After performing the initial steps of resuscitation, you assess a newborn and note that its respirations are poor and its pulse rate is 50 beats/min. You should:
A) immediately begin positive-pressure ventilations and chest compressions and then reassess the newborn's pulse rate in 30 seconds.
B) begin chest compressions if the heart rate remains below 60 beats/min after 30 seconds of effective positive-pressure ventilation.
C) begin chest compressions, insert an endotracheal tube, and administer 0.1 to 0.3 mL/kg of epinephrine 1:10,000 down the endotracheal tube.
D) perform tactile stimulation for 30 seconds, reassess the infant's respirations and pulse rate, and begin positive-pressure ventilations if there is no improvement.
Answer: B) begin chest compressions if the heart rate remains below 60 beats/min after 30 seconds of effective positive-pressure ventilation.
You might also like to view...
While visiting a family's home, the community health nurse finds that the two children in the home were exposed to chickenpox. Assessment of the children reveals no signs of fever or lesions
The nurse determines that the children are in which stage of the disease? A) Susceptibility B) Subclinical disease C) Clinical disease D) Resolution
A patient tells the nurse that his health plan is an HMO. In which decade did health care start to focus on health maintenance?
a. 1950s c. 1970s b. 1960s d. 1980s
A nursing student is discouraged and states, "I'll never be good at studying!" The most helpful remark another student could make would be
a. "For most students, study skills develop with organization, practice, and hard work." b. "For most students, study skills that were successful in high school are useful in nursing school." c. "For most students, study skills aren't really necessary if you listen carefully in class." d. "For most students, study skills depend on motivation to arrange adequate time to devote to learning."
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they are still in the hospital. Which statement by a parent reflects a readiness to learn?
1. "I'm so afraid I'll hurt my baby with all these tubes." 2. "I want to make sure my spouse is here, in case I don't hear everything that's said." 3. "When my baby is just a little bigger, I'll be able to handle him." 4. "You'll give us written instructions before we go home, correct?"