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HELP! NRP Questions

NICU   (42,408 Views 9 Comments)
by NancyP123 NancyP123 (New Member) New Member

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I am studying to take the NRP final exam and am taking the end of lesson tests. I am have a terrible time with one of the lessons and continue to score a 75%. I have spent 3 hours double checking my answers before I submit them, but continue to get them wrong. Here they are with stars next to my answer...PLEASE HELP and show me the light.

A baby is born in the hospital lobby and is apneic. I try tactile stimulation and bulb suction, but there is no change. I have the self-inflating bag with me. What should I do next?

*Monitor the heart rate; if HR slows start positive-pressure ventilations on room air.

Get someone to supply a 100% O2 tank and oximeter.

Start positive pressure ventilation with room air and transfer.

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NotReady4PrimeTime has 25 years experience as a RN and specializes in NICU, PICU, PCVICU and peds oncology.

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This might get more attention in the NICU Forum, so I'll move it over there.

In this situation that you describe, I'd start PPV and transfer.

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Bortaz has 10 years experience as a BSN, RN and specializes in CDI Supervisor; Formerly NICU.

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Bag the baby. He's not breathing.

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Start PPV and transfer. The baby is apneic...he's not breathing. Monitoring the heart rate will just waste time that could be used resuscitating the baby. Getting someone to supply a 100% O2 tank = more time you have to wait for oxygen.

You already have the bag. PPV is the #1 intervention for a baby in respiratory distress. Always.

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NicuGal has 30 years experience as a MSN, RN and specializes in NICU, PICU, PACU.

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Airway!!!

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twinkletoes53 specializes in NICU.

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Why are you going to wait for the HR to drop before initating PPV? Baby is apneic>>>start PPV with bag; transfer.

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walkingrock has 40 years experience as a ADN and specializes in NICU, IBCLC.

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I am studying to take the NRP final exam and am taking the end of lesson tests. I am have a terrible time with one of the lessons and continue to score a 75%. I have spent 3 hours double checking my answers before I submit them, but continue to get them wrong. Here they are with stars next to my answer...PLEASE HELP and show me the light.

A baby is born in the hospital lobby and is apneic. I try tactile stimulation and bulb suction, but there is no change. I have the self-inflating bag with me. What should I do next?

*Monitor the heart rate; if HR slows start positive-pressure ventilations on room air.

Get someone to supply a 100% O2 tank and oximeter.

Start positive pressure ventilation with room air and transfer.

If the baby doesn't respond to tactile stimulation, it is in secondary apnea, and all the stimulation in the world isn't going to make it breathe; it needs PPV. A self-inflating bag can be used to give ventilations, without a gas source, so, unlike a flow-inflating bag, you can use it while you are waiting for O2/air tanks. Infants have respiratory arrest's, rather than cardiac, in most cases. They stop breathing before their heart rate drops; so if their heart rate drops, you are already behind in the resuscitation.

Hope this helps. You may have already done your NRP test by now. I just did mine a week ago, again. Been in NICU for 33 yrs. Wishing you well!

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nicurn001 specializes in Psych , Peds ,Nicu.

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Airway always in neonates .

As an aside if in your position , were you feel you are having a problem with one question , rather than struggle with it for a several hours , try substituting the other answers , because although the answer may look wrong , however much you check the texts , it's the answer the examiner wants that matters .Some times we can only see what we want to see and not what the examiner wants , NB this is meant only as helpful advise , NO criticism intended .

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