NRP 8TH EDITION TEST COMPREHENSIVE
STUDY GUIDE 2026
◉ When to clamp umbilical cord. Answer: 30-60 seconds after birth
for VIGOROUS newborn
◉ Things to look for after birth. Answer: 1. Is the baby term, (if no,
bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended
extremities are bad)
3. is the baby breathing or crying? (if no crying, observe chest for
breathing efforts. if vigorous crying, return to mom)
◉ 5 initial steps of care. Answer: 1. Warm,
2. position airway,
3. clear secretions if needed,
4. dry,
5. stimulate
◉ Flow rate for free-flow O2 administration. Answer: 10lpm
◉ O2 level for free-flow O2 administration. Answer: 30%
,◉ Suction setting for newborn. Answer: 80-100mmHg
◉ Antepartum risk factors. Answer: gestation <36wks or >41wks,
pre-eclampsia and eclampsia, maternal HTN, poly and
oligohydramnios, fetal hydrops, macrosomia and IGR, fetal
malformations or anomalies, no prenatal care.
◉ Inpartum. Answer: Emergency c-section, vacuum assisted
delivery, breech or abnormal presentation, category II or III,
maternal anesthesia, mag, or narcs, prolapse cord, shoulder dystocia,
meconium staining, bleeding, placental abruption, chorioamnionitis
◉ Abnormal transition signs and symptoms. Answer: Apnea,
tachypnea, bradycardia, tachycardia, decreased muscle tone, low
SpO2, hypotension
◉ Preductal SpO2 at 1 min. Answer: 60-65%
◉ Preductal SpO2 at 2 min. Answer: 65-70%
◉ Preductal SpO2 at 3 min. Answer: 70-75%
◉ Preductal SpO2 at 4 min. Answer: 75-80%
, ◉ Preductal SpO2 at 5 min. Answer: 80-85%
◉ Preductal SpO2 at 10 min. Answer: 85-95%
◉ Where to put pulse oximeter on newborn. Answer: Right hand or
wrist (preductal)
◉ Requirements for CPAP on newborn. Answer: HR >100bpm and
spontaneous respirations
◉ Best way to determine HR. Answer: Listen with stethoscope on
left side chest for 6 seconds, multiply by 10
◉ If suctioning, do you suction the mouth or nose first?. Answer:
Mouth
◉ Indications for PPV. Answer: Apnea, gasping, HR<100bpm, SpO2
low despite free-flow O2 or CPAP
◉ Preparation for PPV. Answer: Clear secretions, position yourself at
baby's head, position baby's head and neck
STUDY GUIDE 2026
◉ When to clamp umbilical cord. Answer: 30-60 seconds after birth
for VIGOROUS newborn
◉ Things to look for after birth. Answer: 1. Is the baby term, (if no,
bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended
extremities are bad)
3. is the baby breathing or crying? (if no crying, observe chest for
breathing efforts. if vigorous crying, return to mom)
◉ 5 initial steps of care. Answer: 1. Warm,
2. position airway,
3. clear secretions if needed,
4. dry,
5. stimulate
◉ Flow rate for free-flow O2 administration. Answer: 10lpm
◉ O2 level for free-flow O2 administration. Answer: 30%
,◉ Suction setting for newborn. Answer: 80-100mmHg
◉ Antepartum risk factors. Answer: gestation <36wks or >41wks,
pre-eclampsia and eclampsia, maternal HTN, poly and
oligohydramnios, fetal hydrops, macrosomia and IGR, fetal
malformations or anomalies, no prenatal care.
◉ Inpartum. Answer: Emergency c-section, vacuum assisted
delivery, breech or abnormal presentation, category II or III,
maternal anesthesia, mag, or narcs, prolapse cord, shoulder dystocia,
meconium staining, bleeding, placental abruption, chorioamnionitis
◉ Abnormal transition signs and symptoms. Answer: Apnea,
tachypnea, bradycardia, tachycardia, decreased muscle tone, low
SpO2, hypotension
◉ Preductal SpO2 at 1 min. Answer: 60-65%
◉ Preductal SpO2 at 2 min. Answer: 65-70%
◉ Preductal SpO2 at 3 min. Answer: 70-75%
◉ Preductal SpO2 at 4 min. Answer: 75-80%
, ◉ Preductal SpO2 at 5 min. Answer: 80-85%
◉ Preductal SpO2 at 10 min. Answer: 85-95%
◉ Where to put pulse oximeter on newborn. Answer: Right hand or
wrist (preductal)
◉ Requirements for CPAP on newborn. Answer: HR >100bpm and
spontaneous respirations
◉ Best way to determine HR. Answer: Listen with stethoscope on
left side chest for 6 seconds, multiply by 10
◉ If suctioning, do you suction the mouth or nose first?. Answer:
Mouth
◉ Indications for PPV. Answer: Apnea, gasping, HR<100bpm, SpO2
low despite free-flow O2 or CPAP
◉ Preparation for PPV. Answer: Clear secretions, position yourself at
baby's head, position baby's head and neck
