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Tweet 2014 NRP Neonatal Resuscitation Program Study Guide 2011, 6th Edition Neonatal Resuscitation American Academy of Pediatrics and the American Heart Association There are 9 lessons in the 2011 6th edition of the Online Neonatal Resuscitation Program.

Lesson 1 Overview and Principles of Neonatal Resuscitation Lesson 2 Initial Steps in Resuscitation Lesson 3 Use of the Resuscitation Devices with PPVLesson 4 Chest Compressions Lesson 5 Endotracheal Intubation Lesson 6 Medications Lesson 7 Special Considerations Lesson 8 Resuscitation of Babies Born Preterm Lesson 9 Ethics and Care of the End of Life The NRP Provider Course consists of the above 9 lessons; however, you will need to only need to complete those lessons required by your facility or level of expertise.

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One skilled person is required of all deliveries and 2 skilled persons for high risk deliveries.

When twins are expected 4 skilled persons are required.

Normal transition occurs with relaxation of blood vessels in the lungs leading to decrease in resistance to blood flow Premature babies present unique challenges.

They are:* Fragile brain capillaries that bleed easily.* Lungs deficient in surfactant making ventilation more difficult.* Poor temperature control and they get cold easily.* Higher risk of infection. The initial steps of resuscitation are: Provide warmth Position the head and clear the airway Dry and stimulate the baby to breath Evaluate respirations The three signs of effective resuscitation are: Heart rate Respirations Assessment of oxygenation (O2 Sat based on age in minutes) Baby can take up to ten minutes to reach an oxygen saturation of 90-95%.

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Make sure you read all the instructions before taking the online NRP exam.

Childrens Hospital Employees are required to complete all 9 lessons.

Other facilities only require that you take the mandatory lessons to obtain your provider card.

There are a few very important things you need to know such as If you fail a test twice, all your progress is erased, and you must pay an additional to retake the exam. If you start with lesson 9, your exam will close, it will be counted as failed remaining lessons and all progress will be erased. Make sure you check with the facility you will be working at.

Below are just some suggestions: If you are a MD, NNP, NRN, or an RN working in NICU or Labor/Delivery or Maternity You should complete Lessons 1,2,3,4,5,6,7,8 & 9If you are a Respiratory Therapist You should complete Lessons 1,2,3,4,5,7 & 9If you are a Lactation Consultant, or LPN, Scrub Tech or CNA, working in NICU, Labor/Delivery, Pediatrics, or Maternity You should complete Lessons 1,2,3,4, & 9The best answer is to ask your supervisor which lessons you need. If you take only the mandatory lessons, and then decide you want to take the additional Lessons 5, 6, 7, & 8 you will need to pay an additional to retake the entire exam and all your progress will be lost. It will take you longer, but it will be well worth the additional time and effort, and the knowledge you have gained.

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