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NRP 8th edition questions with complete solutions graded A+ already passed
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NRP 8th edition questions with complete solutions graded A+ already passed
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NRP 8th edition1. Rapid evaluation - correct answer ✔✔Determines if the baby can stay with the mother for routine
care or should be brought to the radiant warmer
2. Airway - correct answer ✔✔The initial steps open the airway and support spontaneous respiration
3. Breathing - correct 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 - correct answer ✔✔perform chest compressions coordinated with PPV if severe
bradycardia persists despite effective assisted ventilation
5. Drug - correct answer ✔✔Administer epinephrine if severe bradycardia persists despite PPV and
coordinated chest compressions
What type of shunting occurs before birth? - correct answer ✔✔right to left
What are the alveoli expanded and filled with before birth? - correct answer ✔✔fluid
What does the placenta supply before birth? - correct answer ✔✔oxygen and carries out CO2 (removed
by mother's lungs
Where does the most highly oxygenated blood go in the fetus? - correct answer ✔✔the brain and heart
What are the pulmonary vessels that will carry blood to the alveoli like after birth? - correct answer
✔✔tightly constricted
Pulmonary resistance is (high/low) in the fetal lungs. - correct answer ✔✔high
, What does the first breath of air (oxygen 21%) allow the lungs to do? - correct 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? - correct 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? -
correct answer ✔✔to the left side of the heart
What does assessing perinatal right before birth help to identify? - correct 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? - correct answer ✔✔- expected gestational age
- amniotic fluid color
- additional risk factors
- umbilical cord management plan
What are the perinatal risk factors? - correct 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
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