The nurse is providing cardiopulmonary resuscitation (CPR) to an infant. Which pulse does the nurse plan to assess?
The nurse is providing cardiopulmonary resuscitation (CPR) to an infant. Which pulse does the nurse plan to assess?
A. Carotid
[21%]
B. Brachial
[72%]
C. Pedal
[4%]
D. Radial
[3%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Cardiovascular
Client Need
Test Plan
Physiological Adaptation
Related Topic
Medical Emergencies
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. The brachial pulse is the most accessible pulse on an infant and, therefore, it is the site of choice. Accurate assessment of heart rate, breathing, and color is an essential part of infant resuscitation, and the guidelines state that heart rate may be assessed using a stethoscope, or palpating the umbilical, brachial, or femoral pulses.
Choice A is incorrect. While the carotid pulse is a common site for pulse palpation in adults, in the context of infant resuscitation, especially during cardiac arrest, the brachial pulse is often preferred. The brachial pulse is centrally located and more easily accessible in infants. The carotid pulse also may be difficult to palpate due to the fatty tissue that typically, and often, surrounds an infant’s neck.
Choice C is incorrect. The pedal pulse is located in the foot, and it is not the primary site for pulse palpation during cardiac arrest. In emergency situations, assessing central pulses, such as the carotid, takes precedence.
Choice D is incorrect. The radial pulse, located at the wrist, is commonly assessed in adults. However, in infants during a cardiac arrest, central pulses (such as the brachial) are considered more indicative of cardiac function and are preferred for assessment.
Related Videos
2 Key Topics
CPR
8.2 Risk Management & Environment Safety
Additional Info
✓ The brachial artery is centrally located in the upper arm. This central location makes it easily accessible during resuscitation efforts, allowing healthcare providers, including nurses, to quickly and efficiently assess the pulse. This accessibility is particularly crucial in emergency situations where time is of the essence.
✓ Current neonatal resuscitation guidelines recommend the use of the brachial pulse as one of the preferred sites for assessing heart rate in infants. These guidelines are evidence-based and reflect best practices in neonatal care. Consistent use of the brachial pulse aligns with established protocols, ensuring standardized and effective care during resuscitation efforts.
✓ Stay updated on current guidelines and practices related to neonatal resuscitation. Continuous education ensures that the nurse remains proficient in the latest techniques and recommendations.
