NRP 8th Edition Test 2023 Questions and Answers With complete solution

1. Your team has provided face-mask PPV with chest movement for 30 sec- onds. When is placement of an endotracheal tube strongly recommended?- : The baby's heart rate remains less than 100 bpm and is not increasing. 2. During a delivery, when and where should a person with intubation skills be available?: In the hospital and immediately available 3. What are the primary methods of confirming endotracheal tube placement within the trachea?: Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate 4. You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated and the endotracheal tube insertion depth is correct. You can see chest movement with PPV and hear bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason for this?: Low cardiac output. 5. According to the Textbook of Neonatal Resuscitation, 8th edition algo- rithm, at what point during resuscitation is a cardiac monitor recommended to assess the baby's heart rate?: When an alternative airway is inserted 6. What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)?: 0 7. Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is also important to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest compressions?: Briefly interrupt chest compressions every 60 seconds to assess the heart rate using the cardiac monitor. 8. Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor perfusion. Which is the preferred method to assess the heart rate?: Cardiac monitor 9. When are chest compressions indicated?: When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably through an alternative airway 10. After 60 seconds of PPV coordinated with chest compressions, the car- diac monitor indicates a heart rate of 70 beats per minute. What is your next action?: Stop chest compressions and continue PPV. 11. What is the recommended depth of chest compressions?: One-third of the anterior-posterior diameter of the chest 12. During chest compressions, which of the following is correct?- : To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-and-breathe-and.... 13. Your team is resuscitating a newborn whose heart rate remains less than 60 bpm despite effective PPV and 60 seconds of chest compressions. You have administered epinephrine intravenously. According to the Textbook of Neonatal Resuscitation, 8th edition, what volume of normal saline flush should you administer?: 3 mL 14. According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)?: - 0.02 mg/kg (equal to 0.2 mL/kg) 15. When is the administration of a volume expander indicated during new- born resuscitation?: The baby's heart rate is not increasing and there are signs of shock or a history of acute blood loss. 16. Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, chest compressions, and intravenous epinephrine administration. There is a history of acute blood loss around the time of delivery.You administer 10 mL/kg of normal saline (based on the new- born's estimated weight). At what rate should this be administered?: Over 5 to 10 minutes 17. How soon after administration of intravenous epinephrine should you pause compressions and reassess the baby's heart rate?: 60 seconds 18. You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment, what concentration of oxygen will you use initially if PPV is required?: 21% to 30% 19. A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have been completed and the baby is nearly 1-minute old. The baby is not breathing. What is the most appropriate next step?: Begin PPV by mask. 20. Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation.: Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a skin temperature sensor