NRP 8th edition study guide |! |! |! |! |!
questions with verified solutions |! |! |!
Your team has provided face-mask PPV with chest movement for 30 seconds.
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When is placement of an endotracheal tube strongly recommended? - Correct
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answer ✔The baby's heart rate remains less than 100 bpm and is not
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increasing.
During a delivery, when and where should a person with intubation skills be
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available? - Correct answer ✔In the hospital and immediately available
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What are the primary methods of confirming endotracheal tube placement
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within the trachea? - Correct answer ✔Demonstration of exhaled carbon
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dioxide (CO2) and a rapidly increasing heart rate
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You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The
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baby has been intubated and the endotracheal tube insertion depth is correct.
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You can see chest movement with PPV and hear bilateral breath sounds, but
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the colorimetric CO2 detector does not turn yellow. What is the likely reason
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for this? - Correct answer ✔Low cardiac output
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According to the Textbook of Neonatal Resuscitation, 8th edition algorithm,
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at what point during resuscitation is a cardiac monitor recommended to
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assess the baby's heart rate? - Correct answer ✔When an alternative airway is
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inserted
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,What size laryngoscope blade is recommended to intubate a preterm
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newborn with an estimated gestational age of 32 weeks (estimated birth
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weight of 1.4 kg)? - Correct answer ✔0
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What size laryngoscope blade is recommended to intubate a preterm
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newborn with an estimated gestational age of 28 weeks? - Correct answer
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✔00
Even brief interruptions of chest compressions may significantly reduce their
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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.
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Your team is resuscitating a newborn at birth. The heart rate is low and the
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baby has poor perfusion. Which is the preferred method to assess the heart
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rate? - Correct answer ✔Cardiac monitor
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When are chest compressions indicated? - Correct answer ✔When the heart
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rate remains less than 60 bpm after at least 30 seconds of PPV that moves the
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chest, preferably through an alternative airway
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After 60 seconds of PPV coordinated with chest compressions, the cardiac
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monitor indicates a heart rate of 70 beats per minute. What is your next
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action? - Correct answer ✔Stop chest compressions and continue PPV.
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, What is the recommended depth of chest compressions? - Correct answer
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✔One-third of the anterior-posterior diameter of the chest |! |! |! |! |! |! |!
During chest compressions, which of the following is correct? - Correct
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answer ✔To coordinate compressions and ventilations, the compressor calls
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out one-and-two-and-three-and-breathe-and....
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During chest compression with of the following is correct? - Correct answer
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✔Your team is resuscitating a newborn whose heart rate remains less than 60
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bpm despite effective PPV and 60 seconds of chest compressions.
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You have administered epinephrine intravenously. According to the Textbook
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of Neonatal Resuscitation, 8th edition, what volume of normal saline flush
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should you administer? - Correct answer ✔3 mL
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According to the Textbook of Neonatal Resuscitation, 8th edition, what is the
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suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? -
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Correct answer ✔0.02 mg/kg (equal to 0.2 mL/kg)
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When is the administration of a volume expander indicated during newborn
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resuscitation? - Correct answer ✔The baby's heart rate is not increasing and |! |! |! |! |! |! |! |! |! |! |! |!
there are signs of shock or a history of acute blood loss.
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Your team is caring for a term newborn whose heart rate is 50 bpm after
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
receiving effective ventilation, chest compressions, and intravenous
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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
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questions with verified solutions |! |! |!
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
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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
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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
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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
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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
|! |! |! |! |! |! |! |! |! |! |! |! |!
