North Carolina EMT State Practice Exam

In the absence of effective ventilation during neonatal distress, what is another consideration for intervention?

1. Chest compressions

2. Transport immediately

3. Medications only

4. Wait for vital signs to stabilize

The correct answer is: Chest compressions

In cases of neonatal distress where effective ventilation is absent, chest compressions become a critical intervention. This is because ventilation alone may not be sufficient to ensure adequate circulation and oxygen delivery to vital organs, especially if the heart rate is low or the baby is not breathing effectively. Chest compressions help to manually pump blood and maintain perfusion, which is critical in the first moments after birth, particularly in cases of bradycardia (abnormally slow heart rate) or when the infant is not breathing adequately. In a newborn, if the heart rate drops below 60 beats per minute despite ventilation efforts, the recommended course of action is to initiate chest compressions in conjunction with ventilation. This approach helps stabilize the infant until more definitive care can be provided. While transporting the infant, administering medications, or waiting for vital signs to stabilize may be considerations in certain situations, they are not immediate interventions that address the critical need for effective circulatory support during a resuscitation scenario. Immediate action through chest compressions is essential to enhance the chances of survival and recovery for the neonate in distress.