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NRP Study Questions with verified solutions | Rated A+
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NRP Study Questions with verified solutions | Rated A+
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NRP Study Questions with verifiedsolutions | Rated A+
Why are you more likely to intubate the right mainstem bronchus than the left? ✔✔The right is
wider and more vertical.
What is the initial PPV O2 concentration for a newborn < 35 weeks? ✔✔21-30%
What colour will the CO2 detector change to if the lungs are intubated? ✔✔Yellow
If a baby doesn't improve despite resuscitative measures or suddenly develops severe
respiratory distress, what condition might you expect? ✔✔Pneumothorax
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial steps and
requires positive-pressure ventilation. What concentration of oxygen should be used as you begin
positive-pressure ventilation? ✔✔21-30%
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.
A baby requires positive-pressure ventilation because she is not breathing (apneic), but she soon
establishes spontaneous respirations and a heart rate over 100 beats per minute. Her oxygen saturation
is lower than the target level when in room air, so you provide free-flow oxygen. Which of the following
devices cannot reliably deliver free-flow oxygen? ✔✔Mask of self-inflating bag.
Which statement best describes normal transitional physiology at the time of birth?
A. O2 sats via pulse ox is unreliable in the newborn and 100% O2 is recommended immediately after
birth.
B. Visual assessment of cyanosis is a reliable indicator of the baby's O2 sats.
,C. Babies may take as long as 10 minutes after birth to increase their oxygen saturation to greater than
90%.
D. The O2 sat normally rises to at least 90% by 2 minutes of life. ✔✔C. Babies may take as long as
10 minutes after birth to increase their oxygen saturation to greater than 90%.
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not breathing
(apneic). What are the next steps? ✔✔1. Initiative positive-pressure ventilation
2. Place a pulse oximeter sensor on the right hand or wrist
3. Consider starting cardiac monitoring
If a heart rate is 14 beats in 6 seconds, how fast is the heart rate? ✔✔140 bpm
What is the pre-ductal SpO2 range for 10 minutes of life? ✔✔85-95%
What personnel are required for every birth? ✔✔At least 1 person:
1. Qualified in newborn care.
2. Able to provide PPV.
3. Who is only responsible for the baby.
A full-term baby is born by emergency cesarean delivery because of fetal bradycardia (Category III
fetal heart