NRP 8th edition study guide Questions
with Actual Detailed Answers 2025-
2026 Edition.
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, but 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 assess 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
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 28 weeks? - Answer 00
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but
it is 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 60 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
, 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....
During chest compression with of the following is correct? - Answer 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
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial
dose for IV epinephrine (0.1 mg/1 mL=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
with Actual Detailed Answers 2025-
2026 Edition.
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, but 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 assess 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
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 28 weeks? - Answer 00
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but
it is 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 60 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
, 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....
During chest compression with of the following is correct? - Answer 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
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial
dose for IV epinephrine (0.1 mg/1 mL=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
