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Neonatal Bradycardia: Recognizing and Managing Slow Heart Rate

Description: Neonatal Bradycardia: Recognizing and Managing Slow Heart Rate
Number of Questions: 14
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Tags: neonatal health neonatal bradycardia slow heart rate
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Which of the following is NOT a common cause of neonatal bradycardia?

  1. Hypoxia

  2. Sepsis

  3. Congenital heart disease

  4. Hyperthyroidism

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Correct Option: D
Explanation:

Hyperthyroidism is not a common cause of neonatal bradycardia.

What is the normal heart rate range for a newborn?

  1. 100-160 beats per minute (bpm)

  2. 120-180 bpm

  3. 140-200 bpm

  4. 160-220 bpm

Show answer
Correct Option: B
Explanation:

The normal heart rate range for a newborn is 120-180 bpm.

What is the definition of neonatal bradycardia?

  1. Heart rate less than 100 bpm

  2. Heart rate less than 120 bpm

  3. Heart rate less than 140 bpm

  4. Heart rate less than 160 bpm

Show answer
Correct Option: B
Explanation:

Neonatal bradycardia is defined as a heart rate less than 120 bpm.

What are the signs and symptoms of neonatal bradycardia?

  1. Cyanosis

  2. Apnea

  3. Hypotension

  4. All of the above

Show answer
Correct Option: D
Explanation:

The signs and symptoms of neonatal bradycardia include cyanosis, apnea, and hypotension.

What is the first-line treatment for neonatal bradycardia?

  1. Oxygen therapy

  2. Chest compressions

  3. Epinephrine

  4. Atropine

Show answer
Correct Option: A
Explanation:

Oxygen therapy is the first-line treatment for neonatal bradycardia.

When should chest compressions be started in a neonate with bradycardia?

  1. If the heart rate is less than 60 bpm

  2. If the heart rate is less than 80 bpm

  3. If the heart rate is less than 100 bpm

  4. If the heart rate is less than 120 bpm

Show answer
Correct Option: A
Explanation:

Chest compressions should be started in a neonate with bradycardia if the heart rate is less than 60 bpm.

What is the recommended rate for chest compressions in a neonate?

  1. 90-120 compressions per minute

  2. 100-120 compressions per minute

  3. 120-150 compressions per minute

  4. 150-180 compressions per minute

Show answer
Correct Option: C
Explanation:

The recommended rate for chest compressions in a neonate is 120-150 compressions per minute.

What is the recommended depth for chest compressions in a neonate?

  1. 1/3 of the chest diameter

  2. 1/2 of the chest diameter

  3. 2/3 of the chest diameter

  4. 3/4 of the chest diameter

Show answer
Correct Option: A
Explanation:

The recommended depth for chest compressions in a neonate is 1/3 of the chest diameter.

What is the recommended ratio of compressions to breaths in a neonate?

  1. 3:1

  2. 5:1

  3. 7:1

  4. 9:1

Show answer
Correct Option: A
Explanation:

The recommended ratio of compressions to breaths in a neonate is 3:1.

When should epinephrine be given in a neonate with bradycardia?

  1. If the heart rate is less than 60 bpm after 30 seconds of chest compressions

  2. If the heart rate is less than 80 bpm after 30 seconds of chest compressions

  3. If the heart rate is less than 100 bpm after 30 seconds of chest compressions

  4. If the heart rate is less than 120 bpm after 30 seconds of chest compressions

Show answer
Correct Option: A
Explanation:

Epinephrine should be given in a neonate with bradycardia if the heart rate is less than 60 bpm after 30 seconds of chest compressions.

What is the recommended dose of epinephrine in a neonate with bradycardia?

  1. 0.01 mg/kg

  2. 0.03 mg/kg

  3. 0.1 mg/kg

  4. 0.3 mg/kg

Show answer
Correct Option: C
Explanation:

The recommended dose of epinephrine in a neonate with bradycardia is 0.1 mg/kg.

When should atropine be given in a neonate with bradycardia?

  1. If the heart rate is less than 60 bpm after 30 seconds of chest compressions and epinephrine

  2. If the heart rate is less than 80 bpm after 30 seconds of chest compressions and epinephrine

  3. If the heart rate is less than 100 bpm after 30 seconds of chest compressions and epinephrine

  4. If the heart rate is less than 120 bpm after 30 seconds of chest compressions and epinephrine

Show answer
Correct Option: A
Explanation:

Atropine should be given in a neonate with bradycardia if the heart rate is less than 60 bpm after 30 seconds of chest compressions and epinephrine.

What is the recommended dose of atropine in a neonate with bradycardia?

  1. 0.01 mg/kg

  2. 0.03 mg/kg

  3. 0.1 mg/kg

  4. 0.3 mg/kg

Show answer
Correct Option: B
Explanation:

The recommended dose of atropine in a neonate with bradycardia is 0.03 mg/kg.

What is the prognosis for neonatal bradycardia?

  1. Good if treated promptly

  2. Poor if treated promptly

  3. Good if not treated promptly

  4. Poor if not treated promptly

Show answer
Correct Option: A
Explanation:

The prognosis for neonatal bradycardia is good if treated promptly.

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