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NRP FINAL EXAM LATEST UPDATED 100% PASS TIP
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? - ANSWER Begin PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <
32 weeks gestation. - 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 following is the most appropriate intervention for this
newborn? - ANSWER Admit the newborn to a center with the
capability to perform therapeutic hypothermia.
A term baby was vigorous at birth but receives CPAP for 3 minutes after
birth for grunting respirations. The baby is now 15 minutes old,
breathing comfortably in room air, and bonding with their mother. What
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immediate decision needs to be made regarding post-resuscitation
care? - ANSWER Identify who will continue to monitor the baby in the
mother's room.
A baby's heart rate does not increase after intubation and the breath
sounds are louder on the right side than on the left side of the chest.
Which of the following is a common cause of asymmetric breath sounds
in an intubated baby? - ANSWER Endotracheal tube inserted into the
right mainstem bronchus.
During resuscitation, a baby initially responds to PPV with a rapidly
increasing heart rate. Subsequently, the baby's heart rate and oxygen
saturation suddenly worsen. The baby has decreased breath sounds on
the left side and transillumination reveals a bright glow. What is the
most likely cause of this distress? - ANSWER Left-sided pneumothorax
You attend the birth of a baby with prenatally diagnosed severe
congenital diaphragmatic hernia. What are the most appropriate steps
as you begin your resuscitation? - ANSWER Intubate the trachea and
insert an orogastric tube into the stomach
A woman in labor received opioid medication for pain relief 1 hour
before delivery. The baby does not breathe spontaneously and remains
apneic after stimulation. What is your next intervention? - ANSWER
Start PPV
NRP FINAL EXAM LATEST UPDATED 100% PASS TIP
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? - ANSWER Begin PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <
32 weeks gestation. - 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 following is the most appropriate intervention for this
newborn? - ANSWER Admit the newborn to a center with the
capability to perform therapeutic hypothermia.
A term baby was vigorous at birth but receives CPAP for 3 minutes after
birth for grunting respirations. The baby is now 15 minutes old,
breathing comfortably in room air, and bonding with their mother. What
, 2|Page
immediate decision needs to be made regarding post-resuscitation
care? - ANSWER Identify who will continue to monitor the baby in the
mother's room.
A baby's heart rate does not increase after intubation and the breath
sounds are louder on the right side than on the left side of the chest.
Which of the following is a common cause of asymmetric breath sounds
in an intubated baby? - ANSWER Endotracheal tube inserted into the
right mainstem bronchus.
During resuscitation, a baby initially responds to PPV with a rapidly
increasing heart rate. Subsequently, the baby's heart rate and oxygen
saturation suddenly worsen. The baby has decreased breath sounds on
the left side and transillumination reveals a bright glow. What is the
most likely cause of this distress? - ANSWER Left-sided pneumothorax
You attend the birth of a baby with prenatally diagnosed severe
congenital diaphragmatic hernia. What are the most appropriate steps
as you begin your resuscitation? - ANSWER Intubate the trachea and
insert an orogastric tube into the stomach
A woman in labor received opioid medication for pain relief 1 hour
before delivery. The baby does not breathe spontaneously and remains
apneic after stimulation. What is your next intervention? - ANSWER
Start PPV
