NRP 8TH EDITION 2026 STUDY GUIDE QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔You are uncertain whether you have successfully intubated a newborn.
Which of the following is an indication that the endotracheal tube is correctly placed in
the trachea, and not in the esophagus? - ✔✔Carbon dioxide detector indicates the
presence of expired carbon dioxide.
✔✔What is the recommended way to determine if a baby requires supplemental oxygen
in the delivery room? - ✔✔Determine the color of the baby's chest and abdomen, and
monitor for central cyanosis
✔✔Remembering MR. SOPA helps your team correct problems with ventilation. Which
of the following steps are included in MR. SOPA? - ✔✔Mask adjustment, re-position the
babies head, suction the nose and mouth, open the babies mouth, pressure increase,
alternative airway
✔✔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? - ✔✔The
baby should be brought to the radiant warmer for initial steps of newborn care.
✔✔A full-term newborn has a heart rate less than 60 beats per minute despite 30
seconds of bag-and-mask ventilation. Your team plans to intubate. Which of the
following is a true statement regarding the procedure? - ✔✔The newborn's head should
be positioned in a sniffing position for intubation.
✔✔You have successfully intubated a newborn with an estimated 35-week gestational
age newborn and an estimated birth weight of 2 kg.
What is the correct tip-to-lip depth of tube insertion for correct placement in the mid-
trachea? - ✔✔8 cm
✔✔What size laryngoscope blade should be used to intubate a newborn with an
estimated gestational age of 38 weeks and an estimated birth weight of 3200 grams? -
✔✔1
✔✔What size laryngoscope blade should be used to intubate a newborn with an
estimated gestational age of 30 weeks (estimated birth weight of 1,200 g)? - ✔✔0
✔✔After what duration of time might it be reasonable to consider discontinuing
resuscitation following complete resuscitation efforts with no detectable heart rate? -
✔✔10 min
, ✔✔For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of
intravenous epinephrine is indicated? - ✔✔0.1 mL
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔1 min
✔✔A baby required ventilation and chest compressions. After 60 seconds of chest
compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per
minute. What is your next action? - ✔✔Stop chest compressions; continue positive-
pressure ventilation.
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120
beats per minute and the oxygen saturation is 90% in room air. The baby's respirations
are labored. Which of the following is an appropriate action? - ✔✔Administer CPAP at 5
cm H20 pressure
✔✔In NRP, when are chest compressions indicated? - ✔✔When the heart rate remains
less than 60 beats per minute after 30 seconds of positive-pressure ventilation that
moves the chest, preferably through an alternative airway.
✔✔A newborn requires complex resuscitation. You have intubated and are
administering positive-pressure ventilation and chest compressions. Which 3 signs are
used to evaluate the effectiveness of your actions, and the need to continue one or both
of these measures? - ✔✔Respirations, heart rate, oxygen saturation
✔✔In NRP, when coordinating positive-pressure ventilation with chest compressions,
how many events are performed each minute? - ✔✔30 breaths, 90 compressions
✔✔Which of the following may be associated with delayed cord clamping in vigorous
preterm newborns? - ✔✔Decreased need for blood transfusions
✔✔IN NRP, When administering chest compressions and ventilation, the heart rate
should be assessed... - ✔✔Every 45 to 60 seconds
✔✔In NRP, when chest compressions are indicated, you should also consider -
✔✔Endotracheal intubation, if not already done
✔✔A baby has been receiving PPV and chest compressions, her heart rate is now 110
bpm. Your team discontinues chest compressions. She begins to breathe
spontaneously. What do you do next? - ✔✔Gradually discontinue PPV while monitoring
breathing and heart rate
ANSWERS GUARANTEE A+
✔✔You are uncertain whether you have successfully intubated a newborn.
Which of the following is an indication that the endotracheal tube is correctly placed in
the trachea, and not in the esophagus? - ✔✔Carbon dioxide detector indicates the
presence of expired carbon dioxide.
✔✔What is the recommended way to determine if a baby requires supplemental oxygen
in the delivery room? - ✔✔Determine the color of the baby's chest and abdomen, and
monitor for central cyanosis
✔✔Remembering MR. SOPA helps your team correct problems with ventilation. Which
of the following steps are included in MR. SOPA? - ✔✔Mask adjustment, re-position the
babies head, suction the nose and mouth, open the babies mouth, pressure increase,
alternative airway
✔✔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? - ✔✔The
baby should be brought to the radiant warmer for initial steps of newborn care.
✔✔A full-term newborn has a heart rate less than 60 beats per minute despite 30
seconds of bag-and-mask ventilation. Your team plans to intubate. Which of the
following is a true statement regarding the procedure? - ✔✔The newborn's head should
be positioned in a sniffing position for intubation.
✔✔You have successfully intubated a newborn with an estimated 35-week gestational
age newborn and an estimated birth weight of 2 kg.
What is the correct tip-to-lip depth of tube insertion for correct placement in the mid-
trachea? - ✔✔8 cm
✔✔What size laryngoscope blade should be used to intubate a newborn with an
estimated gestational age of 38 weeks and an estimated birth weight of 3200 grams? -
✔✔1
✔✔What size laryngoscope blade should be used to intubate a newborn with an
estimated gestational age of 30 weeks (estimated birth weight of 1,200 g)? - ✔✔0
✔✔After what duration of time might it be reasonable to consider discontinuing
resuscitation following complete resuscitation efforts with no detectable heart rate? -
✔✔10 min
, ✔✔For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of
intravenous epinephrine is indicated? - ✔✔0.1 mL
✔✔How soon after administration of intravenous epinephrine should you pause
compressions and reassess the baby's heart rate? - ✔✔1 min
✔✔A baby required ventilation and chest compressions. After 60 seconds of chest
compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per
minute. What is your next action? - ✔✔Stop chest compressions; continue positive-
pressure ventilation.
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120
beats per minute and the oxygen saturation is 90% in room air. The baby's respirations
are labored. Which of the following is an appropriate action? - ✔✔Administer CPAP at 5
cm H20 pressure
✔✔In NRP, when are chest compressions indicated? - ✔✔When the heart rate remains
less than 60 beats per minute after 30 seconds of positive-pressure ventilation that
moves the chest, preferably through an alternative airway.
✔✔A newborn requires complex resuscitation. You have intubated and are
administering positive-pressure ventilation and chest compressions. Which 3 signs are
used to evaluate the effectiveness of your actions, and the need to continue one or both
of these measures? - ✔✔Respirations, heart rate, oxygen saturation
✔✔In NRP, when coordinating positive-pressure ventilation with chest compressions,
how many events are performed each minute? - ✔✔30 breaths, 90 compressions
✔✔Which of the following may be associated with delayed cord clamping in vigorous
preterm newborns? - ✔✔Decreased need for blood transfusions
✔✔IN NRP, When administering chest compressions and ventilation, the heart rate
should be assessed... - ✔✔Every 45 to 60 seconds
✔✔In NRP, when chest compressions are indicated, you should also consider -
✔✔Endotracheal intubation, if not already done
✔✔A baby has been receiving PPV and chest compressions, her heart rate is now 110
bpm. Your team discontinues chest compressions. She begins to breathe
spontaneously. What do you do next? - ✔✔Gradually discontinue PPV while monitoring
breathing and heart rate
