A laboring woman received a narcotic medication for pain relief 1 hour before delivery.The baby does not have spontaneous respirations and does not improve with stimulation.Your first priority is to ✓Ans- Start positive-pressure ventilation During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing heart rate. Her heart rate and oxygen saturation suddenly worsen.She has decreased breath sounds on the left side and transillumination also reveals a bright glow on the left side.What is the most likely cause of this distress? ✓Ans- Left-sided pneumothorax Which of the following is true about the preparation and resources needed for a very preterm birth? ✓Ans- Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat. Which of the following may be associated with delayed cord clamping in vigorous preterm newborns? ✓Ans- Decreased need for blood transfusions For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous epinephrine is indicated? ✓Ans- 0.1 mL A baby required ventilation and chest compressions. After 60 seconds of chest compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next action? ✓Ans- Stop chest compressions; continue positive-pressure ventilation. How soon after administration of intravenous epinephrine should you pause compressions and reassess the baby's heart rate? ✓Ans- 1 minute What is the preferred method for assessing heart rate during chest compressions? ✓Ans- Electronic cardiac (ECG) monitoring A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side than the left side of the chest. Which of the following is a common cause of asymmetric breath sounds in an intubated baby? ✓Ans- Endotracheal tube inserted too deep If a preterm birth is anticipated, at what temperature should the room be set? ✓Ans- 23ºC to 25ºC (74° F - 77° F) After chest compressions with coordinated ventilations are started, the heart rate should be assessed: ✓Ans- After 60 seconds In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn? ✓Ans- The newborn's parents You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120 beats per minute and the oxygen saturation is 90% in room air. The baby's respirations are labored. Which of the following is an appropriate action? ✓Ans- Administer CPAP at 5 cm H20 pressure You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. Resuscitation has been completed and the baby is ready to be transported to the neonatal intensive care unit. Which of the following is a true statement about the baby's subsequent care? ✓ Ans- Monitor blood glucose levels because of the risk of hypoglycemia after birth. What time frame should be used to administer intravenous epinephrine? ✓Ans- Rapid push, as quickly as possible When are chest compressions indicated? ✓Ans- When the heart rate remains less than 60 beats per minute after 30 seconds of positive-pressure ventilation that moves the chest, preferably through an alternative airway.