Neonatal Resuscitation Program (NRP) -
American Heart Association Question with
Verified Correct Answers
Before birth - the fetus' lungs are expanded and filled with __________.
Fluid | (not air)
The placenta supplies oxygen to the fetus and how is the CO2 removed?
The CO2 is carried across the placenta and removed by the mother's lungs.
Before birth - In the fetus, most blood bypasses the lungs through 2 openings in the
heart creating a shunt in which direction?
Right to Left shunt
Before birth - Most oxygenated blood goes to which organs?
brain and the heart
Before birth - Pulmonary resistance is ___________ in the lungs.
high
Before birth - The pulmonary vessels that carry blood to alveoli after birth are dilated
or constricted?
Constricted
Baby's 1st Breath - move fluid out of airways to allow lungs to fill with air. This air
should provide enough oxygen (21%) to do what to the pulmonary vessels?
Relax and dilate
, With blood flow to the lungs and with oxygen increasing, what should begin to happen
anatomically in the baby's heart?
The two openings in the heart should begin to close - right to left shunt resolves.
With the resolution of the shunt as well as the closing of the ducts, the heart will be able
to pump oxygen rich blood from lungs to the left side of the heart and out to....?
The baby's tissues
What are the five blocks of the NRP algorithm?
1. Rapid Eval 2. Airway 3. Breathing 4. Circulation 5. Drug
What is all evaluated in the first block "Rapid Eval" of the NRP algorithm?
Can baby stay with mom or should baby go to the warmer?
What is all evaluated in the second block "Airway" of the NRP algorithm?
Does baby have an open airway and can they support spontaneous breathing?
What is all evaluated in the third block "Breathing" of the NRP algorithm?
If apneic, gasping, or bradycardic - Assist with PPV
If labored breathing/O2 saturations below target goal - CPAP or O2 may be administered
What is all evaluated in the fourth block "Circulation" of the NRP algorithm?
Severe Bradycardia that persists despite assisted ventilation? Perform chest compressions
coordinated with PPV
What is all evaluated in the fifth block "Drug" of the NRP algorithm?
Severe bradycardia despite PPV and compressions? Administer Epi
What is the most important intervention in newborn resuscitation?
American Heart Association Question with
Verified Correct Answers
Before birth - the fetus' lungs are expanded and filled with __________.
Fluid | (not air)
The placenta supplies oxygen to the fetus and how is the CO2 removed?
The CO2 is carried across the placenta and removed by the mother's lungs.
Before birth - In the fetus, most blood bypasses the lungs through 2 openings in the
heart creating a shunt in which direction?
Right to Left shunt
Before birth - Most oxygenated blood goes to which organs?
brain and the heart
Before birth - Pulmonary resistance is ___________ in the lungs.
high
Before birth - The pulmonary vessels that carry blood to alveoli after birth are dilated
or constricted?
Constricted
Baby's 1st Breath - move fluid out of airways to allow lungs to fill with air. This air
should provide enough oxygen (21%) to do what to the pulmonary vessels?
Relax and dilate
, With blood flow to the lungs and with oxygen increasing, what should begin to happen
anatomically in the baby's heart?
The two openings in the heart should begin to close - right to left shunt resolves.
With the resolution of the shunt as well as the closing of the ducts, the heart will be able
to pump oxygen rich blood from lungs to the left side of the heart and out to....?
The baby's tissues
What are the five blocks of the NRP algorithm?
1. Rapid Eval 2. Airway 3. Breathing 4. Circulation 5. Drug
What is all evaluated in the first block "Rapid Eval" of the NRP algorithm?
Can baby stay with mom or should baby go to the warmer?
What is all evaluated in the second block "Airway" of the NRP algorithm?
Does baby have an open airway and can they support spontaneous breathing?
What is all evaluated in the third block "Breathing" of the NRP algorithm?
If apneic, gasping, or bradycardic - Assist with PPV
If labored breathing/O2 saturations below target goal - CPAP or O2 may be administered
What is all evaluated in the fourth block "Circulation" of the NRP algorithm?
Severe Bradycardia that persists despite assisted ventilation? Perform chest compressions
coordinated with PPV
What is all evaluated in the fifth block "Drug" of the NRP algorithm?
Severe bradycardia despite PPV and compressions? Administer Epi
What is the most important intervention in newborn resuscitation?
