NRP FINAL EXAM LATEST REAL EXAM 250+ QUESTIONS
AND CORRECT ANSWERS|AGRADE
t or f
everyone has either Rh + or Rh - - ANSWER: t
mom already has antibodies and it doesn't matter is baby is Rh + or Rh - - ANSWER:
Rh+ mom
mom does not have antibodies and if baby is Rh+ the mom will develop antibodies to
baby - ANSWER: Rh- mom
will cause blood cells to lyse or break down and could result in rejection of
pregnancy - ANSWER: Rh- mom if baby is Rh+
have to get the Rhogam shot during prego and then after they deliver in order not to
develop antibodies to the baby's blood - ANSWER: Rh - mom
t or f
rejection does not happen in the first pregnancy but every Rh- mom gets Rhogam
shot b/c you don't know if the hx is accurate - ANSWER: T
what prevents development of antibodies - ANSWER: rhobium
normal values for newborns:
weight:
RR
HR - ANSWER: weight: 6-8 lbs / 2.7-3.6 kg
RR: 25-60
HR: 100-140
normal Vt for newborn (healthy) - ANSWER: 20 ml
normal ABG for healthy newborn - ANSWER: pH: 7.25-7.35
PCO2: 30-40
PO2: 50-70
HCO3: 17-23
SPO2: 90% and increasing (you know the chart :)
IUGR - ANSWER: intrauterine Grown Retardation - SGA
signs of respiratory distress - ANSWER: cyanosis
expiratory grunting
tachypnea
nasal flaring
retractions
, ABG's not in normal range
cyanosis can be: - ANSWER: peripheral
central
peripheral cyanosis aka - ANSWER: acrocyanosis
how long is acrocyanosis normal for - ANSWER: up to 1 hour after birth
waiting for peripheral vasculature to dilate
how long is central cyanosis normal for - ANSWER: up to 10 minutes
central cyanosis is what parts - ANSWER: trunk, lips, tongue
baby stinting lungs open to create back pressure to attempt to keep alveoli open -
ANSWER: expiratory grunting
when a baby is delivered through c-section what doesn't happen - ANSWER: the
squeeze - so baby may grunt to push the fluid back across the alveolar - cap
membrane
tachypnea = - ANSWER: > 60
baby trying to increase PO2
increased resistance in airway so baby works had to move air through nares = -
ANSWER: nasal flaring
baby's are _______ _________ bx'ers - ANSWER: obligate nose
b/c tongue so big
what kind of retractions are there - ANSWER: suprasternal, substernal, sternal,
clavicular
what score is given after birth to help assess the neonate - ANSWER: APGAR
what does APGAR stand for - ANSWER: appearance
pulse
grimace
activity
respirations
t or f
no newborn should get a 10 at one minute - ANSWER: t
how often is it done - ANSWER: 1 and 5 minutes
every 5 minutes afterwards if baby resuscitated
AND CORRECT ANSWERS|AGRADE
t or f
everyone has either Rh + or Rh - - ANSWER: t
mom already has antibodies and it doesn't matter is baby is Rh + or Rh - - ANSWER:
Rh+ mom
mom does not have antibodies and if baby is Rh+ the mom will develop antibodies to
baby - ANSWER: Rh- mom
will cause blood cells to lyse or break down and could result in rejection of
pregnancy - ANSWER: Rh- mom if baby is Rh+
have to get the Rhogam shot during prego and then after they deliver in order not to
develop antibodies to the baby's blood - ANSWER: Rh - mom
t or f
rejection does not happen in the first pregnancy but every Rh- mom gets Rhogam
shot b/c you don't know if the hx is accurate - ANSWER: T
what prevents development of antibodies - ANSWER: rhobium
normal values for newborns:
weight:
RR
HR - ANSWER: weight: 6-8 lbs / 2.7-3.6 kg
RR: 25-60
HR: 100-140
normal Vt for newborn (healthy) - ANSWER: 20 ml
normal ABG for healthy newborn - ANSWER: pH: 7.25-7.35
PCO2: 30-40
PO2: 50-70
HCO3: 17-23
SPO2: 90% and increasing (you know the chart :)
IUGR - ANSWER: intrauterine Grown Retardation - SGA
signs of respiratory distress - ANSWER: cyanosis
expiratory grunting
tachypnea
nasal flaring
retractions
, ABG's not in normal range
cyanosis can be: - ANSWER: peripheral
central
peripheral cyanosis aka - ANSWER: acrocyanosis
how long is acrocyanosis normal for - ANSWER: up to 1 hour after birth
waiting for peripheral vasculature to dilate
how long is central cyanosis normal for - ANSWER: up to 10 minutes
central cyanosis is what parts - ANSWER: trunk, lips, tongue
baby stinting lungs open to create back pressure to attempt to keep alveoli open -
ANSWER: expiratory grunting
when a baby is delivered through c-section what doesn't happen - ANSWER: the
squeeze - so baby may grunt to push the fluid back across the alveolar - cap
membrane
tachypnea = - ANSWER: > 60
baby trying to increase PO2
increased resistance in airway so baby works had to move air through nares = -
ANSWER: nasal flaring
baby's are _______ _________ bx'ers - ANSWER: obligate nose
b/c tongue so big
what kind of retractions are there - ANSWER: suprasternal, substernal, sternal,
clavicular
what score is given after birth to help assess the neonate - ANSWER: APGAR
what does APGAR stand for - ANSWER: appearance
pulse
grimace
activity
respirations
t or f
no newborn should get a 10 at one minute - ANSWER: t
how often is it done - ANSWER: 1 and 5 minutes
every 5 minutes afterwards if baby resuscitated
