NRP [NEONATAL RESUSCITATION PROGRAM]
8TH EDITION QUESTIONS AND ANSWERS 100%
PASS 2025-2026 NEW UPDATE
According to the NRP algorithm, what are the indicators for positive pressure
ventilation?
a) tachypnea
b) apnea
c) cyanosis
d) gasping
e) HR <100 bpm
b) apnea
d) gasping
e) HR <100 bpm
Before birth, pulmonary resistance is _________ in the fetal lungs.
a) low
b) normal
c) high
c) high
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
b) positive pressure ventilation (PPV)
c) endotracheal intubation
d) emergency vascular access and medication administration
f) chest compressions
According to NRP 8th edition, for how long should cord clamping be delayed for
eligible babies?
a) at least 30 to 60 seconds
1
b) at least 15 to 30 seconds
Page
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
, c) at least 2 minutes
d) at least 5 minutes
a) at least 30 to 60 seconds
During initial steps, if the baby is _____ weeks gestation, do not dry the baby.
a) less than 32
b) more than 34
c) 36
a) less than 32
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) color
e) tone and activity
a) temperature
b) breathing
d) color
e) tone and activity
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
b) 40-60 breaths/min
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
a) removes fluid
b) prevents air spaces from collapsing during exhalation
d) stable lung inflation
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.
2
Page
What should you do?
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
, 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)
c) begin Mr. SOPA ventilation and corrective steps immediately
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
b) at the warmer
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
d) slow the rate of PPV and stimulate the baby
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
b) 20-25 cm H20
What is the most important indicator of successful PPV?
a) improved SPo2
b) chest movement
c) rising heart rate
d) loss of cyanosis
c) rising heart rate
When resuscitation is anticipated, when should you apply pulse oximetry?
a) after completing the initial steps
b) within 2 minutes of delivery
c) after 30 seconds of PPV
3
Page
d) after the MR. SOPA steps are completed
a) after completing the initial steps
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
8TH EDITION QUESTIONS AND ANSWERS 100%
PASS 2025-2026 NEW UPDATE
According to the NRP algorithm, what are the indicators for positive pressure
ventilation?
a) tachypnea
b) apnea
c) cyanosis
d) gasping
e) HR <100 bpm
b) apnea
d) gasping
e) HR <100 bpm
Before birth, pulmonary resistance is _________ in the fetal lungs.
a) low
b) normal
c) high
c) high
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
b) positive pressure ventilation (PPV)
c) endotracheal intubation
d) emergency vascular access and medication administration
f) chest compressions
According to NRP 8th edition, for how long should cord clamping be delayed for
eligible babies?
a) at least 30 to 60 seconds
1
b) at least 15 to 30 seconds
Page
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
, c) at least 2 minutes
d) at least 5 minutes
a) at least 30 to 60 seconds
During initial steps, if the baby is _____ weeks gestation, do not dry the baby.
a) less than 32
b) more than 34
c) 36
a) less than 32
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) color
e) tone and activity
a) temperature
b) breathing
d) color
e) tone and activity
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
b) 40-60 breaths/min
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
a) removes fluid
b) prevents air spaces from collapsing during exhalation
d) stable lung inflation
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.
2
Page
What should you do?
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
, 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)
c) begin Mr. SOPA ventilation and corrective steps immediately
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
b) at the warmer
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
d) slow the rate of PPV and stimulate the baby
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
b) 20-25 cm H20
What is the most important indicator of successful PPV?
a) improved SPo2
b) chest movement
c) rising heart rate
d) loss of cyanosis
c) rising heart rate
When resuscitation is anticipated, when should you apply pulse oximetry?
a) after completing the initial steps
b) within 2 minutes of delivery
c) after 30 seconds of PPV
3
Page
d) after the MR. SOPA steps are completed
a) after completing the initial steps
NRP [NEONATAL RESUSCITATION PROGRAM] 8TH EDITION
