NRP advanced Exam with |! |! |! |! |!
accurate detailed answers |! |!
What are the 2 primary methods of confirming ETT placement within the
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trachea? - Correct answer ✔demonstration of exhaled CO2 and a rapidly
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rising heart rate
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What steps are done by the person assisting the intubation? - Correct answer
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✔check tip-to-lip insertion depth
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check that stylet does not protrude beyond end of ETT
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listen for increasing heart rate and observe CO2 color change
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attach leads and begin cardiac monitoring if not already done
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What is the DOPE mnemonic? - Correct answer ✔D-displaced tube
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O- obstructed tube
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P-pneumothorax
E-equipment failure |!
When are chest compressions indicated? - Correct answer ✔When the heart
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rate remains less than 60 beats per minute after 30 seconds of positive-
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pressure ventilation that moves the chest, preferably through an alternative
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airway (ETT or LMA) |! |! |!
, What is the depth of chest compressions? - Correct answer ✔1/3 of the
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anterior-posterior diameter of chest |! |! |!
What is the preferred way to assess the heart rate when chest compressions
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are required? - Correct answer ✔cardiac monitor
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reassess every 60 seconds |! |! |!
for delivery room resuscitation, how do you give epinephrine? - Correct
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answer ✔umbilical vein |! |!
dosage: 0.1 mg/mL or 1 mg/10mL |! |! |! |! |!
Volume of saline flush after epinephrine? - Correct answer ✔3 mL
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when is administration of volume expander indicated? - Correct answer
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✔baby is not responding to steps of resuscitation and there are signs of shock
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or a history of acute blood loss
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what is the dose for the volume expander? - Correct answer ✔10 mL/kg
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how far should the catheter be inserted into the umbilical vein? - Correct
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answer ✔2-4 cm, until you get free flow of blood when the syringe is gently
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
aspirated
what is a reasonable time frame after birth for considering cessation of
|! |! |! |! |! |! |! |! |! |! |! |!
resuscitation efforts when absence of heart rate is confirmed after all
|! |! |! |! |! |! |! |! |! |! |!
appropriate interventions? - Correct answer ✔20 minutes |! |! |! |! |! |!
accurate detailed answers |! |!
What are the 2 primary methods of confirming ETT placement within the
|! |! |! |! |! |! |! |! |! |! |! |!
trachea? - Correct answer ✔demonstration of exhaled CO2 and a rapidly
|! |! |! |! |! |! |! |! |! |! |!
rising heart rate
|! |!
What steps are done by the person assisting the intubation? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |!
✔check tip-to-lip insertion depth
|! |! |!
check that stylet does not protrude beyond end of ETT
|! |! |! |! |! |! |! |! |!
listen for increasing heart rate and observe CO2 color change
|! |! |! |! |! |! |! |! |!
attach leads and begin cardiac monitoring if not already done
|! |! |! |! |! |! |! |! |!
What is the DOPE mnemonic? - Correct answer ✔D-displaced tube
|! |! |! |! |! |! |! |! |!
O- obstructed tube
|! |!
P-pneumothorax
E-equipment failure |!
When are chest compressions indicated? - Correct answer ✔When the heart
|! |! |! |! |! |! |! |! |! |! |!
rate remains less than 60 beats per minute after 30 seconds of positive-
|! |! |! |! |! |! |! |! |! |! |! |!
pressure ventilation that moves the chest, preferably through an alternative
|! |! |! |! |! |! |! |! |! |!
airway (ETT or LMA) |! |! |!
, What is the depth of chest compressions? - Correct answer ✔1/3 of the
|! |! |! |! |! |! |! |! |! |! |! |! |!
anterior-posterior diameter of chest |! |! |!
What is the preferred way to assess the heart rate when chest compressions
|! |! |! |! |! |! |! |! |! |! |! |! |!
are required? - Correct answer ✔cardiac monitor
|! |! |! |! |! |!
reassess every 60 seconds |! |! |!
for delivery room resuscitation, how do you give epinephrine? - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔umbilical vein |! |!
dosage: 0.1 mg/mL or 1 mg/10mL |! |! |! |! |!
Volume of saline flush after epinephrine? - Correct answer ✔3 mL
|! |! |! |! |! |! |! |! |! |!
when is administration of volume expander indicated? - Correct answer
|! |! |! |! |! |! |! |! |! |!
✔baby is not responding to steps of resuscitation and there are signs of shock
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
or a history of acute blood loss
|! |! |! |! |! |!
what is the dose for the volume expander? - Correct answer ✔10 mL/kg
|! |! |! |! |! |! |! |! |! |! |! |!
how far should the catheter be inserted into the umbilical vein? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔2-4 cm, until you get free flow of blood when the syringe is gently
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
aspirated
what is a reasonable time frame after birth for considering cessation of
|! |! |! |! |! |! |! |! |! |! |! |!
resuscitation efforts when absence of heart rate is confirmed after all
|! |! |! |! |! |! |! |! |! |! |!
appropriate interventions? - Correct answer ✔20 minutes |! |! |! |! |! |!
