NRP 8TH EDITION STUDY GUIDE 2026 ACTUAL
EXAM SOLVED 100% CORRECT
◉ Abnormal Transition Findings. Answer: -Irregular Breathing, absent
breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
-Low oxygen saturation
-Low blood pressure
◉ NRP algorithm- First Step. Answer: Antenatal Counselling
Team Debriefing
Equipment Check
◉ After the birth of the baby, what do you ask? Answer: 1. Term
Gestation?
2. Good Tone?
3. Breathing or crying?
◉ FIVE INITIAL STEPS:
,If you answer NO to any of the three questions (term, tone, breathing)
what do you do? Answer: Warm
Dry
Stimulate
Position airway
Suction if needed
◉ Apnea or gasping? HR <100bpm= NO with laboured
breathing/cyanosis. Answer: Position airway, suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
◉ Apnea or gasping? HR <100bpm= YES. Answer: PPV
Pulse Oximeter
Consider Cardiac Monitor
◉ HR STILL less than 100bpm= YES. Answer: Ensure adequate
ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
◉ HR <60 bpm? Answer: ETT or laryngeal mask
, Chest compressions
Coordinate PPV-100% oxygen
UVC
◉ HR STILL <60 bpm? Answer: IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
◉ Rapid Evaluation. Answer: Determine if the newborn can remain with
the mother or should be moved to the radiant warmer for further
evaluation
◉ REVIEW: Three questions you ask during rapid evaluation? Answer:
1. Term?
2. Good Muscle Tone?
3. Breathing/crying?
If the answer is NO to any of these, baby should be brought to radiant
warmer.
◉ Airway. Answer: Perform the initial steps to establish an open Airway
and support spontaneous respiration
EXAM SOLVED 100% CORRECT
◉ Abnormal Transition Findings. Answer: -Irregular Breathing, absent
breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
-Low oxygen saturation
-Low blood pressure
◉ NRP algorithm- First Step. Answer: Antenatal Counselling
Team Debriefing
Equipment Check
◉ After the birth of the baby, what do you ask? Answer: 1. Term
Gestation?
2. Good Tone?
3. Breathing or crying?
◉ FIVE INITIAL STEPS:
,If you answer NO to any of the three questions (term, tone, breathing)
what do you do? Answer: Warm
Dry
Stimulate
Position airway
Suction if needed
◉ Apnea or gasping? HR <100bpm= NO with laboured
breathing/cyanosis. Answer: Position airway, suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
◉ Apnea or gasping? HR <100bpm= YES. Answer: PPV
Pulse Oximeter
Consider Cardiac Monitor
◉ HR STILL less than 100bpm= YES. Answer: Ensure adequate
ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
◉ HR <60 bpm? Answer: ETT or laryngeal mask
, Chest compressions
Coordinate PPV-100% oxygen
UVC
◉ HR STILL <60 bpm? Answer: IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
◉ Rapid Evaluation. Answer: Determine if the newborn can remain with
the mother or should be moved to the radiant warmer for further
evaluation
◉ REVIEW: Three questions you ask during rapid evaluation? Answer:
1. Term?
2. Good Muscle Tone?
3. Breathing/crying?
If the answer is NO to any of these, baby should be brought to radiant
warmer.
◉ Airway. Answer: Perform the initial steps to establish an open Airway
and support spontaneous respiration
