Node Name Video Name Text to Show Type Perent (A) Go to Step (A) Percent (B) Go to Step (B) Text to add to Summary Wrong Answer Feedback1-0 You are called to the delivery room in response to late fetal heart 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 1-1BQ1-1BQ What is the first thing that you do? Quiz_questionYou were asked, What is the first thing that you do?1-1BQ Introduce your team to the parents and the obstetric team if delivery is not imminent or urgent. Quiz_optionYou answered, Introduce your team to the parents and the obstetric team if delivery is not imminent or urgent. Given that delivery is not imminent, it is reasonable 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 about the cause of the late decelerations. Given that delivery is not imminent, it is reasonable 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 about the cause of the late decelerations.1-1BQ Check the presence and function of the radiant warmer and resuscitation equipment. Quiz_option_right 100 1-1CYou correctly answered, Check the presence and function of the radiant warmer and resuscitation equipment. It is always important to check the presence and function 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 moments 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 the time of your arrival at the delivery in the medical record. While important, this should be done after the resuscitation is complete. While important, this should 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 obstetrician about the cause of the late decelerations. While it is important to know the cause of the late decelerations, checking the presence and function of the radiant warmer and resuscitation equipment is the highest priority. While it is important to know the cause of the late decelerations, checking the presence and function of the radiant warmer and resuscitation equipment is the highest priority. 1-1C 1-1C.mov Movie_only 100 1-21-2 1-2.mov Movie_only 100 1-3Q1-3Q At this time what do you do? Quiz_questionYou were asked, At this point what do you do?1-3Q Provide ongoing evaluation of breathing, heart rate, activity and color. Quiz_option_right 100 1-5 You correctly answered, Provide ongoing evaluation of breathing, heart rate, activity and color. The newborn was floppy and came to the radiant warmer where the team provided initial steps of resuscitation. The newborn was breathing and had a heart rate 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_option You answered, Suction the nasopharynx, oropharynx 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 meconium-stained amniotic fluid nor evidence of airway obstruction. This baby has effective spontaneous respirations and is vigorous. Routine suctioning of the stomach is not recommended. Suctioning is indicated only when the airway is obstructed (by secretions or meconium) or when PPV is required. There is no history of meconium-stained amniotic fluid nor evidence of airway obstruction.. This baby has effective spontaneous respirations and is vigorous. Routine suctioning of the stomach is not recommended1-3Q Deliver 100% oxygen by cannula Quiz_optionYou answered, Deliver 100% oxygen by cannula. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required.1-3Q Provide a verbal update to the parents Quiz_optionYou answered, Provide a verbal update to the parents. While this is an important task, it can be delayed until a later point in time. While this is an important task, it can be delayed until a later point in time.1-5 1-5.mov Movie_only 100 1-7Q1-7Q At this time the neonatal nurse should: Quiz_questionYou were asked, At this time the neonatal nurse should:1-7Q Suction the oropharynx and nasopharynx in preparation for delivery of oxygen Quiz_option You answered, Suction the oropharynx and nasopharynx in preparation for delivery of oxygen. Suctioning is indicated only when the airway is obstructed (by secretions or meconium) or when PPV is required. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required. Suctioning is indicated only when the airway is obstructed (by secretions or meconium) or when PPV is required. Even healthy newborns require 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_optionYou answered, Administer 100% oxygen by face mask. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required.1-7Q Administer 100% oxygen by CPAP Quiz_optionYou answered, Administer 100% oxygen by CPAP. This patient is not manifesting respiratory distress, therefore CPAP is not required. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required. This patient is not manifesting respiratory distress, therefore CPAP is not required. Even healthy newborns require several minutes to achieve normal hemoglobin oxygen saturations and pink up, therefore supplemental oxygen is not required.1-7Q Question the need for oxygen Quiz_option_right 1001-7 You correctly answered, Question the need for oxygen. In this instance the nurse knows the correct indications for delivery of oxygen, assumes the leadership role, and communicates this information effectively to the physician. The physician utilizes all available information (including that coming from the nurse) and the correct patient care decision is made. 1-7 1-7.mov Movie_only 100 1-81-8 1-8.mov Movie_only 100 1-91-9 end