NRP 8th Edition Test with complete
solutions
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
The baby's heart rate is >100 bpm and oxygen saturation is less than the target range. -
ANSWER-The baby's heart rate remains less than 100 bpm and is not increasing.
During a delivery, when and where should a person with intubation skills be available?
In the hospital and immediately available
In the delivery room or operating room at every birth
Available on call at home
Available on call from a remote area of the hospital - ANSWER-In the hospital and
immediately available
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's heart
rate?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation - ANSWER-alternative
airway
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
2
1
0
00 - ANSWER-0
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it is also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions?
Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
Briefly interrupt chest compressions and palpate the brachial pulse.
Briefly interrupt chest compressions every 60 seconds to assess the heart rate using
the cardiac monitor.
, Briefly interrupt chest compressions to palpate the umbilical cord. - ANSWER-Briefly
interrupt chest compressions every 60 seconds to assess the heart rate using the
cardiac monitor.
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has
been intubated and the endotracheal tube insertion depth is correct. You can see chest
movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector
does not turn yellow. What is the likely reason for this?
The endotracheal tube is not in the trachea.
Excessive ventilation pressure.
Epinephrine contamination.
Low cardiac output. - ANSWER-low cardiac output
What are the primary methods of confirming endotracheal tube placement within the
trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the abdomen
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
Absence of crying and no abdominal distension - ANSWER-Demonstration of exhaled
carbon dioxide (CO2) and a rapidly increasing heart rate
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has
poor perfusion. Which is the preferred method to assess the heart rate?
Cardiac monitor
Pulse oximeter
CO2 detector
Direct auscultation - ANSWER-Cardiac monitor
When are chest compressions indicated?
When the heart rate is less than 80 bpm
When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that
moves the chest, preferably through an alternative airway
When the heart rate remains less than 100 bpm after 30 seconds of PPV that moves
the chest preferably through an alternative airway
When the heart rate remains less than 100 bpm despite PPV with 100% oxygen -
ANSWER-When the heart rate remains less than 60 bpm after at least 30 seconds of
PPV that moves the chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action?
Stop chest compressions and continue PPV.
Continue chest compressions and continue PPV.
Stop chest compressions and stop PPV.
Administer epinephrine while continuing chest compressions and PPV with 100%
oxygen. - ANSWER-Stop chest compressions and continue PPV.
solutions
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
The baby's heart rate is >100 bpm and oxygen saturation is less than the target range. -
ANSWER-The baby's heart rate remains less than 100 bpm and is not increasing.
During a delivery, when and where should a person with intubation skills be available?
In the hospital and immediately available
In the delivery room or operating room at every birth
Available on call at home
Available on call from a remote area of the hospital - ANSWER-In the hospital and
immediately available
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's heart
rate?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation - ANSWER-alternative
airway
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
2
1
0
00 - ANSWER-0
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it is also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions?
Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
Briefly interrupt chest compressions and palpate the brachial pulse.
Briefly interrupt chest compressions every 60 seconds to assess the heart rate using
the cardiac monitor.
, Briefly interrupt chest compressions to palpate the umbilical cord. - ANSWER-Briefly
interrupt chest compressions every 60 seconds to assess the heart rate using the
cardiac monitor.
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has
been intubated and the endotracheal tube insertion depth is correct. You can see chest
movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector
does not turn yellow. What is the likely reason for this?
The endotracheal tube is not in the trachea.
Excessive ventilation pressure.
Epinephrine contamination.
Low cardiac output. - ANSWER-low cardiac output
What are the primary methods of confirming endotracheal tube placement within the
trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the abdomen
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
Absence of crying and no abdominal distension - ANSWER-Demonstration of exhaled
carbon dioxide (CO2) and a rapidly increasing heart rate
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has
poor perfusion. Which is the preferred method to assess the heart rate?
Cardiac monitor
Pulse oximeter
CO2 detector
Direct auscultation - ANSWER-Cardiac monitor
When are chest compressions indicated?
When the heart rate is less than 80 bpm
When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that
moves the chest, preferably through an alternative airway
When the heart rate remains less than 100 bpm after 30 seconds of PPV that moves
the chest preferably through an alternative airway
When the heart rate remains less than 100 bpm despite PPV with 100% oxygen -
ANSWER-When the heart rate remains less than 60 bpm after at least 30 seconds of
PPV that moves the chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action?
Stop chest compressions and continue PPV.
Continue chest compressions and continue PPV.
Stop chest compressions and stop PPV.
Administer epinephrine while continuing chest compressions and PPV with 100%
oxygen. - ANSWER-Stop chest compressions and continue PPV.
