NRP 9th Edition actual exam test bank Test
Exams Questions with Verified Answers
(Latest Update) Complete Version
How soon after administration of intravenous epinephrine should you pause compressions and reassess
the baby's heart rate? -answer-60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment, what
concentration of oxygen will you use initially if PPV is required? -answer-21% to 30%
A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have been
completed and the baby is nearly 1-minute old. The baby is not breathing. What is the most appropriate
next step? -answer-Begin PPV by mask.
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
answerPrepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a
skin temperature sensor
, A term newborn was born via emergency cesarean section in the setting of fetal bradycardia. The baby
was limp and bradycardic at birth and was intubated at 6 minutes after birth for persistent apnea. The
cord blood gas demonstrates a severe metabolic acidosis, and the physical examination is consistent
with hypoxic-ischemic encephalopathy (HIE). Which of the following is the most appropriate
intervention for this newborn? -answer-Admit the newborn to a center with capability to perform
therapeutic hypothermia.
A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for grunting respirations.
The baby is now 15 minutes old, breathing comfortably in room air, and bonding with their mother. The
team plans for the baby to room-in with their mother. What immediate decision needs to be made
regarding post-resuscitation care? -answer-Identify who will continue to monitor the baby in the
mother's room.
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side
than on the left side of the chest. Which of the following is a common cause of asymmetric breath
sounds in an intubated baby? -answer-Endotracheal tube inserted into the right mainstem bronchus
During resuscitation, a baby initially responds to PPV with a rapidly increasing heart rate. Subsequently,
the baby's heart rate and oxygen saturation suddenly worsen. The baby has decreased breath sounds on
the left side and transillumination reveals a bright glow. What is the most likely cause of this distress?
answer-Left-sided pneumothorax
You attend the birth of a baby with prenatally diagnosed severe congenital diaphragmatic hernia. What
are the most appropriate steps as you begin your resuscitation? -answer-Intubate the trachea and insert
an orogastric tube into the stomach.
A woman in labor received opioid medication for pain relief 1 hour before delivery. The baby does not
breathe spontaneously and remains apneic after stimulation. What is your next intervention? -
answerStart PPV.
In most cases, who are the usual and appropriate surrogate decision makers for a newborn? -answerThe
newborn's parents
Exams Questions with Verified Answers
(Latest Update) Complete Version
How soon after administration of intravenous epinephrine should you pause compressions and reassess
the baby's heart rate? -answer-60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment, what
concentration of oxygen will you use initially if PPV is required? -answer-21% to 30%
A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have been
completed and the baby is nearly 1-minute old. The baby is not breathing. What is the most appropriate
next step? -answer-Begin PPV by mask.
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
answerPrepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a
skin temperature sensor
, A term newborn was born via emergency cesarean section in the setting of fetal bradycardia. The baby
was limp and bradycardic at birth and was intubated at 6 minutes after birth for persistent apnea. The
cord blood gas demonstrates a severe metabolic acidosis, and the physical examination is consistent
with hypoxic-ischemic encephalopathy (HIE). Which of the following is the most appropriate
intervention for this newborn? -answer-Admit the newborn to a center with capability to perform
therapeutic hypothermia.
A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for grunting respirations.
The baby is now 15 minutes old, breathing comfortably in room air, and bonding with their mother. The
team plans for the baby to room-in with their mother. What immediate decision needs to be made
regarding post-resuscitation care? -answer-Identify who will continue to monitor the baby in the
mother's room.
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side
than on the left side of the chest. Which of the following is a common cause of asymmetric breath
sounds in an intubated baby? -answer-Endotracheal tube inserted into the right mainstem bronchus
During resuscitation, a baby initially responds to PPV with a rapidly increasing heart rate. Subsequently,
the baby's heart rate and oxygen saturation suddenly worsen. The baby has decreased breath sounds on
the left side and transillumination reveals a bright glow. What is the most likely cause of this distress?
answer-Left-sided pneumothorax
You attend the birth of a baby with prenatally diagnosed severe congenital diaphragmatic hernia. What
are the most appropriate steps as you begin your resuscitation? -answer-Intubate the trachea and insert
an orogastric tube into the stomach.
A woman in labor received opioid medication for pain relief 1 hour before delivery. The baby does not
breathe spontaneously and remains apneic after stimulation. What is your next intervention? -
answerStart PPV.
In most cases, who are the usual and appropriate surrogate decision makers for a newborn? -answerThe
newborn's parents
