NRP 8TH EDITION 2026 CORE EXAMS SETS QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔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
✔✔You attend the birth of a baby with prenatally diagnosed congenital diaphragmatic
hernia. After birth, you should - ✔✔Intubate the trachea and insert an orogastric tube
into the stomach
✔✔A mother had an emergency cesarean birth at 39 weeks' gestational because of
sudden fetal bradycardia and a suspected placental abruption. After birth, the baby
required extensive resuscitation including positive pressure ventilation, intubation, chest
compressions and intravenous epinephrine. Afterward, the baby has poor tone,
lethargy, and apnea. Which of the following statements is true? - ✔✔Promptly evaluate
her for possible therapeutic hypothermia (cooling) treatment and contact the nearest
cooling center.
✔✔What is the appropriate technique to stimulate a baby to breathe? - ✔✔Gently rub
the baby's back or extremities
✔✔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)? - ✔✔2.5 mm
✔✔Which of the following is an indication for endotracheal intubation? - ✔✔The need
for positive-pressure ventilation lasting more than a few minutes
✔✔What is the most effective maneuver to establish spontaneous breathing in a baby
that is apneic after initial steps? - ✔✔Administration of positive-pressure ventilation that
inflates the lungs
✔✔Which statement best describes normal transitional physiology at the time of birth? -
✔✔Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%.
✔✔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? - ✔✔21-30%
✔✔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 breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? - ✔✔Start positive-pressure ventilation
and check heart rate response after 15 seconds
✔✔A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the
baby is not breathing (apneic). What are the next steps?
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand
or wrist, evaluate heart rate.
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.
✔✔If a preterm birth is anticipated, at what temperature should the room be set? -
✔✔23ºC to 25ºC (74° F - 77° F)
✔✔Which statement best describes the ethical principle(s) that guide the resuscitation
of a newborn? - ✔✔The approach to decisions in the newborn should be guided by the
same principles used for adults and older children.
✔✔Which of the following is true about the preparation and resources needed for a very
preterm birth? - ✔✔Prepare the preheated radiant warmer with a thermal mattress,
plastic wrap or bag, and a hat.
✔✔After chest compressions with coordinated ventilations are started, the heart rate
should be assessed: - ✔✔after 60 seconds
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
Resuscitation has been completed and the baby is ready to be transported to the
neonatal intensive care unit. Which of the following is a true statement about the baby's
subsequent care? - ✔✔Monitor blood glucose levels because of the risk of
hypoglycemia after birth.
✔✔A baby born at 36 weeks' gestation was apneic after birth and required positive-
pressure ventilation and oxygen supplementation in the delivery room. He continues to
require supplemental oxygen after birth. Which of the following statements is true? -
✔✔His blood glucose level should be checked soon after resuscitation and then at
regular intervals until stable and normal.
✔✔What is the preferred method for assessing heart rate during chest compressions? -
✔✔Electronic cardiac monitoring
AND ANSWERS GUARANTEE A+
✔✔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
✔✔You attend the birth of a baby with prenatally diagnosed congenital diaphragmatic
hernia. After birth, you should - ✔✔Intubate the trachea and insert an orogastric tube
into the stomach
✔✔A mother had an emergency cesarean birth at 39 weeks' gestational because of
sudden fetal bradycardia and a suspected placental abruption. After birth, the baby
required extensive resuscitation including positive pressure ventilation, intubation, chest
compressions and intravenous epinephrine. Afterward, the baby has poor tone,
lethargy, and apnea. Which of the following statements is true? - ✔✔Promptly evaluate
her for possible therapeutic hypothermia (cooling) treatment and contact the nearest
cooling center.
✔✔What is the appropriate technique to stimulate a baby to breathe? - ✔✔Gently rub
the baby's back or extremities
✔✔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)? - ✔✔2.5 mm
✔✔Which of the following is an indication for endotracheal intubation? - ✔✔The need
for positive-pressure ventilation lasting more than a few minutes
✔✔What is the most effective maneuver to establish spontaneous breathing in a baby
that is apneic after initial steps? - ✔✔Administration of positive-pressure ventilation that
inflates the lungs
✔✔Which statement best describes normal transitional physiology at the time of birth? -
✔✔Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%.
✔✔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? - ✔✔21-30%
✔✔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 breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? - ✔✔Start positive-pressure ventilation
and check heart rate response after 15 seconds
✔✔A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the
baby is not breathing (apneic). What are the next steps?
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand
or wrist, evaluate heart rate.
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.
✔✔If a preterm birth is anticipated, at what temperature should the room be set? -
✔✔23ºC to 25ºC (74° F - 77° F)
✔✔Which statement best describes the ethical principle(s) that guide the resuscitation
of a newborn? - ✔✔The approach to decisions in the newborn should be guided by the
same principles used for adults and older children.
✔✔Which of the following is true about the preparation and resources needed for a very
preterm birth? - ✔✔Prepare the preheated radiant warmer with a thermal mattress,
plastic wrap or bag, and a hat.
✔✔After chest compressions with coordinated ventilations are started, the heart rate
should be assessed: - ✔✔after 60 seconds
✔✔You are in the delivery room caring for a preterm newborn at 27 weeks' gestation.
Resuscitation has been completed and the baby is ready to be transported to the
neonatal intensive care unit. Which of the following is a true statement about the baby's
subsequent care? - ✔✔Monitor blood glucose levels because of the risk of
hypoglycemia after birth.
✔✔A baby born at 36 weeks' gestation was apneic after birth and required positive-
pressure ventilation and oxygen supplementation in the delivery room. He continues to
require supplemental oxygen after birth. Which of the following statements is true? -
✔✔His blood glucose level should be checked soon after resuscitation and then at
regular intervals until stable and normal.
✔✔What is the preferred method for assessing heart rate during chest compressions? -
✔✔Electronic cardiac monitoring
