral ventricles. These immature vessels lack the structural support and autoregulatory capacity of mature vessels, making them vulnerable to rupture from abrupt changes in cerebral blood flow and pressure.

  6. Which of the following resuscitation approaches is most appropriate for a spontaneously breathing 28-week preterm infant with mild respiratory distress?

    Answer: CPAP with 5–6 cmH2O starting pressure and oxygen titrated to SpO2 targets

    For a spontaneously breathing preterm infant with mild respiratory distress, NRP supports initiating CPAP at 5–6 cmH2O with oxygen titrated to SpO2 targets, reserving intubation for those who fail CPAP.