NRP Study Questions with Verified
Solutions33
When coordinating PPV with chest compressions how long does it take to complete a cycle of 3
compressions to 1 breath?
a) 2 sec.
b) 4 sec.
c) 6 sec.
d) 8 sec. - ANSWERS-a) 2 sec.
When chest compressions are in progress, how often should the HR be assessed?
a) Every 60 sec.
b) Every 30 sec.
c) Every 90 sec.
d) When spontaneous respirations return. - ANSWERS-a) Every 60 sec.
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing
spontaneously while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A pulse
oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is increasing.
What is the most appropriate next step?
a) Decrease the O2 concentration.
b) Begin PPV.
c) Increase the O2 concentration.
,d) Continue CPAP and 30% O2. - ANSWERS-a) Decreased the O2 concentration.
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (EFW 1.4 Kg)?
a) 2.
b) 1.
c) 0.
d) 00. - ANSWERS-c) 0.
You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5
mins. old and breathing spontaneously. The HR is 120 bpm and O2 sat is 90% without
respiratory support. The baby's respirations are laboured. Which of the following is an
appropriate action?
a) Administer CPAP at 5 cm H2O pressure w/ 21% O2.
b) Administer PPV with an initial inflation pressure of 30-35 cm H2O.
c) Provide supplemental O2 to increase baby's O2 sats above 95%.
d) Intubate the newborn with a size 2.5 ETT. - ANSWERS-a) Administer CPAP at 5 cm H2O
pressure w/ 21% O2.
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - ANSWERS-At least 10
minutes
When is the time of birth documented? - ANSWERS-After the last fetal part emerges from the
birthing person.
What is the preductal SpO2 range for 5 minutes of life? - ANSWERS-80-85%
,A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She
requires positive-pressure ventilation because she is not breathing. You are unable to achieve a
seal with bag and mask. Which intervention is indicated? - ANSWERS-Insert a laryngeal mask.
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take? - ANSWERS-Provide positive-pressure
ventilation (PPV).
If the newborn has respiratory distress and generalized edema, what condition can you expect?
- ANSWERS-Pleural effusion.
1. What flow rate is used for free-flow O2 administration?
2. What % of O2 do you start at? - ANSWERS-1. 10 L/min
2. Start at 30%, then titrate up to desired SpO2 target range.
When clearing secretions, which do you clear first: mouth or nose? - ANSWERS-Mouth (M
comes before N)
What size (internal diameter) endotracheal tube should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimated birth weight of 800 g)? - ANSWERS-2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis,
meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is
term as expected, with very poor tone and he is not breathing (apneic). You quickly perform
initial steps, but the newborn is still not breathing. What is the most appropriate next step of
resuscitation? - ANSWERS-Start PPV and check heart rate response after 15 seconds
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team? - ANSWERS-100 bpm
, You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a
category III fetal heart rate tracing. A person skilled in endotracheal intubation should be: -
ANSWERS-Present at birth.
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the baby is
not vigorous. What steps should be taken immediately after birth? - ANSWERS-The baby should
be brought to the radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic
after initial steps? - ANSWERS-Administration of PPV that inflates the lungs
What is the pre-ductal SpO2 range for 3 minutes of life? - ANSWERS-70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - ANSWERS-90 bpm
Which O2 PPV resuscitator:
- Requires a compressed gas source
- Must have a tight seal to inflate
- Use a flow-control valve to regulate the PIP and PEEP
- Can deliver free-flow O2 via mask
- Can deliver CPAP to a spontaneously breathing newborn - ANSWERS-Flow-inflating bag
What is the pre-ductal SpO2 range for 2 minutes of life? - ANSWERS-65-70%
1. What is acrocyanosis?
2. Is it normal? - ANSWERS-1. A blue colour in the hands and feet without central cyanosis.
2. It is normal.
Solutions33
When coordinating PPV with chest compressions how long does it take to complete a cycle of 3
compressions to 1 breath?
a) 2 sec.
b) 4 sec.
c) 6 sec.
d) 8 sec. - ANSWERS-a) 2 sec.
When chest compressions are in progress, how often should the HR be assessed?
a) Every 60 sec.
b) Every 30 sec.
c) Every 90 sec.
d) When spontaneous respirations return. - ANSWERS-a) Every 60 sec.
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing
spontaneously while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A pulse
oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is increasing.
What is the most appropriate next step?
a) Decrease the O2 concentration.
b) Begin PPV.
c) Increase the O2 concentration.
,d) Continue CPAP and 30% O2. - ANSWERS-a) Decreased the O2 concentration.
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (EFW 1.4 Kg)?
a) 2.
b) 1.
c) 0.
d) 00. - ANSWERS-c) 0.
You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5
mins. old and breathing spontaneously. The HR is 120 bpm and O2 sat is 90% without
respiratory support. The baby's respirations are laboured. Which of the following is an
appropriate action?
a) Administer CPAP at 5 cm H2O pressure w/ 21% O2.
b) Administer PPV with an initial inflation pressure of 30-35 cm H2O.
c) Provide supplemental O2 to increase baby's O2 sats above 95%.
d) Intubate the newborn with a size 2.5 ETT. - ANSWERS-a) Administer CPAP at 5 cm H2O
pressure w/ 21% O2.
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - ANSWERS-At least 10
minutes
When is the time of birth documented? - ANSWERS-After the last fetal part emerges from the
birthing person.
What is the preductal SpO2 range for 5 minutes of life? - ANSWERS-80-85%
,A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She
requires positive-pressure ventilation because she is not breathing. You are unable to achieve a
seal with bag and mask. Which intervention is indicated? - ANSWERS-Insert a laryngeal mask.
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take? - ANSWERS-Provide positive-pressure
ventilation (PPV).
If the newborn has respiratory distress and generalized edema, what condition can you expect?
- ANSWERS-Pleural effusion.
1. What flow rate is used for free-flow O2 administration?
2. What % of O2 do you start at? - ANSWERS-1. 10 L/min
2. Start at 30%, then titrate up to desired SpO2 target range.
When clearing secretions, which do you clear first: mouth or nose? - ANSWERS-Mouth (M
comes before N)
What size (internal diameter) endotracheal tube should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimated birth weight of 800 g)? - ANSWERS-2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis,
meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is
term as expected, with very poor tone and he is not breathing (apneic). You quickly perform
initial steps, but the newborn is still not breathing. What is the most appropriate next step of
resuscitation? - ANSWERS-Start PPV and check heart rate response after 15 seconds
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team? - ANSWERS-100 bpm
, You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a
category III fetal heart rate tracing. A person skilled in endotracheal intubation should be: -
ANSWERS-Present at birth.
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the baby is
not vigorous. What steps should be taken immediately after birth? - ANSWERS-The baby should
be brought to the radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic
after initial steps? - ANSWERS-Administration of PPV that inflates the lungs
What is the pre-ductal SpO2 range for 3 minutes of life? - ANSWERS-70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - ANSWERS-90 bpm
Which O2 PPV resuscitator:
- Requires a compressed gas source
- Must have a tight seal to inflate
- Use a flow-control valve to regulate the PIP and PEEP
- Can deliver free-flow O2 via mask
- Can deliver CPAP to a spontaneously breathing newborn - ANSWERS-Flow-inflating bag
What is the pre-ductal SpO2 range for 2 minutes of life? - ANSWERS-65-70%
1. What is acrocyanosis?
2. Is it normal? - ANSWERS-1. A blue colour in the hands and feet without central cyanosis.
2. It is normal.
