NRP 8th edition Exam Questions And Correct Solutions Current Update
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NRP 8th edition
Institution
NRP 8th Edition
NRP 8th edition Exam Questions And Correct Solutions Current Update
1. Rapid evaluation - Answer -Determines if the baby can stay with the mother for routine care or should be brought to the radiant warmer
2. Airway - Answer -The initial steps open the airway and support spontaneous respira...
NRP 8th Edition Exam Questions And
Correct Solutions Current Update
1. Rapid evaluation - Answer -Determines if the baby can stay with the mother for
routine care or should be brought to the radiant warmer
2. Airway - Answer -The initial steps open the airway and support spontaneous
respiration
3. Breathing - Answer -Assist breathing with positive pressure ventilation if the baby is
apneic, gasping, or bradycardic. CPAP or oxygen may be appropriate for labored
breathing or low oxygen sats
4. circulation - Answer -perform chest compressions coordinated with PPV if severe
bradycardia persists despite effective assisted ventilation
5. Drug - Answer -Administer epinephrine if severe bradycardia persists despite PPV
and coordinated chest compressions
What type of shunting occurs before birth? - Answer -right to left
What are the alveoli expanded and filled with before birth? - Answer -fluid
What does the placenta supply before birth? - Answer -oxygen and carries out CO2
(removed by mother's lungs
Where does the most highly oxygenated blood go in the fetus? - Answer -the brain and
heart
What are the pulmonary vessels that will carry blood to the alveoli like after birth? -
Answer -tightly constricted
Pulmonary resistance is (high/low) in the fetal lungs. - Answer -high
What does the first breath of air (oxygen 21%) allow the lungs to do? - Answer -relax
and dilate the pulmonary blood vessels
As blood flows to the lungs and the baby's o2 level increases, what occurs in the heart?
- Answer -2 openings in the heart used for fetal circulation start to close and the blood
can flow from the right side into the lungs (the right to left shunting gradually resolves)
Where can the oxygenated blood from the baby's lungs flow once the right to left
shunting resolves? - Answer -to the left side of the heart
, What does assessing perinatal right before birth help to identify? - Answer -which
newborns are likely to require resuscitation
What are the 4 pre-birth questions to determine if you have assembled the necessary
personnel and equipment? - Answer -- expected gestational age
- amniotic fluid color
- additional risk factors
- umbilical cord management plan
What are the perinatal risk factors? - Answer -- gestational age less than 36 0/7 weeks
- gestational age greater than or equal to 41 0/7 weeks
- preeclampsia or eclampsia
- maternal hypertension
- multiple gestation
- fetal anemia
- polyhydramnios
- fetal hydrops
- fetal macrosomia
- intrauterine growth restriction
- significant fetal malformations or anomalies
- no prenatal care
- emergency C section delivery
- forceps or vacuum-assisted delivery
- breech or abnormal presentation
- category II or III fetal heart rate pattern
- maternal general anesthesia
- maternal magnesium therapy
- placental abruption
- intrapartum bleeding
- chorioamnionitis
- opioids administered to mother within 4 hours of delivery
- shoulder dystocia
- meconium-stained amniotic fluid
- prolapsed umbilical cord
Who should attend every birth? - Answer -at least 1 qualified person skilled in the initial
steps of newborn care and positive pressure ventilation whose only responsibility is
management of the baby
Who should attend the birth if risk factors are present? - Answer -at least 2 qualified
people to solely manage the baby
What will the number and qualifications of personnel vary depending on? - Answer -the
number of risks, number of babies, the hospital setting
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