Neonatology EXAM TEST BANK 2026/2027 AND HIGH
YIELD PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM APPROVED QUESTIONS AND CORRECT VERIFIED
SOLUTIONS (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS
three rapid assessment questions
- term (>37 weeks)
- tone (not hypotonic)
- tears (breathing / crying)
if all three rapid assessment questions are answered yes... (3)
- infant remains with mother
- routine care
- ongoing evaluation
if any of the three rapid assessment questions are answered no...
resuscitation interventions indicated
if there is labored breathing or persistent cyanosis, perform the following
interventions within 1 minute (4)
- position and clear airway
- pulse ox
- targeted preductal oxygen saturations
- consider CPAP
,targeted preductal SpO2 after birth
- 1 min - 60-65%
- 2 min - 65-70%
- 3 min - 70-75%
- 4 min - 75-80%
- 5 min - 80-85%
- 10 min - 85-95%
(every min should have 5% increase)
requirements for CPAP
- spontaneous breathing
- labored breathing (cannot gasp or grunt)
- persistent cyanosis
if there is apnea, gasping and/or HR <100, perform the following
intervention within 1 minute (3)
- positive pressure ventilation (PPV)
- pulse ox
- consider ECG
PPV should be administered at a rate of...
40-60 breaths per minute
if HR is not improving after 15 seconds of PPV...
evaluate chest rise
(no rise = ineffective PPV = perform ventilation correction / MR SOPA)
,ventilation corrective steps
- mask readjustment
- reposition airway by ensuring correct head position
- suction mouth and nose
- open mouth and tilt the jaw forward
- pressure increase using increments of 5-10 cm H2O to maximum of 40
cm H2O
- alternative airway using endotrachial intubation or laryngeal mask
(MR SOPA)
chest compressions (5)
- 90 compressions per minute
- 30 ventilations per minute
- reassess HR after 60 seconds
- increase FiO2 to 100% with compressions
- obtain IV access
(3:1 ratio compression to breaths)
if HR still < 60...
administer epinephrine
(may repeat epi every 3-5 min)
IV or IO epinephrine dose
0.01 to 0.03 mg/kg and flush with 3 mL normal saline
(initial recommended dose = 0.02)
, ET epinephrine dose
0.05 to 0.1 mg/kg
(initial recommended dose = 0.1)
if no response to epinephrine consider... (2)
- hypovolemia
- pneumothorax
resuscitation may be discontinued 20 minutes after birth if...
absence of HR after all appropriate steps performed
the most important step of neonatal resuscitation is...
visible chest rise
(shows effective ventilation)
neonate =
first 28 days of life
infant =
first 12 months of life
YIELD PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM APPROVED QUESTIONS AND CORRECT VERIFIED
SOLUTIONS (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS
three rapid assessment questions
- term (>37 weeks)
- tone (not hypotonic)
- tears (breathing / crying)
if all three rapid assessment questions are answered yes... (3)
- infant remains with mother
- routine care
- ongoing evaluation
if any of the three rapid assessment questions are answered no...
resuscitation interventions indicated
if there is labored breathing or persistent cyanosis, perform the following
interventions within 1 minute (4)
- position and clear airway
- pulse ox
- targeted preductal oxygen saturations
- consider CPAP
,targeted preductal SpO2 after birth
- 1 min - 60-65%
- 2 min - 65-70%
- 3 min - 70-75%
- 4 min - 75-80%
- 5 min - 80-85%
- 10 min - 85-95%
(every min should have 5% increase)
requirements for CPAP
- spontaneous breathing
- labored breathing (cannot gasp or grunt)
- persistent cyanosis
if there is apnea, gasping and/or HR <100, perform the following
intervention within 1 minute (3)
- positive pressure ventilation (PPV)
- pulse ox
- consider ECG
PPV should be administered at a rate of...
40-60 breaths per minute
if HR is not improving after 15 seconds of PPV...
evaluate chest rise
(no rise = ineffective PPV = perform ventilation correction / MR SOPA)
,ventilation corrective steps
- mask readjustment
- reposition airway by ensuring correct head position
- suction mouth and nose
- open mouth and tilt the jaw forward
- pressure increase using increments of 5-10 cm H2O to maximum of 40
cm H2O
- alternative airway using endotrachial intubation or laryngeal mask
(MR SOPA)
chest compressions (5)
- 90 compressions per minute
- 30 ventilations per minute
- reassess HR after 60 seconds
- increase FiO2 to 100% with compressions
- obtain IV access
(3:1 ratio compression to breaths)
if HR still < 60...
administer epinephrine
(may repeat epi every 3-5 min)
IV or IO epinephrine dose
0.01 to 0.03 mg/kg and flush with 3 mL normal saline
(initial recommended dose = 0.02)
, ET epinephrine dose
0.05 to 0.1 mg/kg
(initial recommended dose = 0.1)
if no response to epinephrine consider... (2)
- hypovolemia
- pneumothorax
resuscitation may be discontinued 20 minutes after birth if...
absence of HR after all appropriate steps performed
the most important step of neonatal resuscitation is...
visible chest rise
(shows effective ventilation)
neonate =
first 28 days of life
infant =
first 12 months of life
