CPR Pediatric and Neonatal Resuscitation 2 — Questions and Answers
Question 1: A neonate is born at 36 weeks gestation and is apneic after initial stimulation. What is the correct initial ventilation rate using a bag-mask device?
- 20-25 breaths/min
- 30-35 breaths/min
- 40-60 breaths/min (Correct answer)
- 60-80 breaths/min
Correct answer: 40-60 breaths/min
Neonatal positive pressure ventilation should be delivered at 40-60 breaths per minute to achieve adequate chest rise.
Question 2: In pediatric resuscitation, which IV/IO fluid bolus volume is recommended for a child in hypovolemic shock?
- 5 mL/kg
- 10 mL/kg
- 20 mL/kg (Correct answer)
- 40 mL/kg
Correct answer: 20 mL/kg
Initial isotonic fluid bolus for pediatric hypovolemic shock is 20 mL/kg of normal saline or lactated Ringer's, repeated as needed.
Question 3: During neonatal resuscitation, chest compressions are indicated when the heart rate remains below what threshold despite 30 seconds of adequate PPV?
- 40 bpm
- 60 bpm (Correct answer)
- 80 bpm
- 100 bpm
Correct answer: 60 bpm
Neonatal chest compressions begin when the heart rate is below 60 bpm after 30 seconds of effective positive pressure ventilation.
Question 4: A 4-year-old child in cardiac arrest has a shockable rhythm. What is the correct initial defibrillation dose?
- 0.5 J/kg
- 1 J/kg
- 2 J/kg (Correct answer)
- 4 J/kg
Correct answer: 2 J/kg
The initial defibrillation dose for pediatric VF/pVT is 2 J/kg, with subsequent doses at 4 J/kg.
Question 5: In the Pediatric Assessment Triangle (PAT), which three components are evaluated?
- Airway, Breathing, Circulation
- Appearance, Work of breathing, Circulation to skin (Correct answer)
- Mental status, Perfusion, Oxygen saturation
- Heart rate, Respiratory rate, Blood pressure
Correct answer: Appearance, Work of breathing, Circulation to skin
The PAT evaluates Appearance (tone, interactivity, consolability, gaze, speech), Work of Breathing, and Circulation to skin.
Question 6: A newborn requires epinephrine during resuscitation. What is the correct IV/IO dose?
- 0.001-0.003 mg/kg of 1:1,000
- 0.01-0.03 mg/kg of 1:10,000 (Correct answer)
- 0.1-0.3 mg/kg of 1:10,000
- 0.5 mg/kg of 1:10,000
Correct answer: 0.01-0.03 mg/kg of 1:10,000
The neonatal epinephrine IV/IO dose is 0.01-0.03 mg/kg (0.1-0.3 mL/kg) of 1:10,000 concentration.
Question 7: Which finding in a pediatric patient most strongly indicates impending respiratory failure requiring immediate intervention?
- Mild tachycardia
- Nasal flaring only
- Head bobbing with each breath (Correct answer)
- Occasional expiratory wheezing
Correct answer: Head bobbing with each breath
Head bobbing is a sign of severe respiratory distress in infants, indicating use of accessory neck muscles and impending failure.
CPR Pediatric and Neonatal Resuscitation 2
A neonate is born at 36 weeks gestation and is apneic after initial stimulation.
What is the correct initial ventilation rate using a bag-mask device?