NEONATAL RESUSCITATION PROGRAM
ACTUAL TEST PAPER FULL QUESTIONS
AND ACCURATE ANSWERS GRADED
APLUS
●● what is the most important action of neonatal resuscitation?
Answer: Effective ventilation of the baby's lungs
●● what are some aspects of neonatal pre-resuscitation team briefing
(what should we identify prior to birth of the baby) (don't need to get all
just the general theme of a pre resuscitation briefing)
Answer: - identify the team leader
- assess risk factors
- anticipate potential complications and responses
- delegate tasks
- determine whop will document
- determine supplies needed in case of resuscitation
- identify how to call for help if resuscitation is needed
●● when there are minimal neonatal risk factors present before birth
there should be...
,Answer: at least 1 person present capable of giving PPV and solely
att4nd to the infant they should be able to call for help if needed and
provide routine care for the infant
●● when there is an anticipated need for resuscitation or there are
multiple risk factors present before birth there should be...
Answer: A minimum of two people present ready to resuscitate (usually
RT/RN or RT/RN/MD/NNP)
●● what history questions are important to answer prior to delivery of
the baby (to identify relative risk of the delivery and neonatal
resuscitation need) (will help you plan for imminent delivery of the
baby)
Answer: 1. what is the expected gestational age
2. is the amniotic fluid clear
3. are there any additional risk factors
4. what is the umbilical management plan
●● list some antepartum (before birth) risk factors for neonatal
resuscitation (a lot just get a few) (12 factors)
Answer: - gestational age <36 weeks (preterm)
- gestational age >41 weeks (post dates)
- preeclampsia or eclampsia
- maternal hypertension
, - fetal anemia
- fetal malformations or anomalies
- polyhydramnios
- oligohydramnios
- fetal hydrops
- fetal macrosomia (large baby like with maternal diabetes)
- IUGR
- no prenatal care
●● list some intrapartum (during labor) risk factors for neonatal
resuscitation ( a lot just get a few) (12 factors)
Answer: - C- section
- forceps or vacuum assisted delivery
- Breech or other abnormal presentation
- fetal heart rate abnormalities (decelerations)
- maternal general anesthesia
- maternal magnesium therapy (resp depression of the neonate)
- placental abruption
- intrapartum bleeding
- chorioamnionitis
narcotics administered to mother within 4 hours of delivery
- shoulder dystocia
ACTUAL TEST PAPER FULL QUESTIONS
AND ACCURATE ANSWERS GRADED
APLUS
●● what is the most important action of neonatal resuscitation?
Answer: Effective ventilation of the baby's lungs
●● what are some aspects of neonatal pre-resuscitation team briefing
(what should we identify prior to birth of the baby) (don't need to get all
just the general theme of a pre resuscitation briefing)
Answer: - identify the team leader
- assess risk factors
- anticipate potential complications and responses
- delegate tasks
- determine whop will document
- determine supplies needed in case of resuscitation
- identify how to call for help if resuscitation is needed
●● when there are minimal neonatal risk factors present before birth
there should be...
,Answer: at least 1 person present capable of giving PPV and solely
att4nd to the infant they should be able to call for help if needed and
provide routine care for the infant
●● when there is an anticipated need for resuscitation or there are
multiple risk factors present before birth there should be...
Answer: A minimum of two people present ready to resuscitate (usually
RT/RN or RT/RN/MD/NNP)
●● what history questions are important to answer prior to delivery of
the baby (to identify relative risk of the delivery and neonatal
resuscitation need) (will help you plan for imminent delivery of the
baby)
Answer: 1. what is the expected gestational age
2. is the amniotic fluid clear
3. are there any additional risk factors
4. what is the umbilical management plan
●● list some antepartum (before birth) risk factors for neonatal
resuscitation (a lot just get a few) (12 factors)
Answer: - gestational age <36 weeks (preterm)
- gestational age >41 weeks (post dates)
- preeclampsia or eclampsia
- maternal hypertension
, - fetal anemia
- fetal malformations or anomalies
- polyhydramnios
- oligohydramnios
- fetal hydrops
- fetal macrosomia (large baby like with maternal diabetes)
- IUGR
- no prenatal care
●● list some intrapartum (during labor) risk factors for neonatal
resuscitation ( a lot just get a few) (12 factors)
Answer: - C- section
- forceps or vacuum assisted delivery
- Breech or other abnormal presentation
- fetal heart rate abnormalities (decelerations)
- maternal general anesthesia
- maternal magnesium therapy (resp depression of the neonate)
- placental abruption
- intrapartum bleeding
- chorioamnionitis
narcotics administered to mother within 4 hours of delivery
- shoulder dystocia