TEP Pediatria Practice Questions - TEP - Título De Especialista Em Pediatria (Sociedade Brasileira De Pediatria AMB) Exam

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A newborn born at 39 weeks of gestation presents with apnea and hypotonia at birth. The clinician provides initial steps under a radiant warmer (warm, dry, position head, clear secretions if needed) within 30 seconds. At the 30-second assessment, the infant remains in gasping respiration with a heart rate of 70 bpm. According to PRN-SBP guidelines, what is the immediate next step?

Initiate positive pressure ventilation (PPV) with room air (21% O2) using a T-piece resuscitator or self-inflating bag with mask and connect a pulse oximeter Initiate chest compressions synchronized with ventilation at a 3:1 ratio using 100% oxygen Provide free-flow supplemental oxygen at 10 L/min via mask held close to the face Administer intravenous epinephrine 0.02 mg/kg via emergency umbilical venous catheter

Correct Answer:

Initiate positive pressure ventilation (PPV) with room air (21% O2) using a T-piece resuscitator or self-inflating bag with mask and connect a pulse oximeter

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