NEONATAL RESUSCITATION PROGRAM
EXAM SCRIPT VERIFIED QUESTIONS AND
SOLUTIONS COMPLETE REVIEW MATERIAL
●● The placenta supplies oxygen to the fetus and how is the CO2
removed?
Answer: The CO2 is carried across the placenta and removed by the
mother's lungs.
●● Before birth - In the fetus, most blood bypasses the lungs through 2
openings in the heart creating a shunt in which direction?
Answer: Right to Left shunt
●● Before birth - Most oxygenated blood goes to which organs?
Answer: brain and the heart
●● Before birth - Pulmonary resistance is ___________ in the lungs.
Answer: high
●● Before birth - The pulmonary vessels that carry blood to alveoli after
birth are dilated or constricted?
Answer: Constricted
,●● Baby's 1st Breath - move fluid out of airways to allow lungs to fill
with air. This air should provide enough oxygen (21%) to do what to the
pulmonary vessels?
Answer: Relax and dilate
●● With blood flow to the lungs and with oxygen increasing, what
should begin to happen anatomically in the baby's heart?
Answer: The two openings in the heart should begin to close - right to
left shunt resolves.
●● With the resolution of the shunt as well as the closing of the ducts,
the heart will be able to pump oxygen rich blood from lungs to the left
side of the heart and out to....?
Answer: The baby's tissues
●● What are the five blocks of the NRP algorithm?
Answer: 1. Rapid Eval 2. Airway 3. Breathing 4. Circulation 5. Drug
●● What is all evaluated in the first block "Rapid Eval" of the NRP
algorithm?
Answer: Can baby stay with mom or should baby go to the warmer?
●● What is all evaluated in the second block "Airway" of the NRP
algorithm?
, Answer: Does baby have an open airway and can they support
spontaneous breathing?
●● What is all evaluated in the third block "Breathing" of the NRP
algorithm?
Answer: If apneic, gasping, or bradycardic - Assist with PPV
If labored breathing/O2 saturations below target goal - CPAP or O2 may
be administered
●● What is all evaluated in the fourth block "Circulation" of the NRP
algorithm?
Answer: Severe Bradycardia that persists despite assisted ventilation?
Perform chest compressions coordinated with PPV
●● What is all evaluated in the fifth block "Drug" of the NRP algorithm?
Answer: Severe bradycardia despite PPV and compressions? Administer
Epi
●● What is the most important intervention in newborn resuscitation?
Answer: VENTILATION - cannot be resuscitated until lungs are inflated
●● Prolonged lack of perfusion and oxygenation can cause what in the
baby?
Answer: Organ damage and/or lead to death
EXAM SCRIPT VERIFIED QUESTIONS AND
SOLUTIONS COMPLETE REVIEW MATERIAL
●● The placenta supplies oxygen to the fetus and how is the CO2
removed?
Answer: The CO2 is carried across the placenta and removed by the
mother's lungs.
●● Before birth - In the fetus, most blood bypasses the lungs through 2
openings in the heart creating a shunt in which direction?
Answer: Right to Left shunt
●● Before birth - Most oxygenated blood goes to which organs?
Answer: brain and the heart
●● Before birth - Pulmonary resistance is ___________ in the lungs.
Answer: high
●● Before birth - The pulmonary vessels that carry blood to alveoli after
birth are dilated or constricted?
Answer: Constricted
,●● Baby's 1st Breath - move fluid out of airways to allow lungs to fill
with air. This air should provide enough oxygen (21%) to do what to the
pulmonary vessels?
Answer: Relax and dilate
●● With blood flow to the lungs and with oxygen increasing, what
should begin to happen anatomically in the baby's heart?
Answer: The two openings in the heart should begin to close - right to
left shunt resolves.
●● With the resolution of the shunt as well as the closing of the ducts,
the heart will be able to pump oxygen rich blood from lungs to the left
side of the heart and out to....?
Answer: The baby's tissues
●● What are the five blocks of the NRP algorithm?
Answer: 1. Rapid Eval 2. Airway 3. Breathing 4. Circulation 5. Drug
●● What is all evaluated in the first block "Rapid Eval" of the NRP
algorithm?
Answer: Can baby stay with mom or should baby go to the warmer?
●● What is all evaluated in the second block "Airway" of the NRP
algorithm?
, Answer: Does baby have an open airway and can they support
spontaneous breathing?
●● What is all evaluated in the third block "Breathing" of the NRP
algorithm?
Answer: If apneic, gasping, or bradycardic - Assist with PPV
If labored breathing/O2 saturations below target goal - CPAP or O2 may
be administered
●● What is all evaluated in the fourth block "Circulation" of the NRP
algorithm?
Answer: Severe Bradycardia that persists despite assisted ventilation?
Perform chest compressions coordinated with PPV
●● What is all evaluated in the fifth block "Drug" of the NRP algorithm?
Answer: Severe bradycardia despite PPV and compressions? Administer
Epi
●● What is the most important intervention in newborn resuscitation?
Answer: VENTILATION - cannot be resuscitated until lungs are inflated
●● Prolonged lack of perfusion and oxygenation can cause what in the
baby?
Answer: Organ damage and/or lead to death
