NRP Study Test with complete solution

How long does it take a healthy newborn to have an SpO2 ≥ 90%? - Answer-At least 10 minutes When is the time of birth documented? - Answer-After the last fetal part emerges from the birthing person. What is the preductal SpO2 range for 5 minutes of life? - Answer-80-85% A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and mask. Which intervention is indicated? - Answer-Insert a laryngeal mask. You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per minute. What is the most important action you can take? - Answer-Provide positive-pressure ventilation (PPV). If the newborn has respiratory distress and generalized edema, what condition can you expect? - Answer-Pleural effusion. 1. What flow rate is used for free-flow O2 administration? 2. What % of O2 do you start at? - Answer-1. 10 L/min 2. Start at 30%, then titrate up to desired SpO2 target range. When clearing secretions, which do you clear first: mouth or nose? - Answer-Mouth (M comes before N) What size (internal diameter) endotracheal tube should be used to intubate a newborn with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? - Answer-2.5 mm Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is term as expected, with very poor tone and he is not breathing (apneic). You quickly perform initial steps, but the newborn is still not breathing. What is the most appropriate next step of resuscitation? - Answer-Start PPV and check heart rate response after 15 secondsDuring the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6 second period. What heart rate do you report to your team? - Answer-100 bpm You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a category III fetal heart rate tracing. A person skilled in endotracheal intubation should be: - AnswerPresent at birth. You are at a delivery of a baby born through meconium-stained amniotic fluid, and the baby is not vigorous. What steps should be taken immediately after birth? - Answer-The baby should be brought to the radiant warmer for initial steps of newborn care. What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic after initial steps? - Answer-Administration of PPV that inflates the lungs What is the pre-ductal SpO2 range for 3 minutes of life? - Answer-70-75% If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - Answer-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 - Answer-Flow-inflating bag