NRP FINAL REVIEW QUESTIONS
AND COMPLETE SOLUTIONS
GRADED A+
Your Exam Plug
, Before birth, blood from the right heart flows mostly through the patent ductus arteriosis instead of
through the lungs' vascular bed. This is due to: - Answer: High vascular resistance in the arterioles
You are using a self-inflating bag to resuscitate an apneic neonate. The security device to prevent high
pressure is: - Answer: Pop-off valve
An appropriate method to stimulate a newborn to breathe is: - Answer: Slapping or flicking the soles of
the feet
If the infant is less than 30 weeks' gestation, he/she may benefit from what treatment after
resuscitation? - Answer: Surfactant
A leak in a lung during positive pressure ventilation in a patient with a congenital diaphragmatic hernia
can cause air to move to the pleural space, creating a: - Answer: Pneumothorax
The proper positioning of the infant prior to intubation is the ____________ position. - Answer: Sniffing
If, after PPV with oxygen and epinephrine administration, your patient still has not responded favorably
and presents with pallor and poor perfusion, you should consider administering volume expanders due
to suspicion of: - Answer: hypovolemia
You are presented with a newborn patient who has gasping ventilations and a palpable heart rate of 90
beats per minute. The most important next action is: - Answer: Assist ventilation
It can take up to ____ minutes for SpO2 to reach 90%. - Answer: 10
Which of the following should you suspect if there is no response to PPV, oxygen, chest compressions,
ETT, epinephrine administration, and volume expansion? - Answer: If there is a detectable heart rate,
but it is below 60 bpm, there is still a possibility that the baby can be resuscitated, unless he or she is
extremely immature or has a sever congenital malformation. At this point, you should consider
mechanical causes of poor response, including pneumothorax, congenital heart disease, diaphragmatic
hernia, or airway malformation.
AND COMPLETE SOLUTIONS
GRADED A+
Your Exam Plug
, Before birth, blood from the right heart flows mostly through the patent ductus arteriosis instead of
through the lungs' vascular bed. This is due to: - Answer: High vascular resistance in the arterioles
You are using a self-inflating bag to resuscitate an apneic neonate. The security device to prevent high
pressure is: - Answer: Pop-off valve
An appropriate method to stimulate a newborn to breathe is: - Answer: Slapping or flicking the soles of
the feet
If the infant is less than 30 weeks' gestation, he/she may benefit from what treatment after
resuscitation? - Answer: Surfactant
A leak in a lung during positive pressure ventilation in a patient with a congenital diaphragmatic hernia
can cause air to move to the pleural space, creating a: - Answer: Pneumothorax
The proper positioning of the infant prior to intubation is the ____________ position. - Answer: Sniffing
If, after PPV with oxygen and epinephrine administration, your patient still has not responded favorably
and presents with pallor and poor perfusion, you should consider administering volume expanders due
to suspicion of: - Answer: hypovolemia
You are presented with a newborn patient who has gasping ventilations and a palpable heart rate of 90
beats per minute. The most important next action is: - Answer: Assist ventilation
It can take up to ____ minutes for SpO2 to reach 90%. - Answer: 10
Which of the following should you suspect if there is no response to PPV, oxygen, chest compressions,
ETT, epinephrine administration, and volume expansion? - Answer: If there is a detectable heart rate,
but it is below 60 bpm, there is still a possibility that the baby can be resuscitated, unless he or she is
extremely immature or has a sever congenital malformation. At this point, you should consider
mechanical causes of poor response, including pneumothorax, congenital heart disease, diaphragmatic
hernia, or airway malformation.
