NRP — Neonatal Resuscitation Program
NRP - NEONATAL RESUSCITATION PROGRAM | EXAM READY -
VERIFIED QUESTIONS AND ANSWERS - COMPREHENSIVE
LATEST VERSION
1. What is the single most important predictor of the need for neonatal
resuscitation?
A. Length of the second stage of labor
B. Antenatal and intrapartum risk factors
C. Maternal blood type
D. Fetal sex
ANSWER : B. Antenatal and intrapartum risk factors
2. Before every delivery, the resuscitation team should perform which
of the following?
A. Administration of prophylactic epinephrine
B. Placement of ECG leads on the mother
C. A pre-birth team briefing and equipment check
D. Insertion of an umbilical catheter
ANSWER : C. A pre-birth team briefing and equipment check
3. For a delivery with significant risk factors identified antenatally, how
many team members with resuscitation skills should be immediately
available?
A. Three physicians only
B. One observer only
C. No dedicated team is required if a pediatrician is on call
D. At least two, including one who can perform a full resuscitation
independently
ANSWER : D. At least two, including one who can perform a full
resuscitation independently
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, NRP — Neonatal Resuscitation Program
4. Which piece of equipment must be checked and functioning before
every delivery, regardless of anticipated risk?
A. Cooling blanket
B. Radiant warmer, resuscitation bag/T-piece, and suction equipment
C. Ventilator with high-frequency oscillation capability
D. Automated external defibrillator
ANSWER : B. Radiant warmer, resuscitation bag/T-piece, and
suction equipment
5. What is the recommended room temperature for the delivery room
to support neonatal thermoregulation?
A. 15–17°C (59–63°F)
B. 18–20°C (64–68°F)
C. 23–25°C (74–77°F)
D. 30–32°C (86–90°F)
ANSWER : C. 23–25°C (74–77°F)
6. Which of the following is a standard component of the pre-
resuscitation equipment check?
A. Confirming the mother's hemoglobin level
B. Confirming maternal consent for cesarean delivery
C. Confirming oxygen blender and flowmeter are connected and
functional
D. Confirming NICU bed availability
ANSWER : C. Confirming oxygen blender and flowmeter are
connected and functional
7. In effective resuscitation team dynamics, who should be clearly
designated before the delivery?
A. A team leader who assigns roles and directs the resuscitation
B. The circulating nurse only
C. Only the most senior physician present, without assigning other roles
D. No leader; decisions should be made by consensus during the event
ANSWER : A. A team leader who assigns roles and directs the
resuscitation
8. Which communication practice improves neonatal resuscitation team
performance?
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, NRP — Neonatal Resuscitation Program
A. Speaking only in written notes
B. Limiting communication to the team leader only
C. Closed-loop communication, repeating back instructions to confirm
understanding
D. Avoiding verbalizing actions to prevent distraction
ANSWER : C. Closed-loop communication, repeating back
instructions to confirm understanding
9. For anticipated high-risk deliveries such as extreme prematurity,
which additional preparation is recommended?
A. Preparing for immediate cord clamping to reduce jaundice risk
B. Pre-warming the radiant warmer and considering an occlusive
wrap/cap for thermoregulation
C. Withholding all resuscitation equipment until distress is confirmed
D. Placing the infant directly into a water bath
ANSWER : B. Pre-warming the radiant warmer and considering an
occlusive wrap/cap for thermoregulation
10. Who should ideally be present at a delivery known to involve a
major fetal anomaly (e.g., congenital diaphragmatic hernia)?
A. Only anesthesia staff
B. Only a labor and delivery nurse
C. A neonatologist is not needed if the mother is stable
D. A team prepared for advanced airway management, including possible
intubation
ANSWER : D. A team prepared for advanced airway management,
including possible intubation
11. What is a key purpose of a pre-delivery briefing among team
members?
A. To decide on postpartum contraception
B. To review risk factors, assign roles, and identify necessary equipment
C. To calculate maternal blood loss
D. To determine the mode of delivery
ANSWER : B. To review risk factors, assign roles, and identify
necessary equipment
Page 3 of 51
, NRP — Neonatal Resuscitation Program
12. Which of the following best describes the concept of the 'Golden
Minute' in neonatal resuscitation?
A. The first minute of Apgar scoring only
B. The 60 seconds allowed for delayed cord clamping
C. Completing the initial steps and evaluating the newborn within the first
60 seconds after birth to initiate ventilation if needed
D. The first minute of skin-to-skin contact
ANSWER : C. Completing the initial steps and evaluating the
newborn within the first 60 seconds after birth to initiate ventilation
if needed
13. Immediately after birth, which three rapid assessment questions
guide the decision to proceed with resuscitation?
A. Term gestation? Good tone? Breathing or crying?
B. Maternal fever? Maternal diabetes? Maternal age?
C. Apgar at 1 minute? Apgar at 5 minutes? Cord pH?
D. Sex? Weight? Length?
ANSWER : A. Term gestation? Good tone? Breathing or crying?
14. If a newborn is term, has good tone, and is breathing or crying,
what is the next appropriate action?
A. Begin positive pressure ventilation as a precaution
B. Stay with the mother for routine care, including drying and skin-to-skin
contact
C. Move immediately to the radiant warmer for stimulation
D. Suction the mouth and nose before any other action
ANSWER : B. Stay with the mother for routine care, including drying
and skin-to-skin contact
15. If any of the three rapid assessment questions are answered 'no,'
what should occur next?
A. The infant should be transported to the NICU before any assessment
B. The cord should be clamped and cut immediately regardless of timing
plans
C. The infant should be given free-flow oxygen only
D. The infant should be moved to the radiant warmer to begin the initial
steps of resuscitation
Page 4 of 51
NRP - NEONATAL RESUSCITATION PROGRAM | EXAM READY -
VERIFIED QUESTIONS AND ANSWERS - COMPREHENSIVE
LATEST VERSION
1. What is the single most important predictor of the need for neonatal
resuscitation?
