Lesson 3 Review

1. Flow-inflating bags (will) (will not) work without a compressed gas source.
2. A baby is born apneic and cyanotic. You clear her airway and stimulate her.
Thirty seconds after birth, she has not improved. The next step is to
(stimulate her more) (begin positive-pressure ventilation).
3. The single most important and most effective step in neonatal
resuscitation is (stimulation) (ventilating the lungs).
4. Label these bags flow-inflating, self-inflating, or T-piece resuscitator.

5. Masks of different sizes (do) (do not) need to be available at every delivery.
6. Self-inflating bags require the attachment of a(n)_______________ to deliver
a high concentration of oxygen.
7. T-piece resuscitators (will) (will not) work without a compressed gas source.
8. Neonatal ventilation bags are (much smaller than) (the same size as) adult
ventilation bags.
9. List the principal safety feature for each of the following devices:
Self-inflating bag: ___________ and ______________
Flow-inflating bag: ____________________________
T-piece resuscitator: __________ and _____________
10. Free-flow oxygen can be delivered reliably through the mask attached to
a (flow-inflating bag) (self-inflating bag) (T-piece resuscitator).
11. When giving free-flow oxygen with a flow-inflating bag and mask, it is
necessary to place the mask (securely) (loosely) on the babys face to allow
some gas to escape around the edges of the mask.
12. Before an anticipated resuscitation, the ventilation device should be
connected to a(n) ____________, which enables you to provide oxygen in any
concentration, from room air up to 100% oxygen.

13. Resuscitation of the term newborn may begin with ___________% oxygen.
The inspired oxygen concentration used during resuscitation is guided by the
use of a(n) _____________, which measures oxygen saturation.
14. Which baby is positioned properly for positive-pressure ventilation?

15. Which illustration(s) shows the correct position for assisting positivepressure ventilation?

16. You must hold the resuscitation device so that you can see the
newborns __________________ and ____________________.
17. An anatomically shaped mask should be positioned with the
(pointed) (rounded) end over the newborns nose.
18. If you notice that the babys chest looks as if he is taking deep
breaths, you are (overinflating) (underinflating) the lungs, and it is
possible that a pneumothorax may occur.
19. When ventilating a baby, you should provide positive-pressure
ventilation at a rate of ______________ to _____________ breaths

per minute.
20. Begin positive-pressure ventilation with an initial inspiratory
pressure of ___ cm H2O.
21. MR SOPA stands for:
M __________________
R __________________
S __________________
O __________________
P __________________
A __________________
22. Your assistant assesses effectiveness of positive-pressure ventilation
by first assessing the __________ and _________ along with
listening for _____________ _______________. If these signs are
not acceptable, you should look for __________ movement.
23. Which mask is correctly placed on the newborns face?

24. You have started positive-pressure ventilation on an apneic

newborn. The heart rate is not rising, oxygen saturation is not
improving, and your assistant does not hear bilateral breath sounds.
List 3 possibilities of what may be wrong.
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
25. If, after performing the ventilation corrective sequence and making

appropriate adjustments, you are unable to obtain a rising heart

rate or bilateral breath sounds or see chest movement with positivepressure
ventilation, you usually will have to insert a(n)
_____________________ or a(n) ________________________.
26. You have administered positive-pressure ventilation (with bilateral
breath sounds and chest movement) for 30 seconds. What do you
do if the babys heart rate is now
Below 60 beats per minute? ____________________________
More than 60 beats per minute and less than 100 beats per
minute but steadily improving with effective positive-pressure
ventilation? ____________________________
More than 60 beats per minute and less than 100 beats per
minute and not improving with effective positive-pressure
ventilation? ________________________________
27. Assisted ventilation may be discontinued when
1. _____________________________________________
2. _____________________________________________
28. If you must continue positive-pressure ventilation with a mask for
more than several minutes, a(n) ___________________________
should be inserted to act as a vent for the gas in the stomach during
the remainder of the resuscitation.
29. How far should this orogastric catheter be inserted? ________ cm