NRP 8TH EDITION COMPREHENSIVE EXAM UPDATED
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔You have administered epinephrine intravenously. According to the Textbook of
Neonatal Resuscitation, 8th edition, what volume of normal saline flush should you
administer? - ✔✔3 mL
✔✔According to the Textbook of Neonatal Resuscitation, 8th edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ✔✔0.02 mg/kg
(equal to 0.2 mL/kg)
✔✔When is the administration of a volume expander indicated during newborn
resuscitation? - ✔✔The baby's heart rate is not increasing and there are signs of shock
or a history of acute blood loss.
✔✔Your team is caring for a term newborn whose heart rate is 50 bpm after receiving
effective ventilation, chest compressions, and intravenous epinephrine administration.
There is a history of acute blood loss around the time of delivery. You administer 10
mL/kg of normal saline (based on the newborn's estimated weight). At what rate should
this be administered? - ✔✔Over 5 to 10 minutes
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔60 seconds
✔✔You are called to the birth of a newborn at 30 weeks gestation. As you prepare your
equipment, what concentration of oxygen will you use initially if PPV is required? -
✔✔21-30% oxygen
✔✔A baby is born at 26 weeks gestation. The initial steps of care, including gentle
stimulation, have been completed and the baby is nearly 1-minute old. The baby is not
breathing. What is the most appropriate next step? - ✔✔being PPV by mask
✔✔Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, a hat, and a skin temperature sensor
✔✔A term newborn was born via emergency cesarean section in the setting of fetal
bradycardia. The baby was limp and bradycardic at birth and was intubated at 6 minutes
after birth for persistent apnea. The cord blood gas demonstrates a severe metabolic
acidosis, and the physical examination is consistent with hypoxic-ischemic
encephalopathy (HIE). Which of the following is the most appropriate intervention for
this newborn? - ✔✔Admit the newborn to a center with capability to perform therapeutic
hypothermia.
, ✔✔A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for
grunting respirations. The baby is now 15 minutes old, breathing comfortably in room
air, and bonding with their mother. The team plans for the baby to room-in with their
mother. What immediate decision needs to be made regarding post-resuscitation care?
- ✔✔Identify who will continue to monitor the baby in the mother's room.
✔✔A baby's heart rate does not increase after intubation and the breath sounds are
louder on the right side than on the left side of the chest. Which of the following is a
common cause of asymmetric breath sounds in an intubated baby? - ✔✔Endotracheal
tube inserted into the right mainstem bronchus
✔✔uring resuscitation, a baby initially responds to PPV with a rapidly increasing heart
rate. Subsequently, the baby's heart rate and oxygen saturation suddenly worsen. The
baby has decreased breath sounds on the left side and transillumination reveals a bright
glow. What is the most likely cause of this distress? - ✔✔Left-sided pneumothorax
✔✔You attend the birth of a baby with prenatally diagnosed severe congenital
diaphragmatic hernia. What are the most appropriate steps as you begin your
resuscitation? - ✔✔Intubate the trachea and insert an orogastric tube into the stomach.
✔✔A woman in labor received opioid medication for pain relief 1 hour before delivery.
The baby does not breathe spontaneously and remains apneic after stimulation. What is
your next intervention? - ✔✔Start PPV
✔✔In most cases, who are the usual and appropriate surrogate decision makers for a
newborn? - ✔✔The newborn's parents
✔✔When a newborn has a high risk of mortality and there is a significant burden of
morbidity among survivors, what should be included in the discussion with the parents
concerning options for resuscitation? - ✔✔The option of providing comfort care can be
considered.
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120
bpm and the oxygen saturation is 90% without respiratory support. The baby's
respirations are labored. Which of the following is an appropriate action? -
✔✔Administer CPAP at 5 cm H2O pressure with 21% oxygen.
