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NRP 2024 Questions with verified solutions | Rated A+
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NRP 2024 Questions with verified solutions | Rated A+
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NRP 2024 Questions with verifiedsolutions | Rated A+
What is the recommended way to determine if a baby requires supplemental oxygen in the
delivery room?
Place an oximeter sensor on the baby's right hand or wrist and assess oxygen saturation.
Assess the color of the baby's chest and abdomen, and monitor for central cyanosis.
Assess the color of the baby's hands and feet.
Send an arterial blood gas, and evaluate the partial pressure of oxygen. ✔✔Place an oximeter sensor
on the baby's right hand or wrist and assess oxygen saturation.
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?
After birth, when you determine the baby requires intubation.
Before birth, when you have identified the presence of a perinatal risk factor that increases the
likelihood of requiring neonatal resuscitation.
After birth, when you determine the baby requires positive-pressure ventilation.
After birth, when the obstetrician or labor nurse suggests you need additional help. ✔✔Before birth,
when you have identified the presence of a perinatal risk factor that increases the likelihood of requiring
neonatal resuscitation.
,Effective team functioning is critical in ensuring the best performance. Which of these characteristics is
critical in team leaders?
They should never allow team members to participate in decision-making.
They should be able to maintain situational awareness.
They should be solely responsible for assessment and planning.
They must take on several jobs at the same time to ease the team's work. ✔✔They should be able
to maintain situational awareness
You are part of a team preparing for the birth of a baby who has meconium-stained fluid and a category
III fetal heart rate tracing. A person skilled in endotracheal intubation should be
Available from a remote location in the hospital.
Not necessary if a team member knows how to place a laryngeal mask.
Called in from home when the baby is born and then requires intubation.
Present at the birth. ✔✔Present at the birth.
Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis,
meconium-stained amniotic fluid, and fetal heart rate decelerations. At delivery, the newborn is term as
expected, with very poor tone and he is not breathing (apneic). You quickly perform initial steps, but the
newborn is still not breathing. What is the most appropriate next step of resuscitation?
Start positive-pressure ventilation and check heart rate response after 15 seconds.
Intubate and administer 0.05 mg/kg of endotracheal epinephrine.
Immediately intubate and suction the trachea.
Start cardiac compressions coordinated 3:1 with ventilation, and prepare to insert an umbilical venous
catheter. ✔✔Start positive-pressure ventilation and check heart rate response after 15 seconds
, Your hospital is planning Neonatal Resuscitation Program® training and trying to decide who should be
included. For every delivery, what is the minimum requirement for the care of the newborn at birth?
Someone capable of initiating neonatal resuscitation should be present at every delivery whose
only responsibility is the management of the newborn.
Someone capable of initiating neonatal resuscitation should be available in the hospital to be
called after birth.
Someone capable of initiating neonatal resuscitation should be present only if risk factors are identified.
Someone capable of initiating resuscitation should be available on call from home to respond if there
is a problem with the newborn. ✔✔Someone capable of initiating neonatal resuscitation should be
present at every delivery whose only responsibility is management of the newborn.
Which statement describes recommended practice when using a pulse oximeter in the delivery room?
Place the pulse oximeter sensor on the right hand and use the minute specific oxygen saturation target
to guide oxygen supplementation.
Place the pulse oximeter sensor on the right foot and use the minute specific oxygen saturation target to
guide oxygen supplementation.
Place the pulse oximeter sensor on the right hand and adjust the oxygen concentration to achieve
100% oxygen saturation.
Place the pulse oximeter sensor on the right foot and adjust the oxygen concentration to achieve
100% oxygen saturation. ✔✔Place the pulse oximeter sensor on the right hand and use the minute
specific oxygen saturation target to guide oxygen supplementation.
You have started positive-pressure ventilation for a newborn because her heart rate is low
(bradycardia). What is the most important indicator of successful positive-pressure ventilation?
A rising heart rate
Chest movement with each breath
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