NRP Study Questions with Complete
Solutions
Question: What is the primary goal of neonatal resuscitation?
Answer: The primary goal of neonatal resuscitation is to establish and maintain adequate
breathing and circulation in a newborn who is not transitioning well to extrauterine life.
Q...
Question: What is the recommended initial step for resuscitating a newborn who is not breathing
or has poor muscle tone?
Answer: ✔✔ The recommended initial step is to provide adequate stimulation by drying the baby
and positioning them properly to ensure their airway is open, followed by evaluating their need
for further resuscitation measures.
Question: What is the correct method for performing chest compressions on a newborn?
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,Answer: ✔✔ Chest compressions on a newborn should be performed with two thumbs encircling
the chest or with two fingers, applying compression at a depth of approximately one-third of the
chest's anterior-posterior diameter and at a rate of 120 compressions per minute.
Question: When should epinephrine be administered during neonatal resuscitation?
Answer: ✔✔ Epinephrine should be administered if the newborn’s heart rate remains below 60
beats per minute despite adequate ventilation and chest compressions.
Question: What is the appropriate volume of fluid to administer in the case of suspected blood
loss during neonatal resuscitation?
Answer: ✔✔ The appropriate volume of fluid to administer is typically 10 mL/kg of isotonic
fluid, such as normal saline or lactated Ringer’s solution, in cases of suspected blood loss.
Question: How should the effectiveness of resuscitation efforts be monitored?
Answer: ✔✔ The effectiveness of resuscitation efforts should be monitored by assessing the
newborn’s heart rate, breathing, color, and muscle tone. Additionally, continuous monitoring of
vital signs and response to interventions is crucial.
Question: What role does temperature management play in neonatal resuscitation?
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,Answer: ✔✔ Temperature management is crucial in neonatal resuscitation to prevent
hypothermia, which can worsen the newborn’s condition. Maintaining a warm environment and
using pre-warmed equipment helps ensure the newborn’s body temperature remains stable.
Question: What is the recommended approach to managing a newborn with a suspected
meconium aspiration syndrome?
Answer: ✔✔ For a newborn with suspected meconium aspiration syndrome, immediate
suctioning of the airway should be performed if the baby is not breathing or has poor muscle
tone. This is followed by appropriate ventilation and other resuscitation measures as needed.
Question: How should you prepare for neonatal resuscitation in a delivery setting?
Answer: ✔✔ Preparation for neonatal resuscitation includes ensuring that resuscitation
equipment is readily available, having a clear plan for potential complications, and ensuring that
the delivery team is trained and prepared to perform resuscitation procedures if needed.
Question: What is the recommended position for a newborn to optimize breathing during
resuscitation?
Answer: ✔✔ The recommended position for a newborn during resuscitation is the supine
position with the head in a neutral position or slightly extended to keep the airway open.
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, Question: When is it appropriate to use supplemental oxygen during neonatal resuscitation?
Answer: ✔✔ Supplemental oxygen should be used if the newborn shows signs of inadequate
oxygenation or if their oxygen saturation levels are below 60% despite adequate ventilation and
chest compressions.
Question: What is the correct way to assess the newborn’s heart rate during resuscitation?
Answer: ✔✔ The newborn’s heart rate should be assessed by palpating the umbilical artery or by
using a stethoscope placed on the left side of the chest, and it should be continuously monitored
with a cardiac monitor if available.
Question: What is the recommended frequency for reassessing the effectiveness of resuscitation
efforts?
Answer: ✔✔ The effectiveness of resuscitation efforts should be reassessed every 30 seconds to
1 minute to determine if interventions are improving the newborn’s condition.
Question: What should be done if a newborn’s heart rate remains below 60 beats per minute
despite adequate resuscitation efforts?
Answer: ✔✔ If a newborn’s heart rate remains below 60 beats per minute despite adequate
resuscitation efforts, it is recommended to administer epinephrine and consider additional
interventions such as volume resuscitation and further evaluation for underlying causes.
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