NRP 8TH EDITION FINAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉What are the primary methods of confirming endotracheal tube
placement within the trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the
abdomen
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing
heart rate
Absence of crying and no abdominal distension ANSWER: -
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing
heart rate
◉Your team has provided face-mask PPV with chest movement for 30
seconds. When is placement of an endotracheal tube strongly
recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is
increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
, The baby's heart rate is >100 bpm and oxygen saturation is less than the
target range. 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?
In the hospital and immediately available
In the delivery room or operating room at every birth
Available on call at home
Available on call from a remote area of the hospital ANSWER: - In the
hospital and immediately available
◉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?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation ANSWER: -
alternative airway
◉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)?
2
1
QUESTIONS WITH ANSWERS GRADED A+
◉What are the primary methods of confirming endotracheal tube
placement within the trachea?
Continued central cyanosis and no mist in the tube
Auscultation of bilateral breath sounds and no air entry heard over the
abdomen
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing
heart rate
Absence of crying and no abdominal distension ANSWER: -
Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing
heart rate
◉Your team has provided face-mask PPV with chest movement for 30
seconds. When is placement of an endotracheal tube strongly
recommended?
The baby's heart rate remains less than 100 bpm and is not increasing.
The baby's heart rate is between 60 and 100 bpm and the heart rate is
increasing.
The baby's heart rate is >100 bpm and the baby is beginning to breathe.
, The baby's heart rate is >100 bpm and oxygen saturation is less than the
target range. 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?
In the hospital and immediately available
In the delivery room or operating room at every birth
Available on call at home
Available on call from a remote area of the hospital ANSWER: - In the
hospital and immediately available
◉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?
After chest compressions are performed for at least 2 minutes
When an alternative airway is inserted
Immediately after epinephrine is administered
Anytime pulse oximetry is used to assess oxygen saturation ANSWER: -
alternative airway
◉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)?
2
1
