NRP test 8th edition part 1 Questions
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You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The
baby has been intubated and the endotracheal tube insertion depth is
correct. You can see chest movement with PPV and hear bilateral breath
sounds, but the colorimetric CO2 detector does not turn yellow. What is the
likely reason for this?
The endotracheal tube is not in the trachea.
Excessive ventilation pressure.
Epinephrine contamination.
Low cardiac output.
✓ low cardiac output
What are the primary methods of confirming endotracheal tube placement
within the trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the
abdomen
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Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing
heart rate
Absence of crying and no abdominal distension
✓ Demonstration of exhaled carbon dioxide (CO2) and a rapidly
increasing heart rate
Your team has provided face-mask PPV with chest movement for 30 seconds.
When is placement of an endotracheal tube strongly recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is
increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
The baby's heart rate is >100 bpm and oxygen saturation is less than the
target range.
✓ The baby's heart rate remains less than 100 bpm and is not increasing.
During a delivery, when and where should a person with intubation skills be
available?
In the hospital and immediately available
In the delivery room or operating room at every birth
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Available on call at home
Available on call from a remote area of the hospital
✓ In the hospital and immediately available
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at
what point during resuscitation is a cardiac monitor recommended to assess
the baby's heart rate?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation
✓ alternative airway
What size laryngoscope blade is recommended to intubate a preterm
newborn with an estimated gestational age of 32 weeks (estimated birth
weight of 1.4 kg)?
2
1
0
00
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