NRP 8TH EDITION END OF COURSE EXAM QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔What is the pre-ductal SpO2 range for 3 minutes of life? - ✔✔70-75%
✔✔If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - ✔✔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 - ✔✔Flow-inflating bag
✔✔What is the pre-ductal SpO2 range for 2 minutes of life? - ✔✔65-70%
✔✔1. What is acrocyanosis?
2. Is it normal? - ✔✔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? -
✔✔The right is wider and more vertical.
✔✔What is the initial PPV O2 concentration for a newborn < 35 weeks? - ✔✔21-30%
✔✔What colour will the CO2 detector change to if the lungs are intubated? - ✔✔Yellow
✔✔If a baby doesn't improve despite resuscitative measures or suddenly develops
severe respiratory distress, what condition might you expect? - ✔✔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? - ✔✔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 successful positive-
pressure ventilation? - ✔✔A rising heart rate.
✔✔A baby requires positive-pressure ventilation because she is not breathing (apneic),
but she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
provide free-flow oxygen. Which of the following devices cannot reliably deliver free-flow
oxygen? - ✔✔Mask of self-inflating bag.
,✔✔Which statement best describes normal transitional physiology at the time of birth?
A. O2 sats via pulse ox is unreliable in the newborn and 100% O2 is recommended
immediately after birth.
B. Visual assessment of cyanosis is a reliable indicator of the baby's O2 sats.
C. Babies may take as long as 10 minutes after birth to increase their oxygen saturation
to greater than 90%.
D. The O2 sat normally rises to at least 90% by 2 minutes of life. - ✔✔C. Babies may
take as long as 10 minutes after birth to increase their oxygen saturation to greater than
90%.
✔✔A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the
baby is not breathing (apneic). What are the next steps? - ✔✔1. Initiative positive-
pressure ventilation
2. Place a pulse oximeter sensor on the right hand or wrist
3. Consider starting cardiac monitoring
✔✔If a heart rate is 14 beats in 6 seconds, how fast is the heart rate? - ✔✔140 bpm
✔✔What is the pre-ductal SpO2 range for 10 minutes of life? - ✔✔85-95%
✔✔What personnel are required for every birth? - ✔✔At least 1 person:
1. Qualified in newborn care.
2. Able to provide PPV.
3. Who is only responsible for the baby.
✔✔A full-term baby is born by emergency cesarean delivery because of fetal
bradycardia (Category III fetal heart rate tracing). The baby is limp and not breathing
after initial steps. What is the next step in the resuscitation process? - ✔✔Initiate
positive-pressure ventilation and check for increasing heart rate.
✔✔What is the appropriate technique to stimulate a baby to breathe? - ✔✔Gently rub
the baby's back or extremities.
✔✔You are called to attend to a newborn at birth. At the time the baby is delivered,
which 3 questions should you ask to evaluate whether the baby can stay with the birther
or be moved to the radiant warmer for further assessment? - ✔✔1. Is the baby term?
2. Does the baby have good muscle tone?
3. Is the baby breathing or crying?
✔✔What is the recommended way to determine if a baby requires supplemental oxygen
in the delivery room? - ✔✔Place an oximeter sensor on the baby's right hand or wrist
and assess oxygen saturation.
, ✔✔You have determined a baby needs resuscitation at birth. What are the initial steps
of newborn care? - ✔✔Within 30 seconds of birth:
1. Provide warmth
2. Dry baby
3. Stimulate w/ gentle tactile stimulation
4. Position head & neck
5. Clear secretions (Mouth 1st, then nose)
✔✔The steps of intubation should ideally be completed within which duration? -
✔✔Within 30 seconds.
✔✔What personnel should be available if emergent care is required? - ✔✔Full team of
resuscitation qualified personnel able to perform:
1. Intubation
2. CPR
3. Emergency vascular access
✔✔What is the pre-ductal SpO2 range for 1 minute of life? - ✔✔60-65%
✔✔Effective team functioning is critical in ensuring the best performance. Which of
these characteristics is critical in team leaders? - ✔✔They should be able to maintain
situational awareness.
✔✔You have been called to attend a birth and are the only healthcare provider
responsible for the management of the newborn in the room. When should you first call
for additional help? - ✔✔Before birth, when you have identified the presence of a
perinatal risk factor that increases the likelihood of requiring neonatal resuscitation.
✔✔After the initial steps of newborn care, a baby is apneic. What is the most important
and effective action to take in the resuscitation of this baby? - ✔✔Provide PPV.
✔✔Which statement describes recommended practice when using a pulse oximeter in
the delivery room?
A. Place the pulse oximeter sensor on the right hand and use the minute specific
oxygen saturation target to guide oxygen supplementation.
B. Place the pulse oximeter sensor on the right foot and adjust the O2 concentration to
achieve 100% O2 sats.
C. Place the pulse oximeter sensor on the right hand and adjust the O2 concentration to
achieve 100% O2 sats.
D. Place the pulse oximeter sensor on the right foot and use the minute specific oxygen
saturation target to guide oxygen supplementation. - ✔✔A. Place the pulse oximeter
sensor on the right hand and use the minute specific oxygen saturation target to guide
oxygen supplementation.
