Neonatal Bradycardia: Recognizing and Managing Slow Heart Rate
Neonatal Bradycardia: Recognizing and Managing Slow Heart Rate
Questions
Which of the following is NOT a common cause of neonatal bradycardia?
- Hypoxia
- Sepsis
- Congenital heart disease
- Hyperthyroidism
What is the normal heart rate range for a newborn?
- 100-160 beats per minute (bpm)
- 120-180 bpm
- 140-200 bpm
- 160-220 bpm
What is the definition of neonatal bradycardia?
- Heart rate less than 100 bpm
- Heart rate less than 120 bpm
- Heart rate less than 140 bpm
- Heart rate less than 160 bpm
What are the signs and symptoms of neonatal bradycardia?
- Cyanosis
- Apnea
- Hypotension
- All of the above
What is the first-line treatment for neonatal bradycardia?
- Oxygen therapy
- Chest compressions
- Epinephrine
- Atropine
When should chest compressions be started in a neonate with bradycardia?
- If the heart rate is less than 60 bpm
- If the heart rate is less than 80 bpm
- If the heart rate is less than 100 bpm
- If the heart rate is less than 120 bpm
What is the recommended rate for chest compressions in a neonate?
- 90-120 compressions per minute
- 100-120 compressions per minute
- 120-150 compressions per minute
- 150-180 compressions per minute
What is the recommended depth for chest compressions in a neonate?
- 1/3 of the chest diameter
- 1/2 of the chest diameter
- 2/3 of the chest diameter
- 3/4 of the chest diameter
What is the recommended ratio of compressions to breaths in a neonate?
- 3:1
- 5:1
- 7:1
- 9:1
When should epinephrine be given in a neonate with bradycardia?
- If the heart rate is less than 60 bpm after 30 seconds of chest compressions
- If the heart rate is less than 80 bpm after 30 seconds of chest compressions
- If the heart rate is less than 100 bpm after 30 seconds of chest compressions
- If the heart rate is less than 120 bpm after 30 seconds of chest compressions
What is the recommended dose of epinephrine in a neonate with bradycardia?
- 0.01 mg/kg
- 0.03 mg/kg
- 0.1 mg/kg
- 0.3 mg/kg
When should atropine be given in a neonate with bradycardia?
- If the heart rate is less than 60 bpm after 30 seconds of chest compressions and epinephrine
- If the heart rate is less than 80 bpm after 30 seconds of chest compressions and epinephrine
- If the heart rate is less than 100 bpm after 30 seconds of chest compressions and epinephrine
- If the heart rate is less than 120 bpm after 30 seconds of chest compressions and epinephrine
What is the recommended dose of atropine in a neonate with bradycardia?
- 0.01 mg/kg
- 0.03 mg/kg
- 0.1 mg/kg
- 0.3 mg/kg
What is the prognosis for neonatal bradycardia?
- Good if treated promptly
- Poor if treated promptly
- Good if not treated promptly
- Poor if not treated promptly