NRP Study Questions with |! |! |! |!
verified answers |!
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔At least 10 minutes|! |! |! |!
When is the time of birth documented? - Correct answer ✔After the last fetal
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
part emerges from the birthing person.
|! |! |! |! |!
What is the preductal SpO2 range for 5 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔80-85%
A baby is born at term with a bilateral cleft lip and palate and a very small
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
mandible. She requires positive-pressure ventilation because she is not
|! |! |! |! |! |! |! |! |!
breathing. You are unable to achieve a seal with bag and mask. Which
|! |! |! |! |! |! |! |! |! |! |! |! |!
intervention is indicated? - Correct answer ✔Insert a laryngeal mask.
|! |! |! |! |! |! |! |! |!
You are at the resuscitation of a newborn who is gasping and has a heart rate
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
of 60 beats per minute. What is the most important action you can take? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔Provide positive-pressure ventilation (PPV).
|! |! |! |! |!
If the newborn has respiratory distress and generalized edema, what
|! |! |! |! |! |! |! |! |! |!
condition can you expect? - Correct answer ✔Pleural effusion.
|! |! |! |! |! |! |! |!
,1. What flow rate is used for free-flow O2 administration?
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2. What % of O2 do you start at? - Correct answer ✔1. 10 L/min
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
2. Start at 30%, then titrate up to desired SpO2 target range.
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When clearing secretions, which do you clear first: mouth or nose? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔Mouth (M comes before N) |! |! |! |! |!
What size (internal diameter) endotracheal tube should be used to intubate a
|! |! |! |! |! |! |! |! |! |! |! |!
newborn with an estimated gestational age of 26 weeks (estimated birth
|! |! |! |! |! |! |! |! |! |! |!
weight of 800 g)? - Correct answer ✔2.5 mm
|! |! |! |! |! |! |! |!
Your team attends an emergency cesarean delivery of a term baby because of
|! |! |! |! |! |! |! |! |! |! |! |! |!
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate |! |! |! |! |! |! |! |!
decelerations. At delivery, the newborn is term as expected, with very poor |! |! |! |! |! |! |! |! |! |! |! |!
tone and he is not breathing (apneic). You quickly perform initial steps, but
|! |! |! |! |! |! |! |! |! |! |! |! |!
the newborn is still not breathing. What is the most appropriate next step of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
resuscitation? - Correct answer ✔Start PPV and check heart rate response |! |! |! |! |! |! |! |! |! |! |!
after 15 seconds|! |!
During the resuscitation of a newborn, you auscultate the apical pulse and
|! |! |! |! |! |! |! |! |! |! |! |!
count 10 beats over a 6 second period. What heart rate do you report to your
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
team? - Correct answer ✔100 bpm|! |! |! |! |!
You are part of a team preparing for the birth of a baby who has meconium-
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
stained fluid and a category III fetal heart rate tracing. A person skilled in
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
endotracheal intubation should be: - Correct answer ✔Present at birth. |! |! |! |! |! |! |! |! |!
,You are at a delivery of a baby born through meconium-stained amniotic
|! |! |! |! |! |! |! |! |! |! |! |!
fluid, and the baby is not vigorous. What steps should be taken immediately
|! |! |! |! |! |! |! |! |! |! |! |! |!
after birth? - Correct answer ✔The baby should be brought to the radiant
|! |! |! |! |! |! |! |! |! |! |! |! |!
warmer for initial steps of newborn care. |! |! |! |! |! |!
What is the most effective maneuver to establish spontaneous breathing in a
|! |! |! |! |! |! |! |! |! |! |! |!
baby that is apneic after initial steps? - Correct answer ✔Administration of
|! |! |! |! |! |! |! |! |! |! |! |!
PPV that inflates the lungs
|! |! |! |!
What is the pre-ductal SpO2 range for 3 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔90 bpm |! |!
Which O2 PPV resuscitator: |! |! |!
- Requires a compressed gas source
|! |! |! |! |!
- Must have a tight seal to inflate
|! |! |! |! |! |! |!
- Use a flow-control valve to regulate the PIP and PEEP
|! |! |! |! |! |! |! |! |! |!
- Can deliver free-flow O2 via mask
|! |! |! |! |! |!
- Can deliver CPAP to a spontaneously breathing newborn - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |!
✔Flow-inflating bag |!
What is the pre-ductal SpO2 range for 2 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔65-70%
, 1. What is acrocyanosis?
|! |! |!
2. Is it normal? - Correct answer ✔1. A blue colour in the hands and feet
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
without central cyanosis. |! |!
2. It is normal.
|! |! |!
Why are you more likely to intubate the right mainstem bronchus than the
|! |! |! |! |! |! |! |! |! |! |! |! |!
left? - Correct answer ✔The right is wider and more vertical.
|! |! |! |! |! |! |! |! |! |!
What is the initial PPV O2 concentration for a newborn < 35 weeks? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔21-30% |! |!
What colour will the CO2 detector change to if the lungs are intubated? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔Yellow |! |!
If a baby doesn't improve despite resuscitative measures or suddenly develops
|! |! |! |! |! |! |! |! |! |!
severe respiratory distress, what condition might you expect? - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔Pneumothorax |!
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
respond to initial steps and requires positive-pressure ventilation. What
|! |! |! |! |! |! |! |! |!
concentration of oxygen should be used as you begin positive-pressure |! |! |! |! |! |! |! |! |! |!
ventilation? - Correct answer ✔21-30% |! |! |! |!
You have started positive-pressure ventilation for a newborn because her
|! |! |! |! |! |! |! |! |! |!
heart rate is low (bradycardia). What is the most important indicator of
|! |! |! |! |! |! |! |! |! |! |! |!
verified answers |!
