What are the four pre birth questions you should ask the obstetric provider to help assess Perinatal risk?

What is the expected gestational age? Is the amniotic fluid clear? How many babies are expected? Are there any additional risk factors?

How many questions are on the NRP?

The NRP Instructor Renewal curriculum requires completion of the Online Learning Assessment and the Advanced Exam, which are included in the Advanced Provider curriculum. It also includes an Instructor-specific exam based on content discussed in the Instructor Toolkit. This exam has 20 questions.

What are the initial steps of newborn care?

The initial steps of resuscitation are to provide warmth by placing the infant under a radiant heat source, position the head in a ‘sniffing’ position to open the airway, clear the airway with a bulb syringe or suction catheter, dry the infant and stimulate breathing.

What does Mr SOPA stand for?

In the setting of inadequate ventilation, the most recent NRP guidelines devised the MR SOPA acronym (Figure 1) to remind resuscitators to initiate ventilation corrective steps: M (mask adjustment), R (reposition airway), S (suction mouth and nose), O (open mouth), P (pressure increase), A (alternate airway) [5].

How hard is the NRP exam?

It is not that difficult. The video/book is repetitive, so you have multiple opportunities to make the necessary connections. I am NRP certified and I loved the class. You shouldn’t have any problems with it.

What is the most important indicator of successful PPV?

The most important indicator of successful PPV is a rising heart rate. If the heart rate does not increase, PPV that inflates the lungs is evidenced by chest movement with ventilation.

Can a flow inflating bag deliver free flow oxygen?

There are a variety of devices which are available to provide free‐flow oxygen. These include: a flow‐inflating bag and mask, face mask, funnel, T‐piece resuscitator and oxygen tubing held in a cupped hand close to the infant’s face.

What is newborn PPV?

What is the first step in neonatal resuscitation?

Initial Steps. The initial steps of resuscitation are to provide warmth by placing the baby under a radiant heat source, positioning the head in a “sniffing” position to open the airway, clearing the airway if necessary with a bulb syringe or suction catheter, drying the baby, and stimulating breathing.

What is the appropriate technique to stimulate a baby to breathe?

Tactile stimulation (warming, drying, and rubbing the back or the soles of the feet) has been recommended in the guidelines to stimulate spontaneous breathing (7–9).

What is neonatal resuscitation?

Neonatal resuscitation is used to revive a newborn who is not breathing or has other serious problems. Neonatal resuscitation is a series of emergency procedures performed by a doctor to support newborn babies who are not breathing, are gasping or have a weak heartbeat at birth.

What is oxygen flow rate?

The oxygen flow rate is the number that we dial up on the oxygen flow metre, usually between 1-15L/min. FiO2 (the fraction of inspired oxygen) is defined as the percentage or concentration of oxygen that a person inhales.

What is Moro reflex?

Moro or “startle” reflex

A dramatic reflex during these first few weeks is the Moro reflex. If your baby’s head shifts position abruptly or falls backward–or if he is startled by something loud or abrupt–he will extend his arms and legs and neck and then rapidly bring his arms together. He may even cry loudly.

What does meconium look like?

Meconium, unlike later feces, is viscous and sticky like tar, its color usually being a very dark olive green; it is almost odorless. When diluted in amniotic fluid, it may appear in various shades of green, brown, or yellow.

When do you ventilate an infant?

If the infant is apneic, is gasping, or has a heart rate of less than 100 beats/min, positive-pressure ventilation should be given immediately after establishing airway patency.

What is trunk Incurvation reflex?

TRUNCAL INCURVATION OR GALANT REFLEX. This reflex occurs when the side of the infant’s spine is stroked or tapped while the infant lies on the stomach. The infant will twitch their hips toward the touch in a dancing movement.

What is plantar grasp?

The plantar grasp reflex (Babinski reflex) is similar to the grasp reflex of the hand. If you place your thumb below the toe bed of an infant’s foot and apply pressure, the toes will curl around your thumb, grasping it (flexion and adduction). This reflex is not present in many newborns.

What is Spinal Galant reflex?

The Spinal Galant Reflex

This reflex causes babies to curve their hip outward if the lower back is stroked next to the spine. Its purpose is to encourage movement and develop range of motion in the hip in preparation for walking and crawling.