p 1968 7When should bag mask ventilation be used on a newborn Answer Bag mask

P 1968 7when should bag mask ventilation be used on a

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(p 1968)
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7.When should bag-mask ventilation be used on a newborn? Answer: Bag-mask ventilation is indicated when a newborn is apneic, has inadequate respiratory effort, or has a pulse rate of less than 100 beats/min (bradycardia) after you clear the airway of secretions, relieve obstruction from the tongue, and dry and stimulate the newborn. Signs of respiratory distress that suggest a need for bag-mask ventilation include periodic breathing, intercostal retractions (sucking in between the ribs), nasal flaring , and grunting on expiration. Respiratory distress occurs in approximately 8 of every 1,000 live births and accounts for approximately 15% of neonatal deaths. (p 1971) 8.When are chest compressions indicated for a newborn? Answer: Chest compressions are indicated if the pulse rate remains at less than 60 beats/min despite positioning, clearing the airway, drying and stimulation, and 30 seconds of effective PPV. Two people are needed to deliver effective chest compressions while continuing ventilation. (p 1975) 9.What considerations should be taken into account with the family of an ill newborn? Answer: Throughout the care process, you should provide ongoing communication with the family regarding what is being done for the newborn and what care is planned to help allay their fears. Do not be specific about survival statistics. Many factors play into mortality and morbidity, and you do not want to be misleading. If family members have questions you cannot answer, be straightforward. Tell them that you do not have a definite answer, but you will help put them in touch with the people who do. (p 1979) 10.How can you tell if a newborn has been delivered through meconium, and how does this finding affect your initial care? Answer: When a newborn is delivered through meconium-stained amniotic fluid, determine whether the fluid is thin and green-stained versus thick and particulate. Assess the newborn’s activity level. If the newborn is crying and vigorous, employ standard interventions. If the newborn is depressed (poor muscle tone, bradycardia of less than 100 beats/min, inadequate ventilation, no respiratory effort), do not dry or stimulate the newborn. Clear the airway of meconium, intubate the trachea, attach a meconium aspirator and suction catheter to the end of the ET tube, and suction the ET tube while withdrawing the tube from the trachea. Be sure to cover the hole of the meconium aspirator with your finger while you are suctioning (p 1981) Unit Assessment 1.What is the difference between a newborn and a neonate?
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2.What are the initial steps in the stabilization of a newborn? 3.What is the preferred method of maintaining a newborn’s body heat? 4.What is the fetal transition stage, and why is it vital in resuscitation? 5.What is the APGAR score, and why is it used? 6.What is the difference between acrocyanosis and central cyanosis? 7.When should bag-mask ventilation be used on a newborn? 8.When are chest compressions indicated for a newborn? 9.What considerations should be taken into account with the family of an ill newborn? 10.How can you tell if a newborn has been delivered through meconium, and how does this finding affect your initial care?
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