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Neonatal Intubation Protocol Quiz

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Questions and Answers

What is the UN10 rule used for in the context of resuscitation?

To determine the duration of CPR

To assess the need for intubation in resuscitation

To predict survival in resuscitation attempts (correct)

To guide the use of mechanical compression devices

What did the 2020 guidelines recommend regarding the use of the UN10 rule?

Advised using it in combination with the ABCD rule

Recommended using it for all resuscitation attempts

Strongly recommended against using it as the sole strategy for stopping resuscitation (correct)

Suggested using it as the primary decision-making tool

What is the ETCO2 threshold that may be used to inform a multimodal decision to terminate resuscitation in intubated patients?

>20 mmHg

<10 mmHg

<20 mmHg

>10 mmHg (correct)

What did the October 2021 guidance recommend regarding the use of personal protective equipment (PPE) in resuscitative attempts for suspected or confirmed COVID-19 cases?

Not delaying chest compressions or defibrillation to don provider PPE (C) Signup and view all the answers

What did the AHA align with in terms of considering all components of resuscitation to be aerosol-generating?

World Health Organization and the Center for Disease Control and Prevention (B) Signup and view all the answers

What did the AHA recommend as a strategy to reduce provider exposure to COVID-19 during resuscitative attempts?

Don appropriate PPE prior to performing any resuscitative attempts (A) Signup and view all the answers

What did the AHA recommend regarding the use of mechanical compression devices if available and personnel are already trained?

Consider using them (A) Signup and view all the answers

What did the AHA recommend for intubated patients at the time of cardiac arrest?

Leave on mechanical ventilation with appropriate adjusted settings with a HEPA filter (C) Signup and view all the answers

What is the recommended approach for intubation in nonvigorous newborns delivered through meconium-stained amniotic fluid?

Laryngoscopy with or without tracheal suctioning (C) Signup and view all the answers

When is endotracheal suctioning indicated for nonvigorous newborns delivered through meconium-stained amniotic fluid?

If airway obstruction is suspected after positive pressure ventilation (D) Signup and view all the answers

What is the preferred vascular access for the delivery of IV medications in newborns?

Umbilical vein (A) Signup and view all the answers

How many individuals capable of performing newborn resuscitation should be present at every birth?

At least 1 (B) Signup and view all the answers

When can termination of resuscitation be considered for newborns who have not responded to resuscitation efforts?

After 20 minutes (C) Signup and view all the answers

What is the recommended class and level of evidence for routine laryngoscopy with or without tracheal suctioning in nonvigorous newborns delivered through meconium-stained amniotic fluid?

Class 3, LOE C-LD (D) Signup and view all the answers

What is the recommended approach if meconium is visible in the airway of a nonvigorous newborn?

Laryngoscopy with or without tracheal suctioning (D) Signup and view all the answers