NRP 2024 (ACTUAL)
When coordinating positive-pressure ventilation with chest compressions, how
many events are performed each minute?
60 breaths, 120 compressions
40 breaths, 80 compressions
60 breaths, 60 compressions
30 breaths, 90 compressions - ANSWERS-30 breaths, 90 compressions
Which of the following statements about post-resuscitation care is true?
All babies with prenatal and intrapartum risk factors for resuscitation must be
removed from their mother's room and observed in a nursery setting.
Babies who required resuscitation after birth should be bathed immediately to
stimulate breathing and decrease the risk of low body temperature
(hypothermia).
Babies who required positive-pressure ventilation after delivery rarely require
additional respiratory support and do not need additional assessment and
monitoring.
Among babies with brain injury from decreased oxygen and blood flow to the
brain (hypoxic-ischemic encephalopathy), high body temperature (hyperthermia)
may worsen neurologic outcomes. - ANSWERS-Among babies with brain injury
from decreased oxygen and blood flow to the brain (hypoxic-ischemic
encephalopathy), high body temperature (hyperthermia) may worsen neurologic
outcomes.
,You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is
120 beats per minute and the oxygen saturation is 90% in room air. The baby's
respirations are labored. Which of the following is an appropriate action?
Provide vigorous stimulation on the back, trunk, and extremities
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of 30 to
35 cm H20
Administer CPAP at 5 cm H20 pressure - ANSWERS-Administer CPAP at 5 cm H20
pressure
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate?
10 to 16 seconds
5 minutes
1 minute
30 seconds - ANSWERS-1 minute
After what duration of time might it be reasonable to consider discontinuing
resuscitation following complete resuscitation efforts with no detectable heart
rate?
10 minutes
20 minutes
5 minutes
, 30 minutes - ANSWERS-10 minutes
After the initial steps of newborn care, a baby is apneic. What is the most
important and effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen. - ANSWERS-Provide positive-pressure ventilation.
During the resuscitation of a newborn, you auscultate the apical pulse and count
10 beats over a 6 second period. What heart rate do you report to your team?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute - ANSWERS-100 beats per minute
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not
respond to initial steps and requires positive-pressure ventilation. What
concentration of oxygen should be used as you begin positive-pressure
ventilation?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
When coordinating positive-pressure ventilation with chest compressions, how
many events are performed each minute?
60 breaths, 120 compressions
40 breaths, 80 compressions
60 breaths, 60 compressions
30 breaths, 90 compressions - ANSWERS-30 breaths, 90 compressions
Which of the following statements about post-resuscitation care is true?
All babies with prenatal and intrapartum risk factors for resuscitation must be
removed from their mother's room and observed in a nursery setting.
Babies who required resuscitation after birth should be bathed immediately to
stimulate breathing and decrease the risk of low body temperature
(hypothermia).
Babies who required positive-pressure ventilation after delivery rarely require
additional respiratory support and do not need additional assessment and
monitoring.
Among babies with brain injury from decreased oxygen and blood flow to the
brain (hypoxic-ischemic encephalopathy), high body temperature (hyperthermia)
may worsen neurologic outcomes. - ANSWERS-Among babies with brain injury
from decreased oxygen and blood flow to the brain (hypoxic-ischemic
encephalopathy), high body temperature (hyperthermia) may worsen neurologic
outcomes.
,You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is
120 beats per minute and the oxygen saturation is 90% in room air. The baby's
respirations are labored. Which of the following is an appropriate action?
Provide vigorous stimulation on the back, trunk, and extremities
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of 30 to
35 cm H20
Administer CPAP at 5 cm H20 pressure - ANSWERS-Administer CPAP at 5 cm H20
pressure
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate?
10 to 16 seconds
5 minutes
1 minute
30 seconds - ANSWERS-1 minute
After what duration of time might it be reasonable to consider discontinuing
resuscitation following complete resuscitation efforts with no detectable heart
rate?
10 minutes
20 minutes
5 minutes
, 30 minutes - ANSWERS-10 minutes
After the initial steps of newborn care, a baby is apneic. What is the most
important and effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen. - ANSWERS-Provide positive-pressure ventilation.
During the resuscitation of a newborn, you auscultate the apical pulse and count
10 beats over a 6 second period. What heart rate do you report to your team?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute - ANSWERS-100 beats per minute
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not
respond to initial steps and requires positive-pressure ventilation. What
concentration of oxygen should be used as you begin positive-pressure
ventilation?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
