NRP 8th edition Exam Questions and
Complete Solutions Graded A+
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended? - Correct Answer-
✔✔The baby's heart rate remains less than 100 bpm and is not increasing.
During a delivery, when and where should a person with intubation skills be
available? - Correct Answer-✔✔In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the
trachea? - Correct Answer-✔✔Demonstration of exhaled carbon dioxide (CO2) and a
rapidly increasing heart rate
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? - Correct Answer-
✔✔Low cardiac output
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's
heart rate? - Correct Answer-✔✔When an alternative airway is inserted
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)? - Correct
Answer-✔✔0
,What size laryngoscope blade is recommended to intubate a preterm newborn with
an estimated gestational age of 28 weeks? - Correct Answer-✔✔00
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? - Correct Answer-✔✔Briefly interrupt chest compressions every 60
seconds to assess the heart rate using the cardiac monitor.
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? - Correct
Answer-✔✔Cardiac monitor
When are chest compressions indicated? - Correct Answer-✔✔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
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action? - Correct
Answer-✔✔Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? - Correct Answer-✔✔One-
third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? - Correct Answer-
✔✔To coordinate compressions and ventilations, the compressor calls out one-and-
two-and-three-and-breathe-and....
, During chest compression with of the following is correct? - Correct Answer-✔✔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? - Correct Answer-✔✔3 mL
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)? - Correct
Answer-✔✔0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? - Correct Answer-✔✔The baby's heart rate is not increasing and there
are signs of shock or a history of acute blood loss.
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 newborn's estimated weight). At
what rate should this be administered? - Correct Answer-✔✔Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - Correct Answer-✔✔60 seconds
Complete Solutions Graded A+
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended? - Correct Answer-
✔✔The baby's heart rate remains less than 100 bpm and is not increasing.
During a delivery, when and where should a person with intubation skills be
available? - Correct Answer-✔✔In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the
trachea? - Correct Answer-✔✔Demonstration of exhaled carbon dioxide (CO2) and a
rapidly increasing heart rate
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? - Correct Answer-
✔✔Low cardiac output
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's
heart rate? - Correct Answer-✔✔When an alternative airway is inserted
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)? - Correct
Answer-✔✔0
,What size laryngoscope blade is recommended to intubate a preterm newborn with
an estimated gestational age of 28 weeks? - Correct Answer-✔✔00
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? - Correct Answer-✔✔Briefly interrupt chest compressions every 60
seconds to assess the heart rate using the cardiac monitor.
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? - Correct
Answer-✔✔Cardiac monitor
When are chest compressions indicated? - Correct Answer-✔✔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
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action? - Correct
Answer-✔✔Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? - Correct Answer-✔✔One-
third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? - Correct Answer-
✔✔To coordinate compressions and ventilations, the compressor calls out one-and-
two-and-three-and-breathe-and....
, During chest compression with of the following is correct? - Correct Answer-✔✔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? - Correct Answer-✔✔3 mL
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)? - Correct
Answer-✔✔0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? - Correct Answer-✔✔The baby's heart rate is not increasing and there
are signs of shock or a history of acute blood loss.
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 newborn's estimated weight). At
what rate should this be administered? - Correct Answer-✔✔Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - Correct Answer-✔✔60 seconds
