You are caring for a 6 hour old newborn in respiratory distress, who presents with mottling and pallor after placental abruption with bloody amniotic fluid. The nurse suggests a heel stick to assess the infant’s oxygenation status, the physician provides the order. What would your recommendation be?

Which of the following statements are not true regarding assessment of breathing in the neonate? 

The recommended neonatal flow rate range for CPAP delivery through a stand-alone device or a bubble CPAP system is _____ L/min. 

Which of the following present valid indications for the use of suction in a pediatric patient? 1. Requirement for sputum specimen analysis in an intubated neonate 2. Oxygen desaturation associated with presented ventilator waveform findings:  (Flow Volume Loop, Flow on vertical axis, Volume on horizontal axis) 3. Auscultation findings of diffuse rhonchi with + chest fremitus and increased retractions on an intubated pediatric patient

A baby is born with meconium-stained amniotic fluid. The baby has normal muscle tone and respiratory effort and a heart rate of 120 beats per minute. Which of the following is the appropriate action?  Intubation and suctioning of the trachea.  Clearance of secretions from the mouth and nose with a bulb syringe if needed.  Application of supplemental oxygen (at least 30%).  Administer mild chest physiotherapy.

A baby is born at 35 week’s gestation. Despite initial steps being taken, the baby is apneic and the heart rate is 70 beats per minute. What steps should be taken next?

The recommended neonatal flow rate range for CPAP delivery through a stand-alone device or a bubble CPAP system is _____ L/min. 

You have completed a 1-minute Apgar score assessment. The following assessment information was obtained:  The infant is pale with a heart rate of 90 beats/minute and an irregular respiratory effort. There is some muscle tone noted and the baby provided no response to nasal suctioning.  On the basis of these findings, what Apgar score should be assigned to this neonate?  

A baby is born at 35 week’s gestation. Despite initial steps being taken, the baby is apneic and the heart rate is 70 beats per minute. What steps should be taken next?

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