A. Length of the second stage of labor
B. Antenatal and intrapartum risk factors
C. Maternal blood type
D. Fetal sex
ANSWER : B. Antenatal and intrapartum risk factors
2. Before every delivery, the resuscitation team should perform which
of the following?
A. Administration of prophylactic epinephrine
B. Placement of ECG leads on the mother
C. A pre-birth team briefing and equipment check
D. Insertion of an umbilical catheter
ANSWER : C. A pre-birth team briefing and equipment check
3. For a delivery with significant risk factors identified antenatally, how
many team members with resuscitation skills should be immediately
available?
A. Three physicians only
B. One observer only
C. No dedicated team is required if a pediatrician is on call
D. At least two, including one who can perform a full resuscitation
independently
ANSWER : D. At least two, including one who can perform a full
resuscitation independently
Page 1 of 51
, NRP — Neonatal Resuscitation Program
4. Which piece of equipment must be checked and functioning before
every delivery, regardless of anticipated risk?
A. Cooling blanket
B. Radiant warmer, resuscitation bag/T-piece, and suction equipment
C. Ventilator with high-frequency oscillation capability
D. Automated external defibrillator
ANSWER : B. Radiant warmer, resuscitation bag/T-piece, and
suction equipment
5. What is the recommended room temperature for the delivery room
to support neonatal thermoregulation?
A. 15–17°C (59–63°F)
B. 18–20°C (64–68°F)
C. 23–25°C (74–77°F)
D. 30–32°C (86–90°F)
ANSWER : C. 23–25°C (74–77°F)
6. Which of the following is a standard component of the pre-
resuscitation equipment check?
A. Confirming the mother's hemoglobin level
B. Confirming maternal consent for cesarean delivery
C. Confirming oxygen blender and flowmeter are connected and
functional
D. Confirming NICU bed availability
ANSWER : C. Confirming oxygen blender and flowmeter are
connected and functional
7. In effective resuscitation team dynamics, who should be clearly
designated before the delivery?
A. A team leader who assigns roles and directs the resuscitation
B. The circulating nurse only
C. Only the most senior physician present, without assigning other roles
D. No leader; decisions should be made by consensus during the event
ANSWER : A. A team leader who assigns roles and directs the
resuscitation
8. Which communication practice improves neonatal resuscitation team
performance?
Page 2 of 51
, NRP — Neonatal Resuscitation Program
A. Speaking only in written notes
B. Limiting communication to the team leader only
C. Closed-loop communication, repeating back instructions to confirm
understanding
D. Avoiding verbalizing actions to prevent distraction
ANSWER : C. Closed-loop communication, repeating back
instructions to confirm understanding
9. For anticipated high-risk deliveries such as extreme prematurity,
which additional preparation is recommended?
A. Preparing for immediate cord clamping to reduce jaundice risk
B. Pre-warming the radiant warmer and considering an occlusive
wrap/cap for thermoregulation
C. Withholding all resuscitation equipment until distress is confirmed
D. Placing the infant directly into a water bath
ANSWER : B. Pre-warming the radiant warmer and considering an
occlusive wrap/cap for thermoregulation
10. Who should ideally be present at a delivery known to involve a
major fetal anomaly (e.g., congenital diaphragmatic hernia)?
A. Only anesthesia staff
B. Only a labor and delivery nurse
C. A neonatologist is not needed if the mother is stable
D. A team prepared for advanced airway management, including possible
intubation
ANSWER : D. A team prepared for advanced airway management,
including possible intubation
11. What is a key purpose of a pre-delivery briefing among team
members?
A. To decide on postpartum contraception
B. To review risk factors, assign roles, and identify necessary equipment
C. To calculate maternal blood loss
D. To determine the mode of delivery
ANSWER : B. To review risk factors, assign roles, and identify
necessary equipment
Page 3 of 51
, NRP — Neonatal Resuscitation Program
12. Which of the following best describes the concept of the 'Golden
Minute' in neonatal resuscitation?
A. The first minute of Apgar scoring only
B. The 60 seconds allowed for delayed cord clamping
C. Completing the initial steps and evaluating the newborn within the first
60 seconds after birth to initiate ventilation if needed
D. The first minute of skin-to-skin contact
ANSWER : C. Completing the initial steps and evaluating the
newborn within the first 60 seconds after birth to initiate ventilation
if needed
13. Immediately after birth, which three rapid assessment questions
guide the decision to proceed with resuscitation?
A. Term gestation? Good tone? Breathing or crying?
B. Maternal fever? Maternal diabetes? Maternal age?
C. Apgar at 1 minute? Apgar at 5 minutes? Cord pH?
D. Sex? Weight? Length?
ANSWER : A. Term gestation? Good tone? Breathing or crying?
14. If a newborn is term, has good tone, and is breathing or crying,
what is the next appropriate action?
A. Begin positive pressure ventilation as a precaution
B. Stay with the mother for routine care, including drying and skin-to-skin
contact
C. Move immediately to the radiant warmer for stimulation
D. Suction the mouth and nose before any other action
ANSWER : B. Stay with the mother for routine care, including drying
and skin-to-skin contact
15. If any of the three rapid assessment questions are answered 'no,'
what should occur next?
A. The infant should be transported to the NICU before any assessment
B. The cord should be clamped and cut immediately regardless of timing
plans
C. The infant should be given free-flow oxygen only
D. The infant should be moved to the radiant warmer to begin the initial
steps of resuscitation
Page 4 of 51
