NRP FINAL EXAM 2024-2025 |ACTUAL COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+.
Your team has provided face-mask PPV with chest movement for 30
seconds. When is placement of an endotracheal tube strongly
recommended? - ANSWER -The baby's heart rate remains less than
100 bpm and is not increasing.
During a delivery, when and where should a person with intubation
skills be available? - ANSWER -In the hospital and immediately
available.
What are the primary methods of confirming endotracheal tube
placement within the trachea? - ANSWER -Demonstration of exhaled
carbon dioxide (CO2) and a rapidly increasing heart rate.
You are resuscitating a critically ill newborn whose heart rate is 20
bpm. The baby has been intubated and the endotracheal tube
insertion depth is correct. You can see chest movement with PPV and
hear bilateral breath sounds, by the colorimetric CO2 detector does
not turn yellow. What is the likely reason for this? - ANSWER -Low
cardiac output.
According to the Textbook of Neonatal Resuscitation, 8th edition
algorithm, at what point during resuscitation is a cardiac monitor
,recommended to asses the baby's heart rate? - ANSWER -When an
alternative airway is inserted.
What size laryngoscope blade is recommended to intubate a preterm
newborn with an estimated gestational age of 32 weeks (estimated
birth weight of 1.4 kg)? - ANSWER -0
Even brief interruptions of chest compressions may significantly
reduce their effectiveness, but it also important to assess the need to
continue chest compressions. What is the preferred way to assess
the heart rate during chest compressions? - ANSWER -Briefly
interrupt chest compressions every 6o seconds to assess the heart
rate using the cardiac monitor.
Your team is resuscitating a newborn at birth. The heart rate is low
and the baby has poor perfusion. Which is the preferred method to
assess the heart rate? - ANSWER -Cardiac monitor
When are chest compressions indicated? - ANSWER -When the heart
rate remains less than 60 bpm after at least 30 seconds of PPV that
moves the chest, preferably through an alternative airway.
After 60 seconds of PPV coordinated with chest compressions, the
cardiac monitor indicates a heart rate of 70 beats per minute. What is
your next action? - ANSWER -Stop chest compressions and continue
PPV.
,What is the recommended depth of chest compressions? - ANSWER
One-third of the anterior-posterior diameter of the chest.
During chest compressions, which of the following is correct? -
ANSWER -To coordinate compressions and ventilations, the
compressor calls out one-and-two-and-three-and-breathe-and...
Your team is resuscitating a newborn whose heart rate remains less
than 60 bpm despite effective PPV and 60 seconds of chest
compressions. You have administered epinephrine intravenously.
According to the Textbook of Neonatal Resuscitation, 8th edition,
what volume of normal saline flush should you administer? -
ANSWER -3 mL
According to the Textbook of Neonatal Resuscitation 8th, edition,
what is the suggested initial dose for IV epinephrine (0.1 mg/1mL = 1
mg/10 mL)? - ANSWER -0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during
newborn resuscitation? - ANSWER -The baby's heart rate is not
increasing and there are signs of shock or a history of acute blood
loss.
Your team is caring for a term newborn whose heart rate is 50 bpm
after receiving effective ventilation, chest compressions, and
intravenous epinephrine administration. There is a history of acute
blood loss around the time of delivery. You administer 10 mL/kg of
, normal saline (based on the newborn's estimated weight). At what
rate should this be administered? - ANSWER -Over 5 to 10 minutes
How soon after administration of intravenous epinephrine should you
pause compressions and reassess the baby's heart rate? - ANSWER -
60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you
prepare your equipment, what concentration of oxygen will you use
initially if PPV is required? - ANSWER -21% to 30%
A baby is born at 26 weeks gestation. The initial steps of care,
including gentle stimulation, have been completed and the baby is
nearly 1-minute old. The baby is not breathing. What is the most
appropriate next step? - ANSWER -Begin PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <
32 weeks gestation. - ANSWER -Prepare the preheated radiant warmer
with a thermal mattress, plastic wrap or bag, a hat, and a skin
temperature sensor.
A term newborn was born via emergency cesarean section in the
setting of fetal bradycardia. The baby was limp and bradycardic at
birth and was intubated at 6 minutes after birth for persistent apnea.
The cord blood gas demonstrates a severe metabolic acidosis, and
the physical examination is consistent with hypoxic-ischemic
encephalopathy (HIE). Which of the following is the most appropriate
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