NRP Final Review Exam Questions
and Answers6
Which of the following is a risk factor for a resuscitation? - ANSWERS-One of the Antepartum
Risk Factors is mother's age > 35 years old.
Your initial ventilation rate for a newborn should be? - ANSWERS-40-60 per minute
You and your team are delivering ventilations to a newborn. The device you are using has a bag
that will fill spontaneously with air or an oxygen air mixture. What device is being used? -
ANSWERS-Self-inflating bag
A 30 week gestational age baby is delivered following 50% abruption and has not responded to
the initial steps of resuscitation, 30 seconds of positive pressure ventilation with chest
movement, or 45 to 60 seconds of cardiac compressions coordinated with positive pressure
ventilation in a 3:1 ratio. A dose of epinephrine is administered. The epinephrine should be
administered over how long? - ANSWERS-As fast as possible
To treat a patient with a tension pneumothorax, you will place an 18- or 20-gauge percutaneous
catheter over the ____ intercostal space on the anterior axillary line. - ANSWERS-4th
The proper endotracheal tube size for a patient weighing 3.500 grams is: - ANSWERS-3.5
You should not perform meconium suctioning for longer than: - ANSWERS-3-5 seconds
Before birth, blood from the right heart flows mostly through the patent ductus arteriosis
instead of through the lungs' vascular bed. This is due to: - ANSWERS-High vascular resistance in
the arterioles
, You are using a self-inflating bag to resuscitate an apneic neonate. The security device to
prevent high pressure is: - ANSWERS-Pop-off valve
An appropriate method to stimulate a newborn to breathe is: - ANSWERS-Slapping or flicking
the soles of the feet
If the infant is less than 30 weeks' gestation, he/she may benefit from what treatment after
resuscitation? - ANSWERS-Surfactant
A leak in a lung during positive pressure ventilation in a patient with a congenital diaphragmatic
hernia can cause air to move to the pleural space, creating a: - ANSWERS-Pneumothorax
The proper positioning of the infant prior to intubation is the ____________ position. -
ANSWERS-Sniffing
If, after PPV with oxygen and epinephrine administration, your patient still has not responded
favorably and presents with pallor and poor perfusion, you should consider administering
volume expanders due to suspicion of: - ANSWERS-hypovolemia
You are presented with a newborn patient who has gasping ventilations and a palpable heart
rate of 90 beats per minute. The most important next action is: - ANSWERS-Assist ventilation
It can take up to ____ minutes for SpO2 to reach 90%. - ANSWERS-10
Which of the following should you suspect if there is no response to PPV, oxygen, chest
compressions, ETT, epinephrine administration, and volume expansion? - ANSWERS-If there is a
detectable heart rate, but it is below 60 bpm, there is still a possibility that the baby can be
resuscitated, unless he or she is extremely immature or has a sever congenital malformation. At
and Answers6
Which of the following is a risk factor for a resuscitation? - ANSWERS-One of the Antepartum
Risk Factors is mother's age > 35 years old.
Your initial ventilation rate for a newborn should be? - ANSWERS-40-60 per minute
You and your team are delivering ventilations to a newborn. The device you are using has a bag
that will fill spontaneously with air or an oxygen air mixture. What device is being used? -
ANSWERS-Self-inflating bag
A 30 week gestational age baby is delivered following 50% abruption and has not responded to
the initial steps of resuscitation, 30 seconds of positive pressure ventilation with chest
movement, or 45 to 60 seconds of cardiac compressions coordinated with positive pressure
ventilation in a 3:1 ratio. A dose of epinephrine is administered. The epinephrine should be
administered over how long? - ANSWERS-As fast as possible
To treat a patient with a tension pneumothorax, you will place an 18- or 20-gauge percutaneous
catheter over the ____ intercostal space on the anterior axillary line. - ANSWERS-4th
The proper endotracheal tube size for a patient weighing 3.500 grams is: - ANSWERS-3.5
You should not perform meconium suctioning for longer than: - ANSWERS-3-5 seconds
Before birth, blood from the right heart flows mostly through the patent ductus arteriosis
instead of through the lungs' vascular bed. This is due to: - ANSWERS-High vascular resistance in
the arterioles
, You are using a self-inflating bag to resuscitate an apneic neonate. The security device to
prevent high pressure is: - ANSWERS-Pop-off valve
An appropriate method to stimulate a newborn to breathe is: - ANSWERS-Slapping or flicking
the soles of the feet
If the infant is less than 30 weeks' gestation, he/she may benefit from what treatment after
resuscitation? - ANSWERS-Surfactant
A leak in a lung during positive pressure ventilation in a patient with a congenital diaphragmatic
hernia can cause air to move to the pleural space, creating a: - ANSWERS-Pneumothorax
The proper positioning of the infant prior to intubation is the ____________ position. -
ANSWERS-Sniffing
If, after PPV with oxygen and epinephrine administration, your patient still has not responded
favorably and presents with pallor and poor perfusion, you should consider administering
volume expanders due to suspicion of: - ANSWERS-hypovolemia
You are presented with a newborn patient who has gasping ventilations and a palpable heart
rate of 90 beats per minute. The most important next action is: - ANSWERS-Assist ventilation
It can take up to ____ minutes for SpO2 to reach 90%. - ANSWERS-10
Which of the following should you suspect if there is no response to PPV, oxygen, chest
compressions, ETT, epinephrine administration, and volume expansion? - ANSWERS-If there is a
detectable heart rate, but it is below 60 bpm, there is still a possibility that the baby can be
resuscitated, unless he or she is extremely immature or has a sever congenital malformation. At
