NRP 7th edition part 2
A laboring woman received a narcotic medication for pain relief 1 hour before delivery. The baby
does not have spontaneous respirations and does not improve with stimulation. Your first priority is to
ANS: Start positive-pressure ventilation
During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing
heart rate. Her heart rate and oxygen saturation suddenly worsen. She has decreased breath sounds
on the left side and trans illumination also reveals a bright glow on the left side. What is the most
likely cause of this distress?
ANS: Left-sided pneumothorax
Which of the following is true about the preparation and resources needed for a very preterm birth?
ANS: Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat.
Which of the following may be associated with delayed cord clamping in vigorous preterm newborns?
ANS: Decreased need for blood transfusions
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous
epinephrine is indicated?
ANS: 0.1 mL
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?
ANS: Stop chest compressions; continue positive-pressure ventilation.
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate?
ANS: 1 minute
What is the preferred method for assessing heart rate during chest compressions?
ANS: Electronic cardiac (ECG) monitoring
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right
side than the left side of the chest. Which of the following is a common cause of asymmetric breath
sounds in an intubated baby?
ANS: Endotracheal tube inserted too deep
If a preterm birth is anticipated, at what temperature should the room be set?
ANS: 23ºC to 25ºC (74° F - 77° F)
After chest compressions with coordinated ventilations are started, the heart rate should be
assessed:
ANS: After 60 seconds
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?
ANS: The newborn's parents
A laboring woman received a narcotic medication for pain relief 1 hour before delivery. The baby
does not have spontaneous respirations and does not improve with stimulation. Your first priority is to
ANS: Start positive-pressure ventilation
During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing
heart rate. Her heart rate and oxygen saturation suddenly worsen. She has decreased breath sounds
on the left side and trans illumination also reveals a bright glow on the left side. What is the most
likely cause of this distress?
ANS: Left-sided pneumothorax
Which of the following is true about the preparation and resources needed for a very preterm birth?
ANS: Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat.
Which of the following may be associated with delayed cord clamping in vigorous preterm newborns?
ANS: Decreased need for blood transfusions
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous
epinephrine is indicated?
ANS: 0.1 mL
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?
ANS: Stop chest compressions; continue positive-pressure ventilation.
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate?
ANS: 1 minute
What is the preferred method for assessing heart rate during chest compressions?
ANS: Electronic cardiac (ECG) monitoring
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right
side than the left side of the chest. Which of the following is a common cause of asymmetric breath
sounds in an intubated baby?
ANS: Endotracheal tube inserted too deep
If a preterm birth is anticipated, at what temperature should the room be set?
ANS: 23ºC to 25ºC (74° F - 77° F)
After chest compressions with coordinated ventilations are started, the heart rate should be
assessed:
ANS: After 60 seconds
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?
ANS: The newborn's parents
