Neonatal Resuscitation Program (NRP) practice exam with verified solutions

Neonatal Resuscitation |! |!




Program (NRP) practice exam |! |! |! |!




with verified solutions |! |!




Questions to ask prior to birth - Correct answer ✔1. what is expected
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Gestational age, (preterm <38 wks, term 38-41 wks or post-term >41 wks)
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2. what is amniotic fluid color (only clear good),
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3. what's number of babies expected (twins mebbe more),
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4. are any additional risk factors (GDM, miscarriages, preeclampsia, etc.)
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When to clamp umbilical cord - Correct answer ✔30-60 seconds after birth
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for VIGOROUS newborn
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Things to look for after birth - Correct answer ✔1. Is the baby term, (if no,
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bring baby to warmer)|! |! |!




2. does the baby have good muscle tone, (flaccid/extended extremities are
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bad)

3. is the baby breathing or crying? (if no crying, observe chest for breathing
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efforts. if vigorous crying, return to mom)
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5 initial steps of care - Correct answer ✔1. Warm,
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2. position airway,
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,3. clear secretions if needed,
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4. dry,
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5. stimulate
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Flow rate for free-flow O2 administration - Correct answer ✔10lpm
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O2 level for free-flow O2 administration - Correct answer ✔30%
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Suction setting for newborn - Correct answer ✔80-100mmHg
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Antepartum risk factors - Correct answer ✔gestation <36wks or >41wks, pre-
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eclampsia and eclampsia, maternal HTN, poly and oligohydramnios, fetal
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hydrops, macrosomia and IGR, fetal malformations or anomalies, no prenatal
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care.



Inpartum - Correct answer ✔Emergency c-section, vacuum assisted delivery,
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breech or abnormal presentation, category II or III, maternal anesthesia, mag,
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or narcs, prolapse cord, shoulder dystocia, meconium staining, bleeding,
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placental abruption, chorioamnionitis |! |!




Abnormal transition signs and symptoms - Correct answer ✔Apnea,
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tachypnea, bradycardia, tachycardia, decreased muscle tone, low SpO2,
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hypotension



Preductal SpO2 at 1 min - Correct answer ✔60-65%
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, Preductal SpO2 at 2 min - Correct answer ✔65-70%
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Preductal SpO2 at 3 min - Correct answer ✔70-75%
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Preductal SpO2 at 4 min - Correct answer ✔75-80%
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Preductal SpO2 at 5 min - Correct answer ✔80-85%
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Preductal SpO2 at 10 min - Correct answer ✔85-95%
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Where to put pulse oximeter on newborn - Correct answer ✔Right hand or
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wrist (preductal)
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Requirements for CPAP on newborn - Correct answer ✔HR >100bpm and
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spontaneous respirations |!




Best way to determine HR - Correct answer ✔Listen with stethoscope on left
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side chest for 6 seconds, multiply by 10
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If suctioning, do you suction the mouth or nose first? - Correct answer
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✔Mouth