NRP Study Guide Exam Questions and
Answers7
A baby required ventilation and chest compressions. After 60 seconds of chest compressions,
the electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next
action? - ANSWERS-Stop compressions; continue positive-pressure ventilation
What time frame should be used to administer intravenous epinephrine? - ANSWERS-Rapid
push, as quickly as possible.
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous
epinephrine is indicated? - ANSWERS-0.1 mL
Which of the following is true about a pneumothorax in the newborn? - ANSWERS-Positive-
pressure ventilation increases the risk of pneumothorax
Which of the following statements is true about resuscitating and stabilizing extremely
premature newborns? - ANSWERS-They have more difficulty achieving spontaneous ventilation
than term newborns.
You attend the birth of a baby with prenatally diagnosed congenital diaphragmatic hernia. After
birth, you should - ANSWERS-Intubate the trachea and insert an orogastric tube into the
stomach.
A full-term baby is born by emergency cesarean delivery because of fetal bradycardia (Category
III Fetal heart tracing). The baby is limp and not breathing after initial steps. What is the next
step in the resuscitation process? - ANSWERS-Initiate positive-pressure ventilation and check for
increasing heart rate
, A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She
requires positive-pressure ventilation because she is not breathing. You are unable to achieve a
seal with bag and mask. Which intervention is indicated? - ANSWERS-Insert a laryngeal mask
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take? - ANSWERS-Provide positive-pressure
ventilation
What is the appropriate technique to simulate a baby to breathe? - ANSWERS-Gently rub the
baby's back or extremities
What is the recommended way to determine if a baby requires supplemental oxygen in the
delivery room? - ANSWERS-Place an oximeter on the baby's right hand or wrist and assess
oxygen saturation.
The steps of intubation should ideally b completed within which duration? - ANSWERS-30
seconds
You have been called to attend a birth and are the only healthcare provider responsible for the
management of the newborn in the room. When should you first call for additional help? -
ANSWERS-Before birth, when you have identified the presence of a perinatal risk factor the
increase the likelihood of requiring neonatal resuscitation.
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team? - ANSWERS-100 beats per
minute
A full term newborn has a heart rate less than 60 beats per minute despite 30 seconds of
positive-pressure ventilation that moves the chest. Your team plans to intubate. Which of the
following is a true statement regarding the procedure? - ANSWERS-The baby should be
positioned on a flat surface with the neck slightly extended.
Answers7
A baby required ventilation and chest compressions. After 60 seconds of chest compressions,
the electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next
action? - ANSWERS-Stop compressions; continue positive-pressure ventilation
What time frame should be used to administer intravenous epinephrine? - ANSWERS-Rapid
push, as quickly as possible.
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous
epinephrine is indicated? - ANSWERS-0.1 mL
Which of the following is true about a pneumothorax in the newborn? - ANSWERS-Positive-
pressure ventilation increases the risk of pneumothorax
Which of the following statements is true about resuscitating and stabilizing extremely
premature newborns? - ANSWERS-They have more difficulty achieving spontaneous ventilation
than term newborns.
You attend the birth of a baby with prenatally diagnosed congenital diaphragmatic hernia. After
birth, you should - ANSWERS-Intubate the trachea and insert an orogastric tube into the
stomach.
A full-term baby is born by emergency cesarean delivery because of fetal bradycardia (Category
III Fetal heart tracing). The baby is limp and not breathing after initial steps. What is the next
step in the resuscitation process? - ANSWERS-Initiate positive-pressure ventilation and check for
increasing heart rate
, A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She
requires positive-pressure ventilation because she is not breathing. You are unable to achieve a
seal with bag and mask. Which intervention is indicated? - ANSWERS-Insert a laryngeal mask
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take? - ANSWERS-Provide positive-pressure
ventilation
What is the appropriate technique to simulate a baby to breathe? - ANSWERS-Gently rub the
baby's back or extremities
What is the recommended way to determine if a baby requires supplemental oxygen in the
delivery room? - ANSWERS-Place an oximeter on the baby's right hand or wrist and assess
oxygen saturation.
The steps of intubation should ideally b completed within which duration? - ANSWERS-30
seconds
You have been called to attend a birth and are the only healthcare provider responsible for the
management of the newborn in the room. When should you first call for additional help? -
ANSWERS-Before birth, when you have identified the presence of a perinatal risk factor the
increase the likelihood of requiring neonatal resuscitation.
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team? - ANSWERS-100 beats per
minute
A full term newborn has a heart rate less than 60 beats per minute despite 30 seconds of
positive-pressure ventilation that moves the chest. Your team plans to intubate. Which of the
following is a true statement regarding the procedure? - ANSWERS-The baby should be
positioned on a flat surface with the neck slightly extended.
