NEONATAL RESUSCITATION PROGRAM- NRP
5 INITIAL STEPS OF NEWBORN CARE
1. Provide warmth
2. Position head and neck to open airway
3. Clear secretions if necessary
4. Dry baby
5. Stimulate
**Establishing Effective Ven
...
NEONATAL RESUSCITATION PROGRAM- NRP
5 INITIAL STEPS OF NEWBORN CARE
1. Provide warmth
2. Position head and neck to open airway
3. Clear secretions if necessary
4. Dry baby
5. Stimulate
**Establishing Effective Ventilation of the baby’s
lungs is the MOST IMPORTANT and effective action
during resuscitation
4 QUESTIONS TO ASK BEFORE EVERY BIRTH
1. What is expected gestational age
2. Is the amniotic fluid clear
3. How many babies are expected
4. Are there any additional risk factors
RAPID EVALUATION FOR ALL NEWBORNS IS
REQUIRED—ASK IF THE BABY IS:
1. Term?
2. Tone? (Healthy babies should be active and flex
extremities)
3. Breathing/Crying? (Gasping is a sign of severely
impaired gas exchange)**If the answer is NO to any of these, the newborn
should be brought to the radiant warmer for the initial
steps of newborn care
Fetal lungs do not participate in gas exchange but are
expanded—alveoli is filled with fluid, NOT air but are
still expanded—pulmonary vessels are tightly
constricted
Oxygenated fetal blood leaves placenta through
umbilical vein—there is 1 vein, 2 arteries in the
umbilicus
Opening in atrium is a Patent Foramen Ovale-most
blood bypasses lungs through the foramen OR flows
from pulmonary artery into aorta through ductus
arteriosis
Right to left shunting is when blood follows a
circulation path and bypasses the lungs
Oligohydramnios- deficiency of amniotic fluid
Polyhydramnios- excessive amniotic fluid
Fetal hydrops- serious condition defined as abnormal
accumulation of fluid in 2 or more compartments
including ascites, pleural effusion, pericardial effusion,
and skin edemaChorioamnionitis- inflammation of the fetal membranes
(amnion and chorion) due to a bacterial infectionBacteria ascends from the vagina into the uterus usually
caused by prolonged labor
Newborns usually require resuscitation because of a
problem with respiration leading to inadequate gas
exchange
[Show More]