1|Page
NRP FINAL EXAM|| LATEST AND COMPLETE
UPDATE WITH QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
NEWEST VERSION
Your team has provided face-mask PPV with chest movement for 30 seconds.
When is placement of an endotracheal tube strongly recommended? - 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? - ANSWER: In the hospital and immediately available.
What are the primary methods of confirming endotracheal tube placement within
the trachea? - 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, by the colorimetric
CO2 detector does not turn yellow. What is the likely reason for this? - 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 asses the
baby's heart rate? - 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)? -
ANSWER: 0
,2|Page
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions? - ANSWER: Briefly interrupt chest compressions every 6o 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? -
ANSWER: Cardiac monitor
When are chest compressions indicated? - 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? -
ANSWER: Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? - ANSWER: One-third of
the anterior-posterior diameter of the chest.
During chest compressions, which of the following is correct? - ANSWER: To
coordinate compressions and ventilations, the compressor calls out one-and-two-
and-three-and-breathe-and...
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? - ANSWER: 3 mL
, 3|Page
According to the Textbook of Neonatal Resuscitation 8th, edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1mL = 1 mg/10 mL)? -
ANSWER: 0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? - 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? - ANSWER: Over 5 to 10
minutes
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - 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? - ANSWER: 21% to 30%
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.
NRP FINAL EXAM|| LATEST AND COMPLETE
UPDATE WITH QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
NEWEST VERSION
Your team has provided face-mask PPV with chest movement for 30 seconds.
When is placement of an endotracheal tube strongly recommended? - 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? - ANSWER: In the hospital and immediately available.
What are the primary methods of confirming endotracheal tube placement within
the trachea? - 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, by the colorimetric
CO2 detector does not turn yellow. What is the likely reason for this? - 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 asses the
baby's heart rate? - 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)? -
ANSWER: 0
,2|Page
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions? - ANSWER: Briefly interrupt chest compressions every 6o 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? -
ANSWER: Cardiac monitor
When are chest compressions indicated? - 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? -
ANSWER: Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? - ANSWER: One-third of
the anterior-posterior diameter of the chest.
During chest compressions, which of the following is correct? - ANSWER: To
coordinate compressions and ventilations, the compressor calls out one-and-two-
and-three-and-breathe-and...
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? - ANSWER: 3 mL
, 3|Page
According to the Textbook of Neonatal Resuscitation 8th, edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1mL = 1 mg/10 mL)? -
ANSWER: 0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? - 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? - ANSWER: Over 5 to 10
minutes
How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - 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? - ANSWER: 21% to 30%
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.