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔At least 10 minutes|! |! |! |!
When is the time of birth documented? - Correct answer ✔After the last fetal
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
part emerges from the birthing person.
|! |! |! |! |!
What is the preductal SpO2 range for 5 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔80-85%
A baby is born at term with a bilateral cleft lip and palate and a very small
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
mandible. She requires positive-pressure ventilation because she is not
|! |! |! |! |! |! |! |! |!
breathing. You are unable to achieve a seal with bag and mask. Which
|! |! |! |! |! |! |! |! |! |! |! |! |!
intervention is indicated? - Correct answer ✔Insert a laryngeal mask.
|! |! |! |! |! |! |! |! |!
You are at the resuscitation of a newborn who is gasping and has a heart rate
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
of 60 beats per minute. What is the most important action you can take? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔Provide positive-pressure ventilation (PPV).
|! |! |! |! |!
If the newborn has respiratory distress and generalized edema, what
|! |! |! |! |! |! |! |! |! |!
condition can you expect? - Correct answer ✔Pleural effusion.
|! |! |! |! |! |! |! |!
,1. What flow rate is used for free-flow O2 administration?
|! |! |! |! |! |! |! |! |!
2. What % of O2 do you start at? - Correct answer ✔1. 10 L/min
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
2. Start at 30%, then titrate up to desired SpO2 target range.
|! |! |! |! |! |! |! |! |! |! |!
When clearing secretions, which do you clear first: mouth or nose? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔Mouth (M comes before N) |! |! |! |! |!
What size (internal diameter) endotracheal tube should be used to intubate a
|! |! |! |! |! |! |! |! |! |! |! |!
newborn with an estimated gestational age of 26 weeks (estimated birth
|! |! |! |! |! |! |! |! |! |! |!
weight of 800 g)? - Correct answer ✔2.5 mm
|! |! |! |! |! |! |! |!
Your team attends an emergency cesarean delivery of a term baby because of
|! |! |! |! |! |! |! |! |! |! |! |! |!
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate |! |! |! |! |! |! |! |!
decelerations. At delivery, the newborn is term as expected, with very poor |! |! |! |! |! |! |! |! |! |! |! |!
tone and he is not breathing (apneic). You quickly perform initial steps, but
|! |! |! |! |! |! |! |! |! |! |! |! |!
the newborn is still not breathing. What is the most appropriate next step of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
resuscitation? - Correct answer ✔Start PPV and check heart rate response |! |! |! |! |! |! |! |! |! |! |!
after 15 seconds|! |!
During the resuscitation of a newborn, you auscultate the apical pulse and
|! |! |! |! |! |! |! |! |! |! |! |!
count 10 beats over a 6 second period. What heart rate do you report to your
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
team? - Correct answer ✔100 bpm|! |! |! |! |!
You are part of a team preparing for the birth of a baby who has meconium-
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
stained fluid and a category III fetal heart rate tracing. A person skilled in
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
endotracheal intubation should be: - Correct answer ✔Present at birth. |! |! |! |! |! |! |! |! |!
,You are at a delivery of a baby born through meconium-stained amniotic
|! |! |! |! |! |! |! |! |! |! |! |!
fluid, and the baby is not vigorous. What steps should be taken immediately
|! |! |! |! |! |! |! |! |! |! |! |! |!
after birth? - Correct answer ✔The baby should be brought to the radiant
|! |! |! |! |! |! |! |! |! |! |! |! |!
warmer for initial steps of newborn care. |! |! |! |! |! |!
What is the most effective maneuver to establish spontaneous breathing in a
|! |! |! |! |! |! |! |! |! |! |! |!
baby that is apneic after initial steps? - Correct answer ✔Administration of
|! |! |! |! |! |! |! |! |! |! |! |!
PPV that inflates the lungs
|! |! |! |!
What is the pre-ductal SpO2 range for 3 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔90 bpm |! |!
Which O2 PPV resuscitator: |! |! |!
- Requires a compressed gas source
|! |! |! |! |!
- Must have a tight seal to inflate
|! |! |! |! |! |! |!
- Use a flow-control valve to regulate the PIP and PEEP
|! |! |! |! |! |! |! |! |! |!
- Can deliver free-flow O2 via mask
|! |! |! |! |! |!
- Can deliver CPAP to a spontaneously breathing newborn - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |!
✔Flow-inflating bag |!
What is the pre-ductal SpO2 range for 2 minutes of life? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔65-70%
, 1. What is acrocyanosis?
|! |! |!
2. Is it normal? - Correct answer ✔1. A blue colour in the hands and feet
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
without central cyanosis. |! |!
2. It is normal.
|! |! |!
Why are you more likely to intubate the right mainstem bronchus than the
|! |! |! |! |! |! |! |! |! |! |! |! |!
left? - Correct answer ✔The right is wider and more vertical.
|! |! |! |! |! |! |! |! |! |!
What is the initial PPV O2 concentration for a newborn < 35 weeks? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔21-30% |! |!
What colour will the CO2 detector change to if the lungs are intubated? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔Yellow |! |!
If a baby doesn't improve despite resuscitative measures or suddenly develops
|! |! |! |! |! |! |! |! |! |!
severe respiratory distress, what condition might you expect? - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔Pneumothorax |!
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
respond to initial steps and requires positive-pressure ventilation. What
|! |! |! |! |! |! |! |! |!
concentration of oxygen should be used as you begin positive-pressure |! |! |! |! |! |! |! |! |! |!
ventilation? - Correct answer ✔21-30% |! |! |! |!
You have started positive-pressure ventilation for a newborn because her
|! |! |! |! |! |! |! |! |! |!
heart rate is low (bradycardia). What is the most important indicator of
|! |! |! |! |! |! |! |! |! |! |! |!
