Neonatal Resuscitation Program (NRP)
NRP - 8th Ed Practice Exam Questions
With Correct Answers Updated
Solution
Which block of the NRP algorithm helps you determine if the baby can stay with the mother or should
be moved to the radiant warmer for evaluation?
Airway
Circulation
Rapid Evaluation
Breathing - ANSWER ✔ - Rapid Evaluation
This evaluation determines if the baby can stay with the mother for routine care or should be moved to
RW. 5 Blocks of NRP Algorithm: - ANSWER ✔ - 1. Rapid evaluation
-This evaluation determines if the baby can stay with the mother for routine care or should be moved to
the RW
2. Airway
The initial steps open the airway and support spontaneous respiration
3. Breathing
Assist breathing with PPV if infant is apneic, gasping or bradycardic. CPAP or oxygen may be appropriate
for labored breathing or low oxygen saturation
4. Circulation
Perform chest compressions coordinated with PPV if severe bradycardia persists despite effective
assisted ventilation
5. Drugs
Administer epinephrine if severe bradycardia persists despite PPV and coordinated chest compressions
1|P A G E
, Neonatal Resuscitation Program (NRP)
What occurs during the 1st block of the NRP algorithm: Rapid evaluation? - ANSWER ✔ - This evaluation
determines if the baby can stay with the mother for routine care or should be moved to RW
What occurs during the 2nd block of the NRP algorithm: Airway? - ANSWER ✔ - Initial steps open the
airway and support spontaneous respiration
What occurs during the 3rd block of the NRP algorithm: Breathing? - ANSWER ✔ - Assist breathing with
PPV if the baby is apneic, gasping or bradycardic. CPAP or oxygen may be appropriate for labored
breathing or low oxygen saturation
What occurs during the 4th block of the NRP algorithm: Circulation? - ANSWER ✔ - Perform chest
compressions coordinated with PPV if severe bradycardia persists despite effective assisted ventilation
What occurs during the 5th block of the NRP algorithm: Drug? - ANSWER ✔ - Administer epinephrine if
severe bradycardia persists despite PPV and coordinated chest compressions
After completing the rapid evaluation, the next step is completion of the initial steps of newborn care,
which include: Blank & Blank - ANSWER ✔ - Answer: Open the airway & Supporting spontaneous
respiration
According to the NRP Algorithm, what are the indicators for positive pressure ventilation?
Tachycardia
Gasping
Apnea
Cyanosis
HR less than 100 bpm - ANSWER ✔ - Apnea
Gasping
2|P A G E
, Neonatal Resuscitation Program (NRP)
HR < 100
At birth, the baby's first breath helps move ... Out of airways? - ANSWER ✔ - Answer: Fluid
Before birth, pulmonary resistance is .... In the fetal lungs? - ANSWER ✔ - Answer: High
What is the single most important and most effective step in neonatal resuscitation?
Compressions
Ventilation
Defibrillation
Medication - ANSWER ✔ - Ventilation
Newborn resuscitation is usually the result of ....? - ANSWER ✔ - Answer: Respiratory failure
Before birth, what can you assess to help identify which newborns are likely to require resuscitation?
Maternal HR
Perinatal risk
How many pregnancies came before?
Baby's anticipated gender - ANSWER ✔ - Perinatal risk
What are the four pre-birth questions you should ask the obstetric provider to help you assess perinatal
risk (SATA) ?
What Is the maternal Group B Strep Status
Are there any additional factors?
What is the expected GA?
What is our umbilical cord management plan?
3|P A G E
NRP - 8th Ed Practice Exam Questions
With Correct Answers Updated
Solution
Which block of the NRP algorithm helps you determine if the baby can stay with the mother or should
be moved to the radiant warmer for evaluation?
Airway
Circulation
Rapid Evaluation
Breathing - ANSWER ✔ - Rapid Evaluation
This evaluation determines if the baby can stay with the mother for routine care or should be moved to
RW. 5 Blocks of NRP Algorithm: - ANSWER ✔ - 1. Rapid evaluation
-This evaluation determines if the baby can stay with the mother for routine care or should be moved to
the RW
2. Airway
The initial steps open the airway and support spontaneous respiration
3. Breathing
Assist breathing with PPV if infant is apneic, gasping or bradycardic. CPAP or oxygen may be appropriate
for labored breathing or low oxygen saturation
4. Circulation
Perform chest compressions coordinated with PPV if severe bradycardia persists despite effective
assisted ventilation
5. Drugs
Administer epinephrine if severe bradycardia persists despite PPV and coordinated chest compressions
1|P A G E
, Neonatal Resuscitation Program (NRP)
What occurs during the 1st block of the NRP algorithm: Rapid evaluation? - ANSWER ✔ - This evaluation
determines if the baby can stay with the mother for routine care or should be moved to RW
What occurs during the 2nd block of the NRP algorithm: Airway? - ANSWER ✔ - Initial steps open the
airway and support spontaneous respiration
What occurs during the 3rd block of the NRP algorithm: Breathing? - ANSWER ✔ - Assist breathing with
PPV if the baby is apneic, gasping or bradycardic. CPAP or oxygen may be appropriate for labored
breathing or low oxygen saturation
What occurs during the 4th block of the NRP algorithm: Circulation? - ANSWER ✔ - Perform chest
compressions coordinated with PPV if severe bradycardia persists despite effective assisted ventilation
What occurs during the 5th block of the NRP algorithm: Drug? - ANSWER ✔ - Administer epinephrine if
severe bradycardia persists despite PPV and coordinated chest compressions
After completing the rapid evaluation, the next step is completion of the initial steps of newborn care,
which include: Blank & Blank - ANSWER ✔ - Answer: Open the airway & Supporting spontaneous
respiration
According to the NRP Algorithm, what are the indicators for positive pressure ventilation?
Tachycardia
Gasping
Apnea
Cyanosis
HR less than 100 bpm - ANSWER ✔ - Apnea
Gasping
2|P A G E
, Neonatal Resuscitation Program (NRP)
HR < 100
At birth, the baby's first breath helps move ... Out of airways? - ANSWER ✔ - Answer: Fluid
Before birth, pulmonary resistance is .... In the fetal lungs? - ANSWER ✔ - Answer: High
What is the single most important and most effective step in neonatal resuscitation?
Compressions
Ventilation
Defibrillation
Medication - ANSWER ✔ - Ventilation
Newborn resuscitation is usually the result of ....? - ANSWER ✔ - Answer: Respiratory failure
Before birth, what can you assess to help identify which newborns are likely to require resuscitation?
Maternal HR
Perinatal risk
How many pregnancies came before?
Baby's anticipated gender - ANSWER ✔ - Perinatal risk
What are the four pre-birth questions you should ask the obstetric provider to help you assess perinatal
risk (SATA) ?
What Is the maternal Group B Strep Status
Are there any additional factors?
What is the expected GA?
What is our umbilical cord management plan?
3|P A G E