✔✔Ideally, how quickly should the intubation procedure be completed? - ✔✔30 seconds
✔✔Which of the following is an indication for placement of an alternate airway? -
✔✔The need for PPV is prolonged
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔You have administered epinephrine intravenously. According to the Textbook of
Neonatal Resuscitation, 8th edition, what volume of normal saline flush should you
administer? - ✔✔3 mL
✔✔According to the Textbook of Neonatal Resuscitation, 8th edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ✔✔0.02 mg/kg
(equal to 0.2 mL/kg)
✔✔When is the administration of a volume expander indicated during newborn
resuscitation? - ✔✔The baby's heart rate is not increasing and there are signs of shock
or a history of acute blood loss.
✔✔Your team is caring for a term newborn whose heart rate is 50 bpm after receiving
effective ventilation, chest compressions, and intravenous epinephrine administration.
There is a history of acute blood loss around the time of delivery. You administer 10
mL/kg of normal saline (based on the newborn's estimated weight). At what rate should
this be administered? - ✔✔Over 5 to 10 minutes
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔60 seconds
✔✔You are called to the birth of a newborn at 30 weeks gestation. As you prepare your
equipment, what concentration of oxygen will you use initially if PPV is required? -
✔✔21-30% oxygen
✔✔A baby is born at 26 weeks gestation. The initial steps of care, including gentle
stimulation, have been completed and the baby is nearly 1-minute old. The baby is not
breathing. What is the most appropriate next step? - ✔✔being PPV by mask
✔✔Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, a hat, and a skin temperature sensor
✔✔A term newborn was born via emergency cesarean section in the setting of fetal
bradycardia. The baby was limp and bradycardic at birth and was intubated at 6 minutes
after birth for persistent apnea. The cord blood gas demonstrates a severe metabolic
acidosis, and the physical examination is consistent with hypoxic-ischemic
encephalopathy (HIE). Which of the following is the most appropriate intervention for
this newborn? - ✔✔Admit the newborn to a center with capability to perform therapeutic
hypothermia.
, ✔✔A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for
grunting respirations. The baby is now 15 minutes old, breathing comfortably in room
air, and bonding with their mother. The team plans for the baby to room-in with their
mother. What immediate decision needs to be made regarding post-resuscitation care?
- ✔✔Identify who will continue to monitor the baby in the mother's room.
✔✔A baby's heart rate does not increase after intubation and the breath sounds are
louder on the right side than on the left side of the chest. Which of the following is a
common cause of asymmetric breath sounds in an intubated baby? - ✔✔Endotracheal
tube inserted into the right mainstem bronchus
✔✔uring resuscitation, a baby initially responds to PPV with a rapidly increasing heart
rate. Subsequently, the baby's heart rate and oxygen saturation suddenly worsen. The
baby has decreased breath sounds on the left side and transillumination reveals a bright
glow. What is the most likely cause of this distress? - ✔✔Left-sided pneumothorax
✔✔You attend the birth of a baby with prenatally diagnosed severe congenital
diaphragmatic hernia. What are the most appropriate steps as you begin your
resuscitation? - ✔✔Intubate the trachea and insert an orogastric tube into the stomach.
✔✔A woman in labor received opioid medication for pain relief 1 hour before delivery.
The baby does not breathe spontaneously and remains apneic after stimulation. What is
your next intervention? - ✔✔Start PPV
✔✔In most cases, who are the usual and appropriate surrogate decision makers for a
newborn? - ✔✔The newborn's parents
✔✔When a newborn has a high risk of mortality and there is a significant burden of
morbidity among survivors, what should be included in the discussion with the parents
concerning options for resuscitation? - ✔✔The option of providing comfort care can be
considered.
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120
bpm and the oxygen saturation is 90% without respiratory support. The baby's
respirations are labored. Which of the following is an appropriate action? -
✔✔Administer CPAP at 5 cm H2O pressure with 21% oxygen.
✔✔Ideally, how quickly should the intubation procedure be completed? - ✔✔30 seconds
✔✔Which of the following is an indication for placement of an alternate airway? -
✔✔The need for PPV is prolonged
