Who is the usual and appropriate surrogate decision maker for a newborn?
Parents, as surrogate decision makers for their infants, are generally expected by health care providers to act in the child’s “best interest.” However, when the wishes of the parents are contrary to those of the medical profession, an ethical dilemma occurs.
Which statement best describes the ethical principle’s that guide the resuscitation of a newborn?
Which statement describes the ethical principle(s) that guide the resuscitation of a newborn? The approach to decisions in the newborn should be guided by the same principles used for adults and older children.
What 3 signs are used to evaluate the effectiveness of PPV and chest compressions?
The three signs which are used to evaluate the effectiveness of your actions and the need to continue one or both of these measures are the respirations of the newborn baby, the heart rate of him, and lastly, the assessment of the oxygenation of the newborn.
What is the best indication for volume expansion?
Volume expansion is indicated if there is a history suggestive of blood loss and clinical signs such as poor perfusion, pallor and a weak pulse. Normal saline or blood can be given at a dose of 10 mL/kg. If there is no response to an initial bolus of fluid, a further 10 mL/kg can be administered.
Which 3 questions should you ask to evaluate whether the baby can stay?
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions should you ask to evaluate whether the baby can stay with his mother or be moved to the radiant warmer for further assessment? Is the baby term? Does the baby have good muscle tone?
What is the most effective maneuver to establish spontaneous breathing?
The most effective maneuver to establish spontaneous breathing in a baby that is apneic after initial steps is to administer positive-pressure ventilation that inflates the lungs.
What are the four pre birth Questions?
7th edition NRP recommends 4 pre-birth questions are asked: gestational age, number of babies anticipated, the colour of amniotic fluid and presence of additional risk factors.
What is the appropriate way to stimulate a baby to breathe?
Acceptable stimulation methods include lightly flicking the soles of the feet or gently rubbing the newborn’s back. A brief trial of stimulation is recommended, but the emphasis is on brief. If the baby is still not breathing on his own, it is time to start breathing for him.
What is the recommended way to determine if a baby requires support?
Is the baby breathing or crying? What is the recommended way to determine if a baby requires supplemental oxygen in the delivery room? Place an oximeter sensor on the baby’s right hand or wrist and assess oxygen saturation. You have determined a baby needs resuscitation at birth.
What 3 signs are used to evaluate the effectiveness of your actions?
What is the ideal depth of chest compressions in a newborn?
Compression depth for a child is at least ⅓ the depth of the chest size, or 5 cm for a child and 4 cm for an infant.