355 Index A abdominal wall defects, 259–261 abnormal transition to neonatal circulation, 7 acute tubular necrosis (ATN), 238 adhesive tape, 124 air. See also oxygen collection around lung, 247–249 compressed, 49 airway access and, 285 alternative, 84, 294, 298, 302 anatomic landmarks in neonatal, 122–123, 130–133 clearing of, 41, 42–43 beyond the immediate newborn period, 298 in the neonatal intensive care unit (NICU), 302 outside the hospital, 292 CPAP for, 51 initial cries and deep breaths clearing, 4 in NRP Algorithm, 9 obstruction of, 251–254 outside the hospital, 294 positioning of newborn for open, 40, 42 alternative airways, 84, 294, 298, 302 alveoli, 4–5, 80 American Academy of Pediatrics (AAP), 295–296 American Medical Association (AMA) Code of Medical Ethics, 271 amniotic fluid, meconium-stained, 52 anaerobic metabolism, 237 anatomic masks, 77-78 anemia, fetal, 189 aorta, 5, 6 Apgar score, 191–192 apnea, 9, 238 due to vigorous suctioning, 44 evaluation of, 44 as indication for PPV, 75 monitoring preterm newborns for, 225 ascites, 249 ATN. See acute tubular necrosis (ATN) atria, 5, 6 autonomy, 268 B beneficence, 268 birth. See also delivery anticipating the need for resuscitation before every, 15 changes following, 4–7 counseling parents before extremely preterm, 227–228 delayed transition, 36–37 emergency cesarean, 182 evaluation of newborn immediately after, 38–39 home, 291 AAP position on, 295–296 perinatal risk factors and, 14, 15 postnatal care after, 232–234 preterm, 217 questions to ask before every, 15–16 receipt of oxygen before, 4–5 time of, 37 uncomplicated, 35–36 blood glucose monitoring, 225, 237 bradycardia, 9, 182 due to vigorous suctioning, 44 monitoring preterm newborns for, 225 pneumothorax and, 247–248 prolonged, 192 breastfeeding, 238, 297 breathing assessing heart rate with, 44–45 CPAP for labored, 89 cyanosis despite, 45 in newborn evaluation, 39 in NRP Algorithm, 9 positioning for assisting, 285 spontaneous, 89, 221 bulb syringe, 38 need for, 54 C carbon dioxide detector, 162 endotracheal intubation and, 120, 124, 135–137, 172 positive-pressure ventilation (PPV) and, 86 cardiac arrest, 3 cardiac monitoring, 45, 47, 120 during chest compressions, 168 CARDIO, 169 carina, 123 CDH. See congenital diaphragmatic hernia (CDH) cesarean birth, emergency, 182, 232, 246 chest compressions, 3, 160–162 beyond the immediate newborn period, 298 coordinated with PPV, 166–167 oxygen concentration in, 167 depth of, 165–166 endotracheal tube and, 145 heart rate and, 167–169 heart rate not improving after 60 seconds of, 168–169 in late preterm newborn that does not respond to effective ventilation, 162–163 medications with, 182–183 in the neonatal intensive care unit (NICU), 303 outside the hospital, 294 positioning of hands during, 165 potential complications of, 171 practice scenario, 174–178 process and outcome measures, 170–171 purpose of, 163 quality improvement, 170–171 rate of, 166 team members skilled at, 16–17 teamwork, 169–170 3:1 compression-to-ventilation ratio, 171 unnecessary, 164 when to begin, 163–164 when to stop, 168 where to stand to administer, 164 Index-NRP-355-366.indd 355 5/12/21 9:44 AM
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