Neonatal Resuscitation

Chapter 3 Neonatal Resuscitation




1. Although the Apgar score is useful for describing the status of the newborn after delivery, it is not used for decision making during resuscitation. The primary reason is that the Apgar score is:


A. a subjective scoring tool.

B. not assessed until 1 minute of age.

C. influenced by the ethnicity of the patient.

D. influenced by interventions and gestational age.

2. Following the birth of an infant through “pea soup” meconium, what would be the appropriate first steps if the infant appears vigorous?


A. Place the infant on the mother’s chest and dry the infant.

B. Intubate and suction the trachea because of the pea soup meconium.

C. Place the infant on the radiant warmer, dry, stimulate, and clear the airway.

D. Place the infant on the radiant warmer and begin positive pressure ventilation.

3. An infant is born at 39 weeks’ gestation. He is cyanotic, is grunting, and has a barrel chest and scaphoid abdomen. Upon auscultation, the nurse hears bowel sounds in the left side of his chest. Breath sounds are diminished. Based on this assessment, this infant is most likely to have:


A. a left pneumothorax.

B. a tracheoesophageal fistula.

C. meconium aspiration syndrome.

D. a congenital diaphragmatic hernia.

4. If the intestines have herniated up into the chest cavity, what is the most effective intervention to treat respiratory distress?


A. High-flow nasal cannula
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Jul 11, 2016 | Posted by in NURSING | Comments Off on Neonatal Resuscitation

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