ANSWERS GUARANTEE A+
✔✔What is the pre-ductal SpO2 range for 3 minutes of life? - ✔✔70-75%
✔✔If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - ✔✔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 - ✔✔Flow-inflating bag
✔✔What is the pre-ductal SpO2 range for 2 minutes of life? - ✔✔65-70%
✔✔1. What is acrocyanosis?
2. Is it normal? - ✔✔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? -
✔✔The right is wider and more vertical.
✔✔What is the initial PPV O2 concentration for a newborn < 35 weeks? - ✔✔21-30%
✔✔What colour will the CO2 detector change to if the lungs are intubated? - ✔✔Yellow
✔✔If a baby doesn't improve despite resuscitative measures or suddenly develops
severe respiratory distress, what condition might you expect? - ✔✔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? - ✔✔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 successful positive-
pressure ventilation? - ✔✔A rising heart rate.
✔✔A baby requires positive-pressure ventilation because she is not breathing (apneic),
but she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
provide free-flow oxygen. Which of the following devices cannot reliably deliver free-flow
oxygen? - ✔✔Mask of self-inflating bag.
,✔✔Which statement best describes normal transitional physiology at the time of birth?
A. O2 sats via pulse ox is unreliable in the newborn and 100% O2 is recommended
immediately after birth.
B. Visual assessment of cyanosis is a reliable indicator of the baby's O2 sats.
C. Babies may take as long as 10 minutes after birth to increase their oxygen saturation
to greater than 90%.
D. The O2 sat normally rises to at least 90% by 2 minutes of life. - ✔✔C. Babies may
take as long as 10 minutes after birth to increase their oxygen saturation to greater than
90%.
✔✔A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the
baby is not breathing (apneic). What are the next steps? - ✔✔1. Initiative positive-
pressure ventilation
2. Place a pulse oximeter sensor on the right hand or wrist
3. Consider starting cardiac monitoring
✔✔If a heart rate is 14 beats in 6 seconds, how fast is the heart rate? - ✔✔140 bpm
✔✔What is the pre-ductal SpO2 range for 10 minutes of life? - ✔✔85-95%
✔✔What personnel are required for every birth? - ✔✔At least 1 person:
1. Qualified in newborn care.
2. Able to provide PPV.
3. Who is only responsible for the baby.
✔✔A full-term baby is born by emergency cesarean delivery because of fetal
bradycardia (Category III fetal heart rate tracing). The baby is limp and not breathing
after initial steps. What is the next step in the resuscitation process? - ✔✔Initiate
positive-pressure ventilation and check for increasing heart rate.
✔✔What is the appropriate technique to stimulate a baby to breathe? - ✔✔Gently rub
the baby's back or extremities.
✔✔You are called to attend to a newborn at birth. At the time the baby is delivered,
which 3 questions should you ask to evaluate whether the baby can stay with the birther
or be moved to the radiant warmer for further assessment? - ✔✔1. Is the baby term?
2. Does the baby have good muscle tone?
3. Is the baby breathing or crying?
✔✔What is the recommended way to determine if a baby requires supplemental oxygen
in the delivery room? - ✔✔Place an oximeter sensor on the baby's right hand or wrist
and assess oxygen saturation.
, ✔✔You have determined a baby needs resuscitation at birth. What are the initial steps
of newborn care? - ✔✔Within 30 seconds of birth:
1. Provide warmth
2. Dry baby
3. Stimulate w/ gentle tactile stimulation
4. Position head & neck
5. Clear secretions (Mouth 1st, then nose)
✔✔The steps of intubation should ideally be completed within which duration? -
✔✔Within 30 seconds.
✔✔What personnel should be available if emergent care is required? - ✔✔Full team of
resuscitation qualified personnel able to perform:
1. Intubation
2. CPR
3. Emergency vascular access
✔✔What is the pre-ductal SpO2 range for 1 minute of life? - ✔✔60-65%
✔✔Effective team functioning is critical in ensuring the best performance. Which of
these characteristics is critical in team leaders? - ✔✔They should be able to maintain
situational awareness.
✔✔You have been called to attend a birth and are the only healthcare provider
responsible for the management of the newborn in the room. When should you first call
for additional help? - ✔✔Before birth, when you have identified the presence of a
perinatal risk factor that increases the likelihood of requiring neonatal resuscitation.
✔✔After the initial steps of newborn care, a baby is apneic. What is the most important
and effective action to take in the resuscitation of this baby? - ✔✔Provide PPV.
✔✔Which statement describes recommended practice when using a pulse oximeter in
the delivery room?
A. Place the pulse oximeter sensor on the right hand and use the minute specific
oxygen saturation target to guide oxygen supplementation.
B. Place the pulse oximeter sensor on the right foot and adjust the O2 concentration to
achieve 100% O2 sats.
C. Place the pulse oximeter sensor on the right hand and adjust the O2 concentration to
achieve 100% O2 sats.
D. Place the pulse oximeter sensor on the right foot and use the minute specific oxygen
saturation target to guide oxygen supplementation. - ✔✔A. Place the pulse oximeter
sensor on the right hand and use the minute specific oxygen saturation target to guide
oxygen supplementation.
