NRP 8th Edition exam
1.
Question: What is the most important initial step in neonatal resuscitation?
Answer: Providing warmth and maintaining normal temperature (36.5–37.5°C).
2.
Question: What is the initial oxygen concentration for term and preterm infants
requiring resuscitation?
Answer:
Term and late preterm (≥35 weeks): Start with 21% O₂ (room air).
Preterm (<35 weeks): Start with 21–30% O₂.
3.
Question: What is the correct sequence of initial steps for a newborn who is not
vigorous?
Answer: Warm, position airway, clear secretions (if needed), dry, and stimulate.
4.
Question: After the initial steps, the heart rate is 90 bpm and the baby is not
breathing. What is the next step?
,Answer: Begin positive pressure ventilation (PPV).
5.
Question: What is the most reliable indicator of effective PPV?
Answer: A rising heart rate.
6.
Question: When should you start chest compressions during neonatal resuscitation?
Answer: If the heart rate remains <60 bpm after at least 30 seconds of effective PPV
with 100% oxygen.
7.
Question: What is the correct compression-to-ventilation ratio in neonatal
resuscitation?
Answer: 3 compressions to 1 ventilation (3:1 ratio).
8.
Question: How many events per minute should you deliver during coordinated
compressions and ventilations?
Answer: Approximately 120 events per minute (90 compressions and 30 breaths).
9.
Question: What is the preferred site for chest compressions in a newborn?
Answer: The lower third of the sternum.
10.
, Question: What is the correct depth of chest compressions?
Answer: One-third the anterior-posterior diameter of the chest.
11.
Question: When should epinephrine be administered?
Answer: If heart rate remains <60 bpm after at least 60 seconds of coordinated chest
compressions and effective ventilation with 100% oxygen.
12.
Question: What is the correct IV/IO epinephrine dose for a newborn?
Answer: 0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 concentration).
13.
Question: What is the preferred route for epinephrine administration?
Answer: Intravenous (IV) or intraosseous (IO).
14.
Question: When should you consider volume expansion?
Answer: If there are signs of shock or blood loss and the heart rate does not respond
to resuscitation.
15.
Question: What fluid and dose are used for volume expansion?
Answer: Normal saline or O-negative blood, 10 mL/kg over 5–10 minutes.
16.
1.
Question: What is the most important initial step in neonatal resuscitation?
Answer: Providing warmth and maintaining normal temperature (36.5–37.5°C).
2.
Question: What is the initial oxygen concentration for term and preterm infants
requiring resuscitation?
Answer:
Term and late preterm (≥35 weeks): Start with 21% O₂ (room air).
Preterm (<35 weeks): Start with 21–30% O₂.
3.
Question: What is the correct sequence of initial steps for a newborn who is not
vigorous?
Answer: Warm, position airway, clear secretions (if needed), dry, and stimulate.
4.
Question: After the initial steps, the heart rate is 90 bpm and the baby is not
breathing. What is the next step?
,Answer: Begin positive pressure ventilation (PPV).
5.
Question: What is the most reliable indicator of effective PPV?
Answer: A rising heart rate.
6.
Question: When should you start chest compressions during neonatal resuscitation?
Answer: If the heart rate remains <60 bpm after at least 30 seconds of effective PPV
with 100% oxygen.
7.
Question: What is the correct compression-to-ventilation ratio in neonatal
resuscitation?
Answer: 3 compressions to 1 ventilation (3:1 ratio).
8.
Question: How many events per minute should you deliver during coordinated
compressions and ventilations?
Answer: Approximately 120 events per minute (90 compressions and 30 breaths).
9.
Question: What is the preferred site for chest compressions in a newborn?
Answer: The lower third of the sternum.
10.
, Question: What is the correct depth of chest compressions?
Answer: One-third the anterior-posterior diameter of the chest.
11.
Question: When should epinephrine be administered?
Answer: If heart rate remains <60 bpm after at least 60 seconds of coordinated chest
compressions and effective ventilation with 100% oxygen.
12.
Question: What is the correct IV/IO epinephrine dose for a newborn?
Answer: 0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 concentration).
13.
Question: What is the preferred route for epinephrine administration?
Answer: Intravenous (IV) or intraosseous (IO).
14.
Question: When should you consider volume expansion?
Answer: If there are signs of shock or blood loss and the heart rate does not respond
to resuscitation.
15.
Question: What fluid and dose are used for volume expansion?
Answer: Normal saline or O-negative blood, 10 mL/kg over 5–10 minutes.
16.
