Back to AI Flashcard MakerNursing /RT134 NRP Ch. 5 Flashcards
A newborn has been receiving face-mask ventilation, but is not improving. Despite performing the first 5 ventilation corrective steps, the HR is not rising and there is poor chest movement. An alternative airway, such as an endotracheal tube or laryngeal mask, (Should)/(Should not) be inserted immediately
Should
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Key Terms
Term
Definition
A newborn has been receiving face-mask ventilation, but is not improving. Despite performing the first 5 ventilation corrective steps, the HR is not rising and there is poor chest movement. An alternative airway, such as an endotracheal tube or laryngeal mask, (Should)/(Should not) be inserted immediately
Should
For babies weighing less than 1,000 g, the endotracheal tube size should be (2.5mm)/(3.5mm).
2.5mm
If using the stylet, the tip of the stylet (must)/(must not) extend beyond the endotracheal tube’s side and end holes.
Must not
The preferred laryngoscope blade size for use in a term newborn is (No.1)/(No.0)
No.1
The vocal cord guide on an endotracheal tube (does)/(does not) reliably predict the correct insertion depth.
Does not
Both right and left handed people should hold the laryngoscope in their (right)/(left) hand.
Left Hand
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| Term | Definition |
|---|---|
A newborn has been receiving face-mask ventilation, but is not improving. Despite performing the first 5 ventilation corrective steps, the HR is not rising and there is poor chest movement. An alternative airway, such as an endotracheal tube or laryngeal mask, (Should)/(Should not) be inserted immediately | Should |
For babies weighing less than 1,000 g, the endotracheal tube size should be (2.5mm)/(3.5mm). | 2.5mm |
If using the stylet, the tip of the stylet (must)/(must not) extend beyond the endotracheal tube’s side and end holes. | Must not |
The preferred laryngoscope blade size for use in a term newborn is (No.1)/(No.0) | No.1 |
The vocal cord guide on an endotracheal tube (does)/(does not) reliably predict the correct insertion depth. | Does not |
Both right and left handed people should hold the laryngoscope in their (right)/(left) hand. | Left Hand |
You should try to take no longer than (30)/(60) seconds to complete the endotracheal intubation procedure. | 30 Seconds |
If you have not completed endotracheal intubation within the recommended time limit, you should (continue the intubation attempt for another 30 seconds using free-flow oxygen to support the baby)/(Stop, resume positive-pressure ventilation with a mask, then try again or insert a laryngeal mask). | Stop, resume positive-pressure ventilation with a mask, then try again or insert a laryngeal mask |
You have inserted an endotracheal tube and are giving positive-pressure ventilation through it. The CO2 detector does not change color and the baby’s heart rate is decreasing. The tube is most likely placed in the (esophagus)/(trachea). | Esophagus |
You inserted an ETT and the CO2 detector changed color when you gave positive-pressure breaths. You hear breath sounds with your stethoscope only on the right side of the chest. You should (withdraw)/(advance) the tube slightly and listen with the stethoscope again. | Withdraw |
A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation. You are unable to achieve a seal with bag and mask. You have tried to intubate twice but have not been successful. Insertion of a laryngeal mask (is)/(is not) indicated | Is indicated |
If a baby’s condition worsens after endotracheal intubation, list 4 possible causes. | Displaced endotracheal tube; Obstructed endotracheal tube; Pneumothorax; Equipment failure |