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Neonatal Resuscitation Program (NRP) — Algorithm:
- Initial steps (warm, dry, stimulate, position, clear airway) — 30 seconds
- Assess: breathing, HR
- HR \(<100\,\text{bpm}\) or apnea → Start PPV with 21% O₂ (room air) for 30 seconds
- After 30 sec PPV: Reassess HR
- HR \(\geq 100\): Continue PPV, wean O₂
- HR \(60{-}99\): Ensure effective ventilation (MRSOPA), continue PPV
- HR \(<60\) after 30 sec effective PPV → Start chest compressions + PPV
- Chest compressions:
- Technique: 2-thumb encircling (preferred) or 2-finger method
- Ratio: 3 compressions : 1 ventilation (90 compressions + 30 breaths = 120 events/min)
- Depth: \(\frac{1}{3}\) of AP chest diameter
- After 60 sec compressions + PPV: If HR still \(<60\) → Epinephrine (IV preferred: \(0.01{-}0.03\,\text{mg/kg}\) of 1:10,000 solution)
Note: Adult CPR ratio is 30:2, but neonatal is 3:1 because neonatal arrest is usually respiratory in origin.
Compare the two quantities below.
Column A: $(0.82)^2 \cdot (0.82)^3$
Column B: $(0.82)^6$
Using the rule of exponents: $(0.82)^2 \cdot (0.82)^3 = (0.82)^{2+3} = (0.82)^5$.
Now compare $(0.82)^5$ vs $(0.82)^6$.
Since $0 < 0.82 < 1$, multiplying by $0.82$ makes the number smaller. Therefore $(0.82)^5 > (0.82)^6$.
Column A is greater.
Which one of the following qualifies as a capital expenditure?
Capital expenditure is spending that improves, extends the life of, or adds value to a long-term asset. Renovating and upgrading a building increases its value and useful life — this is capital expenditure. The other options are all revenue expenditures: carriage outwards, legal recovery fees, and wage bonuses are period costs that appear on the income statement and do not create lasting assets.
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