Question

A trial of PPV should not be considered if the baby is breathing and HR > 100 bpm but baby's O2 sat cannot be maintained within the target range despite free flow O2 or CPAP.

1. True
2. False

Answer 1

False, the statement about the PPV trial is false because even if the baby's breathing and heart rate are adequate, low oxygen saturation may still indicate the need for further intervention.

Step-by-step explanation:

The question of whether a Positive Pressure Ventilation (PPV) trial should not be considered if the baby is breathing well with a heart rate greater than 100 beats per minute (bpm) but oxygen saturation (O2 sat) cannot be maintained within the target range despite free flow O2 or Continuous Positive Airway Pressure (CPAP) is a matter of clinical judgment.

According to the information provided, a PPV trial might be considered unnecessary in this scenario because the baby's breathing and heart rate are stable, which are two of the critical Apgar criteria. However, if oxygen saturation remains low despite interventions, additional steps may need to be taken to rectify the situation.

It is important to consider the full context of the newborn's condition when determining the necessity of a PPV trial. If a newborn's O2 sat remains low, it could indicate an underlying issue that requires further medical intervention. The Apgar score, which assesses heart rate, respiration, reflex, muscle tone.