NRP 8th edition study guide Exam Questions With 100% Correct answer s
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended? - correct answer 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? - correct
answer In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the trachea?
- correct answer Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart
rate
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? - correct answer Low cardiac output
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? -
correct answer When an alternative airway is inserted
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)? - correct answer 0
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 28 weeks? - correct answer 00
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but
it is also important to assess the need to continue chest compressions. What is the preferred
way to assess the heart rate during chest compressions? - correct answer Briefly interrupt chest
compressions every 60 seconds to assess the heart rate using the cardiac monitor.
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor
perfusion. Which is the preferred method to assess the heart rate? - correct answer Cardiac
monitor
When are chest compressions indicated? - correct answer When the heart rate remains less
than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably through an
alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a
heart rate of 70 beats per minute. What is your next action? - correct answer Stop chest
compressions and continue PPV.
What is the recommended depth of chest compressions? - correct answer One-third of the
anterior-posterior diameter of the chest
, NRP 8th edition study guide Exam Questions With 100% Correct answer s
During chest compressions, which of the following is correct? - correct answer To coordinate
compressions and ventilations, the compressor calls out one-and-two-and-three-and-breathe-
and....
During chest compression with of the following is correct? - correct answer Your team is
resuscitating a newborn whose heart rate remains less than 60 bpm despite effective PPV and
60 seconds of chest compressions.
You have administered epinephrine intravenously. According to the Textbook of Neonatal
Resuscitation, 8th edition, what volume of normal saline flush should you administer? - correct
answer 3 mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial
dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - correct answer 0.02 mg/kg (equal to 0.2
mL/kg)
When is the administration of a volume expander indicated during newborn resuscitation? -
correct answer The baby's heart rate is not increasing and there are signs of shock or a history
of acute blood loss.
Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective
ventilation, chest compressions, and intravenous epinephrine administration. There is a history
of acute blood loss around the time of delivery. You administer 10 mL/kg of normal saline
(based on the newborn's estimated weight). At what rate should this be administered? - correct
answer Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate? - correct 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? - correct answer 21-30%
oxygen
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? - correct answer being PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
correct answer Prepare 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
Your team has provided face-mask PPV with chest movement for 30 seconds. When is
placement of an endotracheal tube strongly recommended? - correct answer 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? - correct
answer In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the trachea?
- correct answer Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart
rate
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? - correct answer Low cardiac output
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? -
correct answer When an alternative airway is inserted
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)? - correct answer 0
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 28 weeks? - correct answer 00
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but
it is also important to assess the need to continue chest compressions. What is the preferred
way to assess the heart rate during chest compressions? - correct answer Briefly interrupt chest
compressions every 60 seconds to assess the heart rate using the cardiac monitor.
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor
perfusion. Which is the preferred method to assess the heart rate? - correct answer Cardiac
monitor
When are chest compressions indicated? - correct answer When the heart rate remains less
than 60 bpm after at least 30 seconds of PPV that moves the chest, preferably through an
alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a
heart rate of 70 beats per minute. What is your next action? - correct answer Stop chest
compressions and continue PPV.
What is the recommended depth of chest compressions? - correct answer One-third of the
anterior-posterior diameter of the chest
, NRP 8th edition study guide Exam Questions With 100% Correct answer s
During chest compressions, which of the following is correct? - correct answer To coordinate
compressions and ventilations, the compressor calls out one-and-two-and-three-and-breathe-
and....
During chest compression with of the following is correct? - correct answer Your team is
resuscitating a newborn whose heart rate remains less than 60 bpm despite effective PPV and
60 seconds of chest compressions.
You have administered epinephrine intravenously. According to the Textbook of Neonatal
Resuscitation, 8th edition, what volume of normal saline flush should you administer? - correct
answer 3 mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial
dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - correct answer 0.02 mg/kg (equal to 0.2
mL/kg)
When is the administration of a volume expander indicated during newborn resuscitation? -
correct answer The baby's heart rate is not increasing and there are signs of shock or a history
of acute blood loss.
Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective
ventilation, chest compressions, and intravenous epinephrine administration. There is a history
of acute blood loss around the time of delivery. You administer 10 mL/kg of normal saline
(based on the newborn's estimated weight). At what rate should this be administered? - correct
answer Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate? - correct 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? - correct answer 21-30%
oxygen
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? - correct answer being PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
correct answer Prepare 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
