NRN 312 – Neonatal Resuscitation in
Nursing ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
What immediate action is required when a newborn fails to initiate breathing within the first
minute after birth?
CORRECT ANSWER ✅✅
The newborn requires immediate resuscitative steps because delayed breathing quickly leads
to hypoxia. The nurse must dry the baby, stimulate breathing, and assess tone and heart rate
right away. Early airway management prevents progression into secondary apnea. Quick
intervention is crucial because newborns deteriorate rapidly. Proper training ensures nurses
confidently perform resuscitation steps without delay.
What should be done for a non-vigorous newborn delivered through meconium-stained
amniotic fluid?
CORRECT ANSWER ✅✅
A non-vigorous infant may need suctioning under direct visualization because meconium can
obstruct the airways. This reduces the risk of aspiration and improves ventilation. A vigorous
baby does not require routine suctioning to prevent unnecessary trauma. Assessment of tone
and respiration guides the decision. Following updated guidelines ensures safe and effective
care.
What intervention is required when a newborn shows poor tone and inadequate breathing
immediately after birth?
CORRECT ANSWER ✅✅
Positive pressure ventilation (PPV) must be initiated within the first minute because
ventilation is the most critical step in resuscitation. The nurse ensures correct mask seal and
head position for effective breaths. Chest rise confirms that air is entering the lungs. PPV
often restores normal breathing quickly. Early ventilation prevents bradycardia and further
deterioration.
What does a heart rate below 100 beats per minute indicate during neonatal assessment?
CORRECT ANSWER ✅✅
A HR below 100 bpm means the newborn needs immediate PPV. Heart rate is the strongest
indicator of neonatal physiological status. Nurses reassess every 30 seconds to evaluate
, response. If the HR does not improve, ventilation techniques must be corrected. Early
recognition and intervention improve survival.
When should chest compressions be initiated during neonatal resuscitation?
CORRECT ANSWER ✅✅
Chest compressions begin when the heart rate remains below 60 bpm after 30 seconds of
effective PPV. This indicates that oxygen delivery and perfusion are severely compromised.
The two-thumb encircling technique provides the best compression depth and control. The
correct ratio is 3 compressions to 1 breath. Coordinated team effort ensures optimal
resuscitation.
What is the recommended depth for neonatal chest compressions?
CORRECT ANSWER ✅✅
The correct compression depth is one-third of the chest’s anterior–posterior diameter. This
depth produces enough pressure to circulate blood without causing injury. Too little pressure
is ineffective, while too much may damage organs. Practice ensures nurses consistently
achieve the correct depth. Monitoring HR helps evaluate effectiveness.
What should the nurse check if PPV does not produce visible chest rise?
CORRECT ANSWER ✅✅
The nurse must check for airway obstruction, mask leakage, or incorrect head positioning.
Adjusting to the sniffing position often improves ventilation. Suctioning may be necessary if
secretions block airflow. Ensuring the right mask size helps seal the airway properly. Fixing
these issues restores effective ventilation.
Why is room air recommended when initiating PPV for term infants?
CORRECT ANSWER ✅✅
Room air reduces the risk of oxygen toxicity, which can damage tissues. Oxygen saturation is
monitored with a pulse oximeter to guide adjustments. If levels do not improve, oxygen is
increased gradually. Preterm infants may need blended oxygen. Individualized oxygen
management ensures safe resuscitation.
Why is immediate warming of the newborn essential during resuscitation?
CORRECT ANSWER ✅✅
Nursing ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
What immediate action is required when a newborn fails to initiate breathing within the first
minute after birth?
CORRECT ANSWER ✅✅
The newborn requires immediate resuscitative steps because delayed breathing quickly leads
to hypoxia. The nurse must dry the baby, stimulate breathing, and assess tone and heart rate
right away. Early airway management prevents progression into secondary apnea. Quick
intervention is crucial because newborns deteriorate rapidly. Proper training ensures nurses
confidently perform resuscitation steps without delay.
What should be done for a non-vigorous newborn delivered through meconium-stained
amniotic fluid?
CORRECT ANSWER ✅✅
A non-vigorous infant may need suctioning under direct visualization because meconium can
obstruct the airways. This reduces the risk of aspiration and improves ventilation. A vigorous
baby does not require routine suctioning to prevent unnecessary trauma. Assessment of tone
and respiration guides the decision. Following updated guidelines ensures safe and effective
care.
What intervention is required when a newborn shows poor tone and inadequate breathing
immediately after birth?
CORRECT ANSWER ✅✅
Positive pressure ventilation (PPV) must be initiated within the first minute because
ventilation is the most critical step in resuscitation. The nurse ensures correct mask seal and
head position for effective breaths. Chest rise confirms that air is entering the lungs. PPV
often restores normal breathing quickly. Early ventilation prevents bradycardia and further
deterioration.
What does a heart rate below 100 beats per minute indicate during neonatal assessment?
CORRECT ANSWER ✅✅
A HR below 100 bpm means the newborn needs immediate PPV. Heart rate is the strongest
indicator of neonatal physiological status. Nurses reassess every 30 seconds to evaluate
, response. If the HR does not improve, ventilation techniques must be corrected. Early
recognition and intervention improve survival.
When should chest compressions be initiated during neonatal resuscitation?
CORRECT ANSWER ✅✅
Chest compressions begin when the heart rate remains below 60 bpm after 30 seconds of
effective PPV. This indicates that oxygen delivery and perfusion are severely compromised.
The two-thumb encircling technique provides the best compression depth and control. The
correct ratio is 3 compressions to 1 breath. Coordinated team effort ensures optimal
resuscitation.
What is the recommended depth for neonatal chest compressions?
CORRECT ANSWER ✅✅
The correct compression depth is one-third of the chest’s anterior–posterior diameter. This
depth produces enough pressure to circulate blood without causing injury. Too little pressure
is ineffective, while too much may damage organs. Practice ensures nurses consistently
achieve the correct depth. Monitoring HR helps evaluate effectiveness.
What should the nurse check if PPV does not produce visible chest rise?
CORRECT ANSWER ✅✅
The nurse must check for airway obstruction, mask leakage, or incorrect head positioning.
Adjusting to the sniffing position often improves ventilation. Suctioning may be necessary if
secretions block airflow. Ensuring the right mask size helps seal the airway properly. Fixing
these issues restores effective ventilation.
Why is room air recommended when initiating PPV for term infants?
CORRECT ANSWER ✅✅
Room air reduces the risk of oxygen toxicity, which can damage tissues. Oxygen saturation is
monitored with a pulse oximeter to guide adjustments. If levels do not improve, oxygen is
increased gradually. Preterm infants may need blended oxygen. Individualized oxygen
management ensures safe resuscitation.
Why is immediate warming of the newborn essential during resuscitation?
CORRECT ANSWER ✅✅
