NRP Exam with correct detailed solutions

NRP Exam with correct |! |! |! |!




detailed solutions |!




How do you know the neonate is having secondary apnea? what actions
|! |! |! |! |! |! |! |! |! |! |! |!




should be taken? - Correct answer ✔If initial stimulation does not lead to
|! |! |! |! |! |! |! |! |! |! |! |! |!




increase in heart rate(warming, dry, clearing airway, stimulate). Continue to
|! |! |! |! |! |! |! |! |! |!




further resucitative steps (assisted ventilation (PPV))--> chest compressions --
|! |! |! |! |! |! |! |!




> medications
|!




- Heart rate should recover rapidly upon establishing adeqate ventilation
|! |! |! |! |! |! |! |! |!




Why are premature babies at increased risk for needing resuscitation
|! |! |! |! |! |! |! |! |! |!




measures - Correct answer ✔- thin tissues- prone to injury oxygen injury
|! |! |! |! |! |! |! |! |! |! |!




- fragile brain capillaries that may bleed
|! |! |! |! |! |!




- immature organs such as lungs with no surfactant, making ventilation
|! |! |! |! |! |! |! |! |! |! |!




difficult

- higher liklihood of infection
|! |! |! |!




What is evaluation based on when deciding which resucitative steps should
|! |! |! |! |! |! |! |! |! |! |!




take place? - Correct answer ✔- heart rate- (easiest way is through base of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




umbilical cord) |! |!




- oxygenation (color, SpO2 monitoring)
|! |! |! |!




- respirations (breath sounds, chest movement)
|! |! |! |! |!

, What are the first things to assess when a baby is born - Correct answer ✔- is
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!




the baby term?
|! |! |!




- good tone?
|! |!




- breathing or crying
|! |! |!




Describe the basic reuscitation steps - Correct answer ✔1) assess- is baby
|! |! |! |! |! |! |! |! |! |! |! |!




term, good tone, breathing and crying? if not then bring to warmer and
|! |! |! |! |! |! |! |! |! |! |! |! |!




resucitate |!




2) provide warmth, stimulate, position head and clear airway if necessary, dry,
|! |! |! |! |! |! |! |! |! |! |!




replace wet towels, evaluate respirations, hear rate and oxygenation (connect
|! |! |! |! |! |! |! |! |! |! |!




spO2 monitor) |!




3)

a) if heart rate below 100 bpm --> PPV (assited ventilation), if not responding
|! |! |! |! |! |! |! |! |! |! |! |! |!




then check if PPV is being done correctly (MRSOPA)
|! |! |! |! |! |! |! |! |!




b) if heart rate is above 100 but labored breathing and cyanotic, monitor with
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




spO2 to confirm cynaosis, consider CPAP and supplemental oxygen
|! |! |! |! |! |! |! |!




4) if heart rate below 60- initaite chest compression (3:1 ratio) while also
|! |! |! |! |! |! |! |! |! |! |! |! |!




continuing PPV |! |!




5) not responding- medications (epinephrine or normal saline flud volume
|! |! |! |! |! |! |! |! |! |!




replacement via venous catheter |! |! |!




why is it imortant to have an organized routne fr checking the presence and
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




function of reucitation supplies and equipment prior to every birth - Correct
|! |! |! |! |! |! |! |! |! |! |! |!




answer ✔to ensure preparedenss in the event that reucusitation may be
|! |! |! |! |! |! |! |! |! |! |!




required. reuscitative steps should be carried out in quick and efficient
|! |! |! |! |! |! |! |! |! |! |!




manner, being prepared eliminates wasting time. |! |! |! |! |!