1
Comprehensive
Examination Neonatal
Resuscitation Program
(NRP) – 9th Edition
(2025 Guidelines) a well
detailed one 2025 /
2026 written and graded
A+ upgraded
, 2
Title: Advanced Neonatal Resuscitation: Evidence-Based Practice, Algorithm Mastery, and
Clinical Decision-Making in the Delivery Room According to the 2025 AHA/AAP NRP 9th Edition
Guidelines
Target Audience: Advanced Healthcare Professionals (Neonatologists, Pediatricians, Neonatal
Nurse Practitioners, NICU Nurses, Respiratory Therapists, and Maternal-Fetal Medicine
Specialists)
Difficulty Level: Advanced/Hard/Mixed
Total Questions: 150 Multiple-Choice Questions
SECTION 1: FOUNDATIONS OF NEONATAL RESUSCITATION (Questions 1-15)
1. According to the 2025 AHA/AAP NRP 9th Edition guidelines, what percentage of term
newborn infants will begin breathing spontaneously within 30 seconds after birth without
intervention?
• A) 65%
• B) 75%
• C) 85%
• D) 95%
Correct Answer: C) 85%
Rationale: The Textbook of Neonatal Resuscitation, 9th Edition, states that within 30 seconds
after birth, approximately 85% of term newborn infants will begin breathing spontaneously. An
additional 10% will begin breathing in response to drying and stimulation.
2. The NRP 9th Edition was released in November 2025 and reflects which guidelines?
• A) 2020 AHA Guidelines for CPR and ECC
• B) 2025 AHA/AAP Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care
• C) 2023 ILCOR Consensus on Science
• D) 2015 AHA Guidelines Update
, 3
Correct Answer: B) 2025 AHA/AAP Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care
Rationale: The NRP 9th Edition incorporates the latest evidence and reflects the 2025 AHA/AAP
Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
3. By what date must NRP Instructors begin using the 9th Edition materials?
• A) January 1, 2026
• B) March 1, 2026
• C) June 1, 2026
• D) December 31, 2026
Correct Answer: C) June 1, 2026
Rationale: NRP Instructors must begin using the 9th edition materials before June 1, 2026.
4. Which of the following best describes the primary focus of neonatal resuscitation as
emphasized by the NRP?
• A) Circulatory support with early chest compressions
• B) Adequate ventilation
• C) Immediate medication administration
• D) Rapid umbilical cord clamping
Correct Answer: B) Adequate ventilation
Rationale: In contrast with resuscitation in adults, which is focused on circulatory support, the
primary focus of neonatal resuscitation is adequate ventilation. Appropriate positive-pressure
ventilation (PPV) in neonatal resuscitation generally improves circulation and overall outcome.
5. The Neonatal Life Support chapter of the 2025 ILCOR Consensus addresses how many
Population, Intervention, Comparator, and Outcomes (PICO) questions?
• A) 25
• B) 30
, 4
• C) 40
• D) 50
Correct Answer: C) 40
Rationale: The 2025 ILCOR Consensus on Science with Treatment Recommendations addresses
40 questions on population, intervention, comparator, and outcomes, addressing all parts of the
Neonatal Resuscitation Algorithm.
6. According to NRP guidelines, what is the recommended target body temperature range for
a newborn during resuscitation and stabilization?
• A) 35.0°C – 36.0°C
• B) 36.0°C – 37.0°C
• C) 36.5°C – 37.5°C
• D) 37.0°C – 38.0°C
Correct Answer: C) 36.5°C – 37.5°C
Rationale: NRP guidelines recommend maintaining body temperature between 36.5°C and
37.5°C throughout resuscitation and stabilization.
7. What is the "newborn chain of care" as described in the 2025 NRP guidelines?
• A) A sequence of medications administered during resuscitation
• B) A framework that starts with prenatal care and extends to recovery and follow-up
• C) A protocol for endotracheal intubation
• D) A method for umbilical cord management
Correct Answer: B) A framework that starts with prenatal care and extends to recovery and
follow-up
Rationale: The newborn chain of care provides guidance on considerations that may lead to
optimal outcomes for newborn infants starting from prenatal care to recovery and follow-up.
