Arab Board Pediatrics Clinical Exam Practice Questions - Arab Board Pediatrics Final Clinical And Oral Examination (ABHS) Exam

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A newborn remains bradycardic with a heart rate of 48 beats/min despite 30 seconds of effective positive-pressure ventilation via an endotracheal tube with confirmed bilateral chest expansion. What is the next immediate step in resuscitation?

Initiate chest compressions at a 3:1 ratio coordinated with ventilation and increase FiO2 to 100% Administer intravenous epinephrine 0.02 mg/kg through an umbilical venous catheter Give a normal saline volume expander bolus of 10 mL/kg over 5 minutes Continue positive-pressure ventilation alone with 21% room air for another 60 seconds

Correct Answer:

Initiate chest compressions at a 3:1 ratio coordinated with ventilation and increase FiO2 to 100%

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