RES 204 FINAL EXAM STUDY GUIDE
103 QUESTIONS WITH COMPLETE
SOLUTIONS/NEWEST UPDATE
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
PPV
What size (internal diameter) endotracheal tube should be used to intubate a newborn
with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? -
ANSWER✔✔-2.5 mm
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
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, 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
PPV and check HR after 15 seconds
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 bpm
You are part of a team preparing for the birth of a baby who has meconium-stained
fluid and a category III fetal heart rate tracing. A person skilled in endotracheal
intubation should be - ANSWER✔✔-present at birth
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? -
ANSWER✔✔-bring baby to radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? - ANSWER✔✔-PPV that inflates the lungs
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✔✔-21-30%
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
103 QUESTIONS WITH COMPLETE
SOLUTIONS/NEWEST UPDATE
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
PPV
What size (internal diameter) endotracheal tube should be used to intubate a newborn
with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? -
ANSWER✔✔-2.5 mm
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
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, 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
PPV and check HR after 15 seconds
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 bpm
You are part of a team preparing for the birth of a baby who has meconium-stained
fluid and a category III fetal heart rate tracing. A person skilled in endotracheal
intubation should be - ANSWER✔✔-present at birth
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? -
ANSWER✔✔-bring baby to radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? - ANSWER✔✔-PPV that inflates the lungs
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✔✔-21-30%
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
