Special Resuscitation Circumstances 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 Special Resuscitation Circumstances flashcards as text
What guidance does NRP provide regarding resuscitation of an extremely preterm infant at the threshold of viability?
Answer: Decisions should be individualized based on gestational age, family wishes, and prognosis
NRP emphasizes individualized, family-centered decisions at the threshold of viability, considering GA, clinical condition, and parental values.
What is the recommended approach if a newborn does not respond to resuscitation after 10 minutes of adequate efforts with no detectable heart rate?
Answer: Discontinuation of resuscitation may be considered after discussion with family
After 10 minutes of continuous, adequate resuscitation with no detectable heartbeat, discontinuation may be considered after communication with the family.
How is resuscitation of an infant with suspected severe anemia (fetal-maternal hemorrhage) modified?
Answer: Prepare emergency O-negative packed red blood cells for volume replacement
Severe fetal anemia may require emergency transfusion with O-negative PRBCs; normal saline alone will not restore oxygen-carrying capacity.
What clinical sign distinguishes a newborn with primary apnea from one with secondary apnea?
Answer: Primary apnea responds to stimulation; secondary apnea does not and requires PPV
Primary apnea responds to stimulation and increased oxygen, whereas secondary apnea will not resume with stimulation and requires PPV.
What is 'delayed cord clamping' contraindicated in?
Answer: Maternal hemorrhage requiring rapid placental delivery and infants needing immediate resuscitation
Delayed cord clamping is contraindicated when the mother is hemodynamically unstable or when the infant requires immediate resuscitation on the warmer.
What physiological change occurs during birth that helps establish breathing?
Answer: Removal of fluid from the lungs and decrease in pulmonary vascular resistance
Lung fluid is cleared by compression during vaginal birth and reabsorption, while oxygen causes pulmonary vasodilation, enabling gas exchange.