Node Name

Video Name
Text to Show
Type
Perent (A)
Go to St
ep (A) Percent (B)
Go to Step (B) Text to add to Summary Wrong Answer Fee
dback
1-0
You are called to the delivery room in response to late fetal he
art rate decelerations. Movie_only
100
1-1
You are
called to the delivery room in response to late fetal heart rate decelerations.
1-1
1-1.mov
Movie_only
100
1-1BQ
1-1BQ
What is the first thing that you do?
Quiz_question
You were asked, What is the first thing that you do?
1-1BQ
Introduce your team to the parents and the obstetric team if del
ivery is not imminent or urgent.
Quiz_option
You answered, Introduce your team to the parents and the obstetric team if delive
ry is not imminent or urgent. Given that delivery is not imminent, it is reasonab
le to first take a few seconds to introduce your team to those in the room while
your colleague begins checking the presence and function of the radiant warmer
and resuscitation equipment. If time allows you may also ask the obstetrician ab
out the cause of the late decelerations.
Given that delivery is not immin
ent, it is reasonable to first take a few seconds to introduce your team to thos
e in the room while your colleague begins checking the presence and function of
the radiant warmer and resuscitation equipment. If time allows you may also ask
the obstetrician about the cause of the late decelerations.
1-1BQ
Check the presence and function of the radiant warmer and resusc
itation equipment.
Quiz_option_right
100
1-1C
You correctly answered, Check the presence and function of the radiant warmer and
resuscitation equipment. It is always important to check the presence and functi
on of the radiant warmer and resuscitation equipment. In this instance delivery
is not imminent, and as you check equipment your colleague should take a few mom
ents to introduce your team to those in the room and ask the obstetrician about
the cause of the late decelerations.
1-1BQ
Document the time of your arrival at the delivery in the medical
record Quiz_option
You answered, Document th
e time of your arrival at the delivery in the medical record. While important, th
is should be done after the resuscitation is complete. While important, this sh
ould be done after the resuscitation is complete.
1-1BQ
Ask the obstetrician about the cause of the late decelerations.
Quiz_option
You answered, Ask the obstetricia
n about the cause of the late decelerations. While it is important to know the ca
use of the late decelerations, checking the presence and function of the radiant
warmer and resuscitation equipment is the highest priority.
While it is impo
rtant to know the cause of the late decelerations, checking the presence and fun
ction of the radiant warmer and resuscitation equipment is the highest priority.
1-1C
1-1C.mov
Movie_only
100
1-2
1-2
1-2.mov
Movie_only
100
1-3Q
1-3Q
At this time what do you do?
Quiz_question
You were asked, At this point what do you do?
1-3Q
Provide ongoing evaluation of breathing, heart rate, activity an
d color.
Quiz_option_right
100
1-5
You corr
ectly answered, Provide ongoing evaluation of breathing, heart rate, activity and
color. The newborn was floppy and came to the radiant warmer where the team prov
ided initial steps of resuscitation. The newborn was breathing and had a heart r
ate of 120 bpm. The newborn requires continuing evaluation as she makes progress
to a normal transition.
1-3Q
Suction the nasopharynx, oropharynx and stomach.
Quiz_opt
ion
You answered, Suction the nasopharynx, or
opharynx and stomach. Suctioning is indicated only when the airway is obstructed
(by secretions or meconium) or when PPV is required. There is no history of meco
nium-stained amniotic fluid nor evidence of airway obstruction. This baby has ef
fective spontaneous respirations and is vigorous. Routine suctioning of the stom
ach is not recommended. Suctioning is indicated only when the airway is obstruct

ed (by secretions or meconium) or when PPV is required. There is no history of m

econium-stained amniotic fluid nor evidence of airway obstruction.. This baby ha
s effective spontaneous respirations and is vigorous. Routine suctioning of the
stomach is not recommended
1-3Q
Deliver 100% oxygen by cannula Quiz_option
You answered, Deliver 100% oxygen by cannula. Even healthy newborns require severa
l minutes to achieve normal hemoglobin oxygen saturations and pink up , therefore s
upplemental oxygen is not required.
Even healthy newborns require several mi
nutes to achieve normal hemoglobin oxygen saturations and pink up , therefore suppl
emental oxygen is not required.
1-3Q
Provide a verbal update to the parents Quiz_option
You answered, Provide a verbal update to the parents. While this is an important t
ask, it can be delayed until a later point in time.
While this is an importa
nt task, it can be delayed until a later point in time.
1-5
1-5.mov
Movie_only
100
1-7Q
1-7Q
At this time the neonatal nurse should: Quiz_question
You were asked, At this time the neonatal nurse should:
1-7Q
Suction the oropharynx and nasopharynx in preparation for delive
ry of oxygen
Quiz_option
You answered, Suc
tion the oropharynx and nasopharynx in preparation for delivery of oxygen. Suctio
ning is indicated only when the airway is obstructed (by secretions or meconium)
or when PPV is required. Even healthy newborns require several minutes to achie
ve normal hemoglobin oxygen saturations and pink up , therefore supplemental oxygen
is not required.
Suctioning is indicated only when the airway is obstruct
ed (by secretions or meconium) or when PPV is required. Even healthy newborns re
quire several minutes to achieve normal hemoglobin oxygen saturations and pink up ,
therefore supplemental oxygen is not required..
1-7Q
Administer 100% oxygen by face mask
Quiz_option
You answered, Administer 100% oxygen by face mask. Even healthy newborns require s
everal minutes to achieve normal hemoglobin oxygen saturations and pink up , theref
ore supplemental oxygen is not required.
Even healthy newborns require se
veral minutes to achieve normal hemoglobin oxygen saturations and pink up , therefo
re supplemental oxygen is not required.
1-7Q
Administer 100% oxygen by CPAP Quiz_option
You answered, Administer 100% oxygen by CPAP. This patient is not manifesting resp
iratory distress, therefore CPAP is not required. Even healthy newborns require
several minutes to achieve normal hemoglobin oxygen saturations and pink up , there
fore supplemental oxygen is not required.
This patient is not manifesting
respiratory distress, therefore CPAP is not required. Even healthy newborns requ
ire several minutes to achieve normal hemoglobin oxygen saturations and pink up , t
herefore supplemental oxygen is not required.
1-7Q
Question the need for oxygen
Quiz_option_right
100
1-7
You correctly answered, Question the need for oxygen. In t
his instance the nurse knows the correct indications for delivery of oxygen, ass
umes the leadership role, and communicates this information effectively to the p
hysician. The physician utilizes all available information (including that comin
g from the nurse) and the correct patient care decision is made.
1-7
1-7.mov
Movie_only
100
1-8
1-8
1-8.mov
Movie_only
100
1-9
1-9
end