NRP 8TH EDITION
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. Before birth, pulmonary resistance is _________ in the fetal lungs.
a. low
b. normal
c. high - ANSWER c) high
2. A qualified team with full resuscitation skills should be identified and immediately
available for every resuscitation. What should their skills include?
a. vacuum extraction
b. positive pressure ventilation (PPV)
c. endotracheal intubation
d. emergency vascular access and medication administration
e. lumbar puncture
f. chest compressions - ANSWER b) positive pressure ventilation (PPV)
c) endotracheal intubation
d) emergency vascular access and medication administration
f) chest compressions
3. According to NRP 8th edition, for how long should cord clamping be delayed for
eligible babies?
a. at least 30 to 60 seconds
b. at least 15 to 30 seconds
, c. at least 2 minutes
d. at least 5 minutes - ANSWER a) at least 30 to 60 seconds
4. During initial steps, if the baby is _____ weeks gestation, do not dry the baby.
a. less than 32
b. more than 34
c. 36 - ANSWER a) less than 32
5. When the baby stays with the mother for initial steps after birth, what should be
monitored to determine if additional interventions are required?
a. temperature
b. breathing
c. blood pressure
d. colour
e. tone and activity - ANSWER a) temperature
b) breathing
6. d) colour
e) tone and activity
7. When providing PPV, what is the correct ventilation rate?
a. 80-100 breaths/min
b. 40-60 breaths/min
c. 60-80 breaths/min
d. 20-30 breaths/min - ANSWER b) 40-60 breaths/min
8. It can be difficult to deliver PEEP (positive end-expiratory pressure) with a self-
inflating bag. A T-piece resuscitator delivers consistent inspiratory pressure and
PEEP.What does PEEP help achieve?
a. removes fluid
b. prevents air spaces from collapsing during exhalation
c. maintains thermoregulation
d. stable lung inflation - ANSWER a) removes fluid
b) prevents air spaces from collapsing during exhalation
, d) stable lung inflation
9. After the first 15 seconds of PPV, you do the first heart rate assessment. The heart rate
is not increasing, and the chest is not moving.What should you do?
a. continue PPV and assess heart rate in 25 seconds
b. begin compressions immediately
c. begin Mr. SOPA ventilation and corrective steps immediately
d. continue PPV and assess heart rate in 15 seconds
e. - ANSWER c) begin Mr. SOPA ventilation and corrective steps
immediately
10. To ensure immediate access to the laryngeal mask, where should it be located?
a. in the code cart
b. at the warmer
c. in the supply closet
d. in the emergency supplies box - ANSWER b) at the warmer
11. You are providing face mask PPV to a newborn who was bradycardic at birth. The
heart rate has increased to more than 100 bpm and the baby is beginning to breathe
spontaneously.What is your next action?
a. discontinue PPV immediately
b. continue PPV for 3 minutes
c. increase the ventilation rate and pressure
d. slow the rate of PPV and stimulate the baby - ANSWER d) slow the rate
of PPV and stimulate the baby
12. When providing positive pressure-ventilation to a term newborn, what peak
inspiratory pressure should you start with?
a. 5-10 cm H20
b. 20-25 cm H20
c. 10-15 cm H20
d. 15-20 cm H20 - ANSWER b) 20-25 cm H20
, 13. What is the most important indicator of successful PPV?
a. improved SPo2
b. chest movement
c. rising heart rate
d. loss of cyanosis - ANSWER c) rising heart rate
14. What happens in the rapid evaluation phase? - ANSWER if baby can stay with
mother or moved to radiant warmer
15. what happens in the airway phase? - ANSWER opening neonates airway and
support spontaneous respirations
16. what happens in the breathing phase? - ANSWER assist with PPV if the baby is
apnoeic, gasping, or bradycardic (cpap or oxygen may be appropriate for laboured
breathing or low oxygen saturation)
17. what happens in the circulation phase? - ANSWER perform chest compressions if
HR remains < 100 after giving effective PPV
18. what happens in the drug phase? - ANSWER administer epinephrine if HR
remains < 100
19. what is the pulmonary resistance in fetal lungs? - ANSWER high pulmonary
vascular resistance (high PVR, low SVR)
20. Who should attend a normal birth? - ANSWER At every birth, at least ONE
qualified provider skilled in initial steps of newborn care and PPV
21. Who attend birth if RISK FACTORS are present? - ANSWER If risk factors are
present, at least TWO qualified providers to solely manage baby
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. Before birth, pulmonary resistance is _________ in the fetal lungs.
a. low
b. normal
c. high - ANSWER c) high
2. A qualified team with full resuscitation skills should be identified and immediately
available for every resuscitation. What should their skills include?
a. vacuum extraction
b. positive pressure ventilation (PPV)
c. endotracheal intubation
d. emergency vascular access and medication administration
e. lumbar puncture
f. chest compressions - ANSWER b) positive pressure ventilation (PPV)
c) endotracheal intubation
d) emergency vascular access and medication administration
f) chest compressions
3. According to NRP 8th edition, for how long should cord clamping be delayed for
eligible babies?
a. at least 30 to 60 seconds
b. at least 15 to 30 seconds
, c. at least 2 minutes
d. at least 5 minutes - ANSWER a) at least 30 to 60 seconds
4. During initial steps, if the baby is _____ weeks gestation, do not dry the baby.
a. less than 32
b. more than 34
c. 36 - ANSWER a) less than 32
5. When the baby stays with the mother for initial steps after birth, what should be
monitored to determine if additional interventions are required?
a. temperature
b. breathing
c. blood pressure
d. colour
e. tone and activity - ANSWER a) temperature
b) breathing
6. d) colour
e) tone and activity
7. When providing PPV, what is the correct ventilation rate?
a. 80-100 breaths/min
b. 40-60 breaths/min
c. 60-80 breaths/min
d. 20-30 breaths/min - ANSWER b) 40-60 breaths/min
8. It can be difficult to deliver PEEP (positive end-expiratory pressure) with a self-
inflating bag. A T-piece resuscitator delivers consistent inspiratory pressure and
PEEP.What does PEEP help achieve?
a. removes fluid
b. prevents air spaces from collapsing during exhalation
c. maintains thermoregulation
d. stable lung inflation - ANSWER a) removes fluid
b) prevents air spaces from collapsing during exhalation
, d) stable lung inflation
9. After the first 15 seconds of PPV, you do the first heart rate assessment. The heart rate
is not increasing, and the chest is not moving.What should you do?
a. continue PPV and assess heart rate in 25 seconds
b. begin compressions immediately
c. begin Mr. SOPA ventilation and corrective steps immediately
d. continue PPV and assess heart rate in 15 seconds
e. - ANSWER c) begin Mr. SOPA ventilation and corrective steps
immediately
10. To ensure immediate access to the laryngeal mask, where should it be located?
a. in the code cart
b. at the warmer
c. in the supply closet
d. in the emergency supplies box - ANSWER b) at the warmer
11. You are providing face mask PPV to a newborn who was bradycardic at birth. The
heart rate has increased to more than 100 bpm and the baby is beginning to breathe
spontaneously.What is your next action?
a. discontinue PPV immediately
b. continue PPV for 3 minutes
c. increase the ventilation rate and pressure
d. slow the rate of PPV and stimulate the baby - ANSWER d) slow the rate
of PPV and stimulate the baby
12. When providing positive pressure-ventilation to a term newborn, what peak
inspiratory pressure should you start with?
a. 5-10 cm H20
b. 20-25 cm H20
c. 10-15 cm H20
d. 15-20 cm H20 - ANSWER b) 20-25 cm H20
, 13. What is the most important indicator of successful PPV?
a. improved SPo2
b. chest movement
c. rising heart rate
d. loss of cyanosis - ANSWER c) rising heart rate
14. What happens in the rapid evaluation phase? - ANSWER if baby can stay with
mother or moved to radiant warmer
15. what happens in the airway phase? - ANSWER opening neonates airway and
support spontaneous respirations
16. what happens in the breathing phase? - ANSWER assist with PPV if the baby is
apnoeic, gasping, or bradycardic (cpap or oxygen may be appropriate for laboured
breathing or low oxygen saturation)
17. what happens in the circulation phase? - ANSWER perform chest compressions if
HR remains < 100 after giving effective PPV
18. what happens in the drug phase? - ANSWER administer epinephrine if HR
remains < 100
19. what is the pulmonary resistance in fetal lungs? - ANSWER high pulmonary
vascular resistance (high PVR, low SVR)
20. Who should attend a normal birth? - ANSWER At every birth, at least ONE
qualified provider skilled in initial steps of newborn care and PPV
21. Who attend birth if RISK FACTORS are present? - ANSWER If risk factors are
present, at least TWO qualified providers to solely manage baby
