NRP 8th Edition Test Questions and Answers (Latest 2023 – 2024) 100% Correct

1. What is the single most important and effective step in neonatal resusci- tation?: Ventilation of the newborn's lungs 2. Abnormal Transition Findings: -Irregular Breathing, absent breathing, or rapid breathing -Slow or fast heart rate -Decreased Muscle Tone -Pale Skin or Blue Skin -Low oxygen saturation -Low blood pressure 3. NRP algorithm- First Step: Antenatal Counselling Team Debriefing Equipment Check 4. After the birth of the baby, what do you ask?: 1. Term Gestation? 2. Good Tone? 3. Breathing or crying? 5. FIVE INITIAL STEPS: If you answer NO to any of the three questions (term, tone, breathing) what do you do?: Warm Dry Stimulate Position airway Suction if needed 6. Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis: - Position airway, suction if needed Pulse oximeter Oxygen if needed Consider CPAP 7. Apnea or gasping? HR <100bpm= YES: PPV Pulse Oximeter Consider Cardiac Monitor 8. HR STILL less than 100bpm= YES: Ensure adequate ventilation Consider ETT or laryngeal mask Cardiac Monitor 9. HR <60 bpm?: ETT or laryngeal mask Chest compressions Coordinate PPV-100% oxygen UVC 10. HR STILL <60 bpm?: IV Epinephrine every 3-5 minutes If still less than 60, consider hypovolemia or pneumothorax 11. Rapid Evaluation: Determine if the newborn can remain with the mother or should be moved to the radiant warmer for further evaluation 12. REVIEW: Three questions you ask during rapid evaluation?: 1. Term? 2. Good Muscle Tone? 3. Breathing/crying? If the answer is NO to any of these, baby should be brought to radiant warmer. 13. Airway: Perform the initial steps to establish an open Airway and support spontaneous respiration 14. Breathing: PPV is provided to assist Breathing for babies with apnea or bradycardia 15. Circulation: If severe bradycardia persists despite assisted ventilation, Circu- lation is supported by performing chest compressions coordinated with PPV 16. Drug: If severe bradycardia persists despite assisted ventilation and coordinat- ed chest compressions, the Drug Epinephrine is administered as coordinated PPV and chest compressions continue 17. What are the 4 pre-birth questions to ask the provider before every delivery?: 1. Expected Gestational Age 2. Is the amniotic fluid clear? 3. Are there any additional Risk Factors? 4. What is our umbilical cord management plan? 18. Equipment Check- Warm: -Preheated radiant warmer -Towels/Blankets -Temp Sensor/sensor cover -Hat -Plastic Wrap (<32 weeks) -Thermal Mattress (<32 weeks) 19. Equipment Check- Clear the airway: -Bulb Syringe -10F or 12F Suction catheter attached to wall suction set at 80-100mm Hg -Tracheal Aspirator