NRP 8th edition Questions With All Correct Answers
1. Rapid evaluation correct answer -Determines if the baby can stay with
the mother for routine care or should be brought to the radiant warmer
2. Airway correct answer -The initial steps open the airway and support
spontaneous respiration
3. Breathing correct answer -Assist breathing with positive pressure
ventilation if the baby is apneic, gasping, or bradycardic. CPAP or oxygen may
be appropriate for labored breathing or low oxygen sats
4. circulation correct answer -perform chest compressions coordinated
with PPV if severe bradycardia persists despite effective assisted ventilation
5. Drug correct answer -Administer epinephrine if severe bradycardia
persists despite PPV and coordinated chest compressions
What type of shunting occurs before birth? correct answer -right to left
What are the alveoli expanded and filled with before birth? correct answer
-fluid
What does the placenta supply before birth? correct answer -oxygen and
carries out CO2 (removed by mother's lungs
Where does the most highly oxygenated blood go in the fetus? correct
answer -the brain and heart
What are the pulmonary vessels that will carry blood to the alveoli like after
birth? correct answer -tightly constricted
Pulmonary resistance is (high/low) in the fetal lungs. correct answer -high
What does the first breath of air (oxygen 21%) allow the lungs to do?
correct answer -relax and dilate the pulmonary blood vessels
, As blood flows to the lungs and the baby's o2 level increases, what occurs in
the heart? correct answer -2 openings in the heart used for fetal
circulation start to close and the blood can flow from the right side into the
lungs (the right to left shunting gradually resolves)
Where can the oxygenated blood from the baby's lungs flow once the right to
left shunting resolves? correct answer -to the left side of the heart
What does assessing perinatal right before birth help to identify? correct
answer -which newborns are likely to require resuscitation
What are the 4 pre-birth questions to determine if you have assembled the
necessary personnel and equipment? correct answer -- expected
gestational age
- amniotic fluid color
- additional risk factors
- umbilical cord management plan
What are the perinatal risk factors? correct answer -- gestational age less
than 36 0/7 weeks
- gestational age greater than or equal to 41 0/7 weeks
- preeclampsia or eclampsia
- maternal hypertension
- multiple gestation
- fetal anemia
- polyhydramnios
- fetal hydrops
- fetal macrosomia
- intrauterine growth restriction
- significant fetal malformations or anomalies
- no prenatal care
- emergency C section delivery
- forceps or vacuum-assisted delivery
- breech or abnormal presentation
- category II or III fetal heart rate pattern
- maternal general anesthesia
- maternal magnesium therapy
- placental abruption
- intrapartum bleeding
1. Rapid evaluation correct answer -Determines if the baby can stay with
the mother for routine care or should be brought to the radiant warmer
2. Airway correct answer -The initial steps open the airway and support
spontaneous respiration
3. Breathing correct answer -Assist breathing with positive pressure
ventilation if the baby is apneic, gasping, or bradycardic. CPAP or oxygen may
be appropriate for labored breathing or low oxygen sats
4. circulation correct answer -perform chest compressions coordinated
with PPV if severe bradycardia persists despite effective assisted ventilation
5. Drug correct answer -Administer epinephrine if severe bradycardia
persists despite PPV and coordinated chest compressions
What type of shunting occurs before birth? correct answer -right to left
What are the alveoli expanded and filled with before birth? correct answer
-fluid
What does the placenta supply before birth? correct answer -oxygen and
carries out CO2 (removed by mother's lungs
Where does the most highly oxygenated blood go in the fetus? correct
answer -the brain and heart
What are the pulmonary vessels that will carry blood to the alveoli like after
birth? correct answer -tightly constricted
Pulmonary resistance is (high/low) in the fetal lungs. correct answer -high
What does the first breath of air (oxygen 21%) allow the lungs to do?
correct answer -relax and dilate the pulmonary blood vessels
, As blood flows to the lungs and the baby's o2 level increases, what occurs in
the heart? correct answer -2 openings in the heart used for fetal
circulation start to close and the blood can flow from the right side into the
lungs (the right to left shunting gradually resolves)
Where can the oxygenated blood from the baby's lungs flow once the right to
left shunting resolves? correct answer -to the left side of the heart
What does assessing perinatal right before birth help to identify? correct
answer -which newborns are likely to require resuscitation
What are the 4 pre-birth questions to determine if you have assembled the
necessary personnel and equipment? correct answer -- expected
gestational age
- amniotic fluid color
- additional risk factors
- umbilical cord management plan
What are the perinatal risk factors? correct answer -- gestational age less
than 36 0/7 weeks
- gestational age greater than or equal to 41 0/7 weeks
- preeclampsia or eclampsia
- maternal hypertension
- multiple gestation
- fetal anemia
- polyhydramnios
- fetal hydrops
- fetal macrosomia
- intrauterine growth restriction
- significant fetal malformations or anomalies
- no prenatal care
- emergency C section delivery
- forceps or vacuum-assisted delivery
- breech or abnormal presentation
- category II or III fetal heart rate pattern
- maternal general anesthesia
- maternal magnesium therapy
- placental abruption
- intrapartum bleeding
