NRP Test Questions and Complete
Solutions Graded A+
A full-term baby is born by emergency cesarean delivery because of fetal bradycardia (Category III Fetal
heart tracing). The baby is limp and not breathing after initial steps. What is the next step in the
resuscitation process? - Answer: Initiate positive-pressure ventilation and check for increasing heart rate
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
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? - Answer: Provide positive-pressure ventilation
What is the appropriate technique to simulate a baby to breathe? - Answer: Gently rub the baby's back
or extremities
What is the recommended way to determine if a baby requires supplemental oxygen in the delivery
room? - Answer: Place an oximeter on the baby's right hand or wrist and assess oxygen saturation.
The steps of intubation should ideally b completed within which duration? - Answer: 30 seconds
You have been called to attend a birth and are the only healthcare provider responsible for the
management of the newborn in the room. When should you first call for additional help? - Answer:
Before birth, when you have identified the presence of a perinatal risk factor the increase the likelihood
of requiring neonatal resuscitation.
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? - Answer: 100 beats per minute
A full term newborn has a heart rate less than 60 beats per minute despite 30 seconds of positive-
pressure ventilation that moves the chest. Your team plans to intubate. Which of the following is a true
, statement regarding the procedure? - Answer: The baby should be positioned on a flat surface with the
neck slightly extended.
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial steps and
requires positive-pressure ventilation. What concentration of oxygen should be used as you begin
positive-pressure ventilation? - Answer: 20-30% oxygen
Which statement describes recommended practice when using a pulse oximeter in the delivery room? -
Answer: Place the pulse oximeter sensor on the right and use minute by minute specific oxygen
saturation.
Four pre-birth questions should be asked to assess perinatal risk and determine who should be present
at the birth. Which is one of the questions? - Answer: What is the gestational age?
You have started positive-pressure ventilation for a newborn because her heart rate is low
(bradycardia). What is the most important indicator of successful positive-pressure ventilation? -
Answer: A rising heart rate
Effective team functioning is critical in ensuring the best performance. Which of these characteristics is
critical in team leaders? - Answer: They should be able to maintain situational awareness.
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? - Answer: Start
positive-pressure ventilation and check heart rate response after 15 seconds
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions
should you ask to evaluate whether the baby can stay with the his mother or be moved to the radiant
warmer for further assessment? - Answer: Is the baby term? Does the baby have good muscle tone? Is
the baby breathing or crying?
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not breathing
(apneic). What are the next steps? - Answer: Initiate positive-pressure ventilation, place a pulse
oximeter sensor on the right hand or wrist, evaluate heart rate.
Solutions Graded A+
A full-term baby is born by emergency cesarean delivery because of fetal bradycardia (Category III Fetal
heart tracing). The baby is limp and not breathing after initial steps. What is the next step in the
resuscitation process? - Answer: Initiate positive-pressure ventilation and check for increasing heart rate
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
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? - Answer: Provide positive-pressure ventilation
What is the appropriate technique to simulate a baby to breathe? - Answer: Gently rub the baby's back
or extremities
What is the recommended way to determine if a baby requires supplemental oxygen in the delivery
room? - Answer: Place an oximeter on the baby's right hand or wrist and assess oxygen saturation.
The steps of intubation should ideally b completed within which duration? - Answer: 30 seconds
You have been called to attend a birth and are the only healthcare provider responsible for the
management of the newborn in the room. When should you first call for additional help? - Answer:
Before birth, when you have identified the presence of a perinatal risk factor the increase the likelihood
of requiring neonatal resuscitation.
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? - Answer: 100 beats per minute
A full term newborn has a heart rate less than 60 beats per minute despite 30 seconds of positive-
pressure ventilation that moves the chest. Your team plans to intubate. Which of the following is a true
, statement regarding the procedure? - Answer: The baby should be positioned on a flat surface with the
neck slightly extended.
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial steps and
requires positive-pressure ventilation. What concentration of oxygen should be used as you begin
positive-pressure ventilation? - Answer: 20-30% oxygen
Which statement describes recommended practice when using a pulse oximeter in the delivery room? -
Answer: Place the pulse oximeter sensor on the right and use minute by minute specific oxygen
saturation.
Four pre-birth questions should be asked to assess perinatal risk and determine who should be present
at the birth. Which is one of the questions? - Answer: What is the gestational age?
You have started positive-pressure ventilation for a newborn because her heart rate is low
(bradycardia). What is the most important indicator of successful positive-pressure ventilation? -
Answer: A rising heart rate
Effective team functioning is critical in ensuring the best performance. Which of these characteristics is
critical in team leaders? - Answer: They should be able to maintain situational awareness.
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? - Answer: Start
positive-pressure ventilation and check heart rate response after 15 seconds
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions
should you ask to evaluate whether the baby can stay with the his mother or be moved to the radiant
warmer for further assessment? - Answer: Is the baby term? Does the baby have good muscle tone? Is
the baby breathing or crying?
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not breathing
(apneic). What are the next steps? - Answer: Initiate positive-pressure ventilation, place a pulse
oximeter sensor on the right hand or wrist, evaluate heart rate.
