Neonatal Resuscitation Program
(NRP) practice Questions and
Verified Answers
Questions to ask prior to birth
1. what is expected Gestational age, (preterm <38 wks, term 38-41 wks or post-term >41 wks)
2. what is amniotic fluid color (only clear good),
3. what's number of babies expected (twins mebbe more),
4. are any additional risk factors (GDM, miscarriages, preeclampsia, etc.)
When to clamp umbilical cord
30-60 seconds after birth for VIGOROUS newborn
Things to look for after birth
1. Is the baby term, (if no, bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended extremities are bad)
3. is the baby breathing or crying? (if no crying, observe chest for breathing efforts. if vigorous
crying, return to mom)
5 initial steps of care
1. Warm,
2. position airway,
,3. clear secretions if needed,
4. dry,
5. stimulate
Flow rate for free-flow O2 administration
10lpm
O2 level for free-flow O2 administration
30%
Suction setting for newborn
80-100mmHg
Antepartum risk factors
gestation <36wks or >41wks, pre-eclampsia and eclampsia, maternal HTN, poly and
oligohydramnios, fetal hydrops, macrosomia and IGR, fetal malformations or anomalies, no
prenatal care.
Inpartum
Emergency c-section, vacuum assisted delivery, breech or abnormal presentation, category II or
III, maternal anesthesia, mag, or narcs, prolapse cord, shoulder dystocia, meconium staining,
bleeding, placental abruption, chorioamnionitis
, Abnormal transition signs and symptoms
Apnea, tachypnea, bradycardia, tachycardia, decreased muscle tone, low SpO2, hypotension
Preductal SpO2 at 1 min
60-65%
Preductal SpO2 at 2 min
65-70%
Preductal SpO2 at 3 min
70-75%
Preductal SpO2 at 4 min
75-80%
Preductal SpO2 at 5 min
80-85%
(NRP) practice Questions and
Verified Answers
Questions to ask prior to birth
1. what is expected Gestational age, (preterm <38 wks, term 38-41 wks or post-term >41 wks)
2. what is amniotic fluid color (only clear good),
3. what's number of babies expected (twins mebbe more),
4. are any additional risk factors (GDM, miscarriages, preeclampsia, etc.)
When to clamp umbilical cord
30-60 seconds after birth for VIGOROUS newborn
Things to look for after birth
1. Is the baby term, (if no, bring baby to warmer)
2. does the baby have good muscle tone, (flaccid/extended extremities are bad)
3. is the baby breathing or crying? (if no crying, observe chest for breathing efforts. if vigorous
crying, return to mom)
5 initial steps of care
1. Warm,
2. position airway,
,3. clear secretions if needed,
4. dry,
5. stimulate
Flow rate for free-flow O2 administration
10lpm
O2 level for free-flow O2 administration
30%
Suction setting for newborn
80-100mmHg
Antepartum risk factors
gestation <36wks or >41wks, pre-eclampsia and eclampsia, maternal HTN, poly and
oligohydramnios, fetal hydrops, macrosomia and IGR, fetal malformations or anomalies, no
prenatal care.
Inpartum
Emergency c-section, vacuum assisted delivery, breech or abnormal presentation, category II or
III, maternal anesthesia, mag, or narcs, prolapse cord, shoulder dystocia, meconium staining,
bleeding, placental abruption, chorioamnionitis
, Abnormal transition signs and symptoms
Apnea, tachypnea, bradycardia, tachycardia, decreased muscle tone, low SpO2, hypotension
Preductal SpO2 at 1 min
60-65%
Preductal SpO2 at 2 min
65-70%
Preductal SpO2 at 3 min
70-75%
Preductal SpO2 at 4 min
75-80%
Preductal SpO2 at 5 min
80-85%
