NRP test
In NRP, the steps of intubation should ideally be completed within which duration? -
answer30 seconds
Which statement best describes normal transitional physiology at the time of birth? -
answer Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%
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
During an intubation, you have a very clear view of the hypopharynx. Which of the
following is the correct way to lift the tongue out of the way in order to expose the
pharyngeal area? - answerkeep blade straight and forward. (first picture)
You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care? - answerwarm
position head
clear secretions
dry
stimulate
Which statement describes recommended practice when using a pulse oximeter in the
delivery room? - answerPlace the pulse oximeter sensor on the right hand and use the
minute specific oxygen saturation target to guide oxygen supplementation
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? - answerProvide
positive-pressure ventilation
You are practicing the use of an algorithm to direct the sequence of interventions to
correct ventilation.
In which situation will the placement of a laryngeal mask airway be useful? -
answerWhen positive-pressure ventilation with a face mask fails to achieve effective
ventilation and intubation is not possible
Before birth, fetal respiratory function is performed by the - answer*placenta*
, During 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? - answer100
bpm
You are called to attend to a newborn at birth. At the time the baby is delivered, which
three questions should you ask to evaluate whether the baby can stay with his mother
or be moved to a radiant warmer for further assessment? - answerIs the baby pink? Is
the baby breathing or crying? Is the amniotic fluid clear?
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? - answerStart positive-pressure
ventilation and check heart rate response after 15 seconds
You are uncertain whether you have successfully intubated a newborn.
Which of the following is an indication that the endotracheal tube is correctly placed in
the trachea, and not in the esophagus? - answerCarbon dioxide detector indicates the
presence of expired carbon dioxide.
What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room? - answerDetermine the color of the baby's chest and abdomen, and
monitor for central cyanosis
Remembering MR. SOPA helps your team correct problems with ventilation. Which of
the following steps are included in MR. SOPA? - answerMask adjustment, re-position
the babies head, suction the nose and mouth, open the babies mouth, pressure
increase, alternative airway
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? - answerThe
baby should be brought to the radiant warmer for initial steps of newborn care.
A full-term newborn has a heart rate less than 60 beats per minute despite 30 seconds
of bag-and-mask ventilation. Your team plans to intubate. Which of the following is a
true statement regarding the procedure? - answerThe newborn's head should be
positioned in a sniffing position for intubation.
You have successfully intubated a newborn with an estimated 35-week gestational age
newborn and an estimated birth weight of 2 kg.
What is the correct tip-to-lip depth of tube insertion for correct placement in the mid-
trachea? - answer8 cm
In NRP, the steps of intubation should ideally be completed within which duration? -
answer30 seconds
Which statement best describes normal transitional physiology at the time of birth? -
answer Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%
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
During an intubation, you have a very clear view of the hypopharynx. Which of the
following is the correct way to lift the tongue out of the way in order to expose the
pharyngeal area? - answerkeep blade straight and forward. (first picture)
You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care? - answerwarm
position head
clear secretions
dry
stimulate
Which statement describes recommended practice when using a pulse oximeter in the
delivery room? - answerPlace the pulse oximeter sensor on the right hand and use the
minute specific oxygen saturation target to guide oxygen supplementation
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? - answerProvide
positive-pressure ventilation
You are practicing the use of an algorithm to direct the sequence of interventions to
correct ventilation.
In which situation will the placement of a laryngeal mask airway be useful? -
answerWhen positive-pressure ventilation with a face mask fails to achieve effective
ventilation and intubation is not possible
Before birth, fetal respiratory function is performed by the - answer*placenta*
, During 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? - answer100
bpm
You are called to attend to a newborn at birth. At the time the baby is delivered, which
three questions should you ask to evaluate whether the baby can stay with his mother
or be moved to a radiant warmer for further assessment? - answerIs the baby pink? Is
the baby breathing or crying? Is the amniotic fluid clear?
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? - answerStart positive-pressure
ventilation and check heart rate response after 15 seconds
You are uncertain whether you have successfully intubated a newborn.
Which of the following is an indication that the endotracheal tube is correctly placed in
the trachea, and not in the esophagus? - answerCarbon dioxide detector indicates the
presence of expired carbon dioxide.
What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room? - answerDetermine the color of the baby's chest and abdomen, and
monitor for central cyanosis
Remembering MR. SOPA helps your team correct problems with ventilation. Which of
the following steps are included in MR. SOPA? - answerMask adjustment, re-position
the babies head, suction the nose and mouth, open the babies mouth, pressure
increase, alternative airway
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? - answerThe
baby should be brought to the radiant warmer for initial steps of newborn care.
A full-term newborn has a heart rate less than 60 beats per minute despite 30 seconds
of bag-and-mask ventilation. Your team plans to intubate. Which of the following is a
true statement regarding the procedure? - answerThe newborn's head should be
positioned in a sniffing position for intubation.
You have successfully intubated a newborn with an estimated 35-week gestational age
newborn and an estimated birth weight of 2 kg.
What is the correct tip-to-lip depth of tube insertion for correct placement in the mid-
trachea? - answer8 cm