Comprehensive
Examination Neonatal
Resuscitation Program
(NRP) – 9th Edition
(2025 Guidelines) a well
detailed one 2025 /
2026 written and graded
A+ upgraded
, 2
Title: Advanced Neonatal Resuscitation: Evidence-Based Practice, Algorithm Mastery, and
Clinical Decision-Making in the Delivery Room According to the 2025 AHA/AAP NRP 9th Edition
Guidelines
Target Audience: Advanced Healthcare Professionals (Neonatologists, Pediatricians, Neonatal
Nurse Practitioners, NICU Nurses, Respiratory Therapists, and Maternal-Fetal Medicine
Specialists)
Difficulty Level: Advanced/Hard/Mixed
Total Questions: 150 Multiple-Choice Questions
SECTION 1: FOUNDATIONS OF NEONATAL RESUSCITATION (Questions 1-15)
1. According to the 2025 AHA/AAP NRP 9th Edition guidelines, what percentage of term
newborn infants will begin breathing spontaneously within 30 seconds after birth without
intervention?
• A) 65%
• B) 75%
• C) 85%
• D) 95%
Correct Answer: C) 85%
Rationale: The Textbook of Neonatal Resuscitation, 9th Edition, states that within 30 seconds
after birth, approximately 85% of term newborn infants will begin breathing spontaneously. An
additional 10% will begin breathing in response to drying and stimulation.
2. The NRP 9th Edition was released in November 2025 and reflects which guidelines?
• A) 2020 AHA Guidelines for CPR and ECC
• B) 2025 AHA/AAP Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care
• C) 2023 ILCOR Consensus on Science
• D) 2015 AHA Guidelines Update
, 3
Correct Answer: B) 2025 AHA/AAP Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care
Rationale: The NRP 9th Edition incorporates the latest evidence and reflects the 2025 AHA/AAP
Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
3. By what date must NRP Instructors begin using the 9th Edition materials?
• A) January 1, 2026
• B) March 1, 2026
• C) June 1, 2026
• D) December 31, 2026
Correct Answer: C) June 1, 2026
Rationale: NRP Instructors must begin using the 9th edition materials before June 1, 2026.
4. Which of the following best describes the primary focus of neonatal resuscitation as
emphasized by the NRP?
• A) Circulatory support with early chest compressions
• B) Adequate ventilation
• C) Immediate medication administration
• D) Rapid umbilical cord clamping
Correct Answer: B) Adequate ventilation
Rationale: In contrast with resuscitation in adults, which is focused on circulatory support, the
primary focus of neonatal resuscitation is adequate ventilation. Appropriate positive-pressure
ventilation (PPV) in neonatal resuscitation generally improves circulation and overall outcome.
5. The Neonatal Life Support chapter of the 2025 ILCOR Consensus addresses how many
Population, Intervention, Comparator, and Outcomes (PICO) questions?
• A) 25
• B) 30
, 4
• C) 40
• D) 50
Correct Answer: C) 40
Rationale: The 2025 ILCOR Consensus on Science with Treatment Recommendations addresses
40 questions on population, intervention, comparator, and outcomes, addressing all parts of the
Neonatal Resuscitation Algorithm.
6. According to NRP guidelines, what is the recommended target body temperature range for
a newborn during resuscitation and stabilization?
• A) 35.0°C – 36.0°C
• B) 36.0°C – 37.0°C
• C) 36.5°C – 37.5°C
• D) 37.0°C – 38.0°C
Correct Answer: C) 36.5°C – 37.5°C
Rationale: NRP guidelines recommend maintaining body temperature between 36.5°C and
37.5°C throughout resuscitation and stabilization.
7. What is the "newborn chain of care" as described in the 2025 NRP guidelines?
• A) A sequence of medications administered during resuscitation
• B) A framework that starts with prenatal care and extends to recovery and follow-up
• C) A protocol for endotracheal intubation
• D) A method for umbilical cord management
Correct Answer: B) A framework that starts with prenatal care and extends to recovery and
follow-up
Rationale: The newborn chain of care provides guidance on considerations that may lead to
optimal outcomes for newborn infants starting from prenatal care to recovery and follow-up.
