NEONATAL RESUSCITATION PROGRAM
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● When to clamp umbilical cord
Answer: 30-60 seconds after birth for VIGOROUS newborn
●● Things to look for after birth
Answer: 1. Is the baby term, (if no, bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended extremities
are bad)
3. is the baby breathing or crying? (if no crying, observe chest for
breathing efforts. if vigorous crying, return to mom)
●● 5 initial steps of care
Answer: 1. Warm,
2. position airway,
3. clear secretions if needed,
4. dry,
5. stimulate
,●● Flow rate for free-flow O2 administration
Answer: 10lpm
●● O2 level for free-flow O2 administration
Answer: 30%
●● Suction setting for newborn
Answer: 80-100mmHg
●● Antepartum risk factors
Answer: gestation <36wks or >41wks, pre-eclampsia and eclampsia,
maternal HTN, poly and oligohydramnios, fetal hydrops, macrosomia
and IGR, fetal malformations or anomalies, no prenatal care.
●● Inpartum
Answer: Emergency c-section, vacuum assisted delivery, breech or
abnormal presentation, category II or III, maternal anesthesia, mag, or
narcs, prolapse cord, shoulder dystocia, meconium staining, bleeding,
placental abruption, chorioamnionitis
●● Abnormal transition signs and symptoms
Answer: Apnea, tachypnea, bradycardia, tachycardia, decreased muscle
tone, low SpO2, hypotension
, ●● Preductal SpO2 at 1 min
Answer: 60-65%
●● Preductal SpO2 at 2 min
Answer: 65-70%
●● Preductal SpO2 at 3 min
Answer: 70-75%
●● Preductal SpO2 at 4 min
Answer: 75-80%
●● Preductal SpO2 at 5 min
Answer: 80-85%
●● Preductal SpO2 at 10 min
Answer: 85-95%
●● Where to put pulse oximeter on newborn
Answer: Right hand or wrist (preductal)
●● Requirements for CPAP on newborn
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● When to clamp umbilical cord
Answer: 30-60 seconds after birth for VIGOROUS newborn
●● Things to look for after birth
Answer: 1. Is the baby term, (if no, bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended extremities
are bad)
3. is the baby breathing or crying? (if no crying, observe chest for
breathing efforts. if vigorous crying, return to mom)
●● 5 initial steps of care
Answer: 1. Warm,
2. position airway,
3. clear secretions if needed,
4. dry,
5. stimulate
,●● Flow rate for free-flow O2 administration
Answer: 10lpm
●● O2 level for free-flow O2 administration
Answer: 30%
●● Suction setting for newborn
Answer: 80-100mmHg
●● Antepartum risk factors
Answer: gestation <36wks or >41wks, pre-eclampsia and eclampsia,
maternal HTN, poly and oligohydramnios, fetal hydrops, macrosomia
and IGR, fetal malformations or anomalies, no prenatal care.
●● Inpartum
Answer: Emergency c-section, vacuum assisted delivery, breech or
abnormal presentation, category II or III, maternal anesthesia, mag, or
narcs, prolapse cord, shoulder dystocia, meconium staining, bleeding,
placental abruption, chorioamnionitis
●● Abnormal transition signs and symptoms
Answer: Apnea, tachypnea, bradycardia, tachycardia, decreased muscle
tone, low SpO2, hypotension
, ●● Preductal SpO2 at 1 min
Answer: 60-65%
●● Preductal SpO2 at 2 min
Answer: 65-70%
●● Preductal SpO2 at 3 min
Answer: 70-75%
●● Preductal SpO2 at 4 min
Answer: 75-80%
●● Preductal SpO2 at 5 min
Answer: 80-85%
●● Preductal SpO2 at 10 min
Answer: 85-95%
●● Where to put pulse oximeter on newborn
Answer: Right hand or wrist (preductal)
●● Requirements for CPAP on newborn
