Interactive Ready for Review: Interactivities

The phase lasts from the first few minutes to the first hours after birth. The %%1%% phase is a period of great physiologic change.

More than 90% of newborns breathe spontaneously without any advanced interventions. About 10% of newborns require some assistance, and 1% of newborns require advanced resuscitation techniques.

Certain factors such as maternal diabetes, hypertension, and drug use can increase the chance that the newborn will require resuscitation.

If you suspect that the newborn will need resuscitation, have all of the equipment open and ready for use.

Keep all newborns warm to maintain their body heat.

Three criteria are used to assess the need for further resuscitation in newborns--, heart rate, and color.

If the newborn's breathing is slow, absent, or inadequate or if the newborn's heart rate is below 100 beats/min, begin ventilations with a BVM device and 100% oxygen at a rate of 40 to 60 breaths/min.

If the newborn's condition remains unchanged, consider medications that may help in resuscitation.

The is designed to measure the degree of fetal transition or the success of resuscitation. Most healthy newborns will have a score of 7 or 8 at 1 minute and a score of 8 to 10 at 5 minutes. The %%3%% is not used to determine the need for or extent of resuscitation.

Special considerations in newborn resuscitation include meconium staining and aspiration, hypothermia, diaphragmatic hernia, twins, newborns with fetal alcohol syndrome, and fetal death.

A newborn needs special care and resuscitation to survive.