NRP 8TH EDITION UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔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? - ✔✔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)? - ✔✔0.02 mg/kg
(equal to 0.2 mL/kg)
✔✔When is the administration of a volume expander indicated during newborn
resuscitation? - ✔✔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? - ✔✔Over 5 to 10 minutes
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔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? -
✔✔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? - ✔✔Begin PPV by mask.
✔✔Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔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? - ✔✔Admit the newborn to a center with capability to perform therapeutic
hypothermia.
AND ANSWERS GUARANTEE A+
✔✔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? - ✔✔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)? - ✔✔0.02 mg/kg
(equal to 0.2 mL/kg)
✔✔When is the administration of a volume expander indicated during newborn
resuscitation? - ✔✔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? - ✔✔Over 5 to 10 minutes
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔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? -
✔✔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? - ✔✔Begin PPV by mask.
✔✔Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔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? - ✔✔Admit the newborn to a center with capability to perform therapeutic
hypothermia.
