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Neonatal resuscitation – compressions — RACP Paediatrics MCQ

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ModerateNeonatalNeonatal resuscitation – compressionsRACP Paediatrics

During neonatal resuscitation, a term newborn has been receiving adequate positive pressure ventilation for 60 seconds. Heart rate remains at 50 bpm. FiO2 has been increased to 1.0. What is the most appropriate next step?

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Correct answer: C — Cardiac compressions (3:1 ratio)

Per ANZCOR guidelines, if the heart rate remains <60 bpm despite adequate ventilation for 60 seconds, cardiac compressions should be commenced. The compression-to-ventilation ratio for neonatal resuscitation is 3:1 (3 compressions to 1 ventilation). Intubation should be considered to secure the airway.

Reference: ANZCOR – 2024 – Guideline 13.6 Chest Compressions in the Newborn