NRP PRACTICE EXAM EXAMINATION TEST
2026 COMPLETE QUESTIONS AND SOLVED
SOLUTION
⩥ Benefits of delayed cord clamping. Answer: Term babies:
• may improve hematologic measurements
• although uncertain, there may be benefits for neurodevelopment
outcomes
• There may also be increased chance of needing phototherapy for
hyperbilirubinemia
Preterm babies:
• Decreasing chance of needing medications to support blood pressure
after birth
• Requiring fewer blood transfusions during hospitalization
• Possibly improved survival
⩥ After completing the rapid evaluation, the next step is completion of
the initial steps of newborn care, which include __________ and
___________. Answer: • Opening Airway
• Supporting spontaneous respiration
⩥ 5 initial steps of newborn care. Answer: 1) Provide warmth
, 2) Dry the baby (if >32 weeks gestation) and remove linen
3) Stimulate by gently rubbing baby's back and extremities. (Drying
baby is often enough)
4) Position head and neck to open airways
5) Clear secretions from the airway, if needed
⩥ If baby stays with mother for initial steps, when should you clear
secretions with a bulb syringe?. Answer: If secretions are obstructing the
baby's breathing
⩥ When the baby stays with the mother for initial steps after birth, what
should be monitored to determine if additional interventions are
required?. Answer: • Color
• Breathing
• Tone and activity
• Temperature
⩥ Term? Tone? Breathing? If any answer is no, move baby to radiant
warmer for initial steps:. Answer: 1) Place the baby uncovered under the
warmer so that the radiant heat can reach the baby
2) Dry the baby (if >32 weeks gestation) and remove wet linen
3) Gently rub baby's back, trunk, extremities if the baby is still not
breathing
4) Position the baby's head and neck in "sniffing position"
2026 COMPLETE QUESTIONS AND SOLVED
SOLUTION
⩥ Benefits of delayed cord clamping. Answer: Term babies:
• may improve hematologic measurements
• although uncertain, there may be benefits for neurodevelopment
outcomes
• There may also be increased chance of needing phototherapy for
hyperbilirubinemia
Preterm babies:
• Decreasing chance of needing medications to support blood pressure
after birth
• Requiring fewer blood transfusions during hospitalization
• Possibly improved survival
⩥ After completing the rapid evaluation, the next step is completion of
the initial steps of newborn care, which include __________ and
___________. Answer: • Opening Airway
• Supporting spontaneous respiration
⩥ 5 initial steps of newborn care. Answer: 1) Provide warmth
, 2) Dry the baby (if >32 weeks gestation) and remove linen
3) Stimulate by gently rubbing baby's back and extremities. (Drying
baby is often enough)
4) Position head and neck to open airways
5) Clear secretions from the airway, if needed
⩥ If baby stays with mother for initial steps, when should you clear
secretions with a bulb syringe?. Answer: If secretions are obstructing the
baby's breathing
⩥ When the baby stays with the mother for initial steps after birth, what
should be monitored to determine if additional interventions are
required?. Answer: • Color
• Breathing
• Tone and activity
• Temperature
⩥ Term? Tone? Breathing? If any answer is no, move baby to radiant
warmer for initial steps:. Answer: 1) Place the baby uncovered under the
warmer so that the radiant heat can reach the baby
2) Dry the baby (if >32 weeks gestation) and remove wet linen
3) Gently rub baby's back, trunk, extremities if the baby is still not
breathing
4) Position the baby's head and neck in "sniffing position"
