 | Brain Food is a project to drip feed clinical knowledge (in the form of mock SAQs) to satisfy those hungry neurons. Sources are SA/NT Trial Exam 2021.2 and Monash 2022.1. Answers are prone to ageing. Leave a comment if you don't understand or something doesn't seem right... PS we don't use the mock questions uploaded to ACEMs official mocks |
A 26 year old lady presents to your department in the advanced stages of labour and delivers in your resus room. Your colleague manages the delivery and your role is to take care of the newborn.
Your colleague cuts the umbilical cord and hands you the newborn immediately post delivery. On initial assessment the newborn is floppy and blue.
Your colleague cuts the umbilical cord and hands you the newborn immediately post delivery. On initial assessment the newborn is floppy and blue.
1. What are your immediate actions?
- Open airway
- Stimulate with drying
- Ensure normothermia
2. Following your actions, the newborn has a heart rate of 110BPM but remains cyanosed with gasping respirations. What is your next management step?
Positive pressure ventilation with air
3. Despite the management above the newborn now has a heart rate of 45BPM. Outline your management.
- Chest compression 3:1 (need ratio for the mark)
- Increase FiO2 to 100%
- Prepare to intubate
- Establish access (umibilical/IO)
- Adrenaline 10-30microg/kg
4. In assessing a newborn, when is an APGAR score calculated and what are its components?
Assessed at 1 minute and 5 minutes.
- Activity
- Pulse
- Grimace
- Appearance
- Respiration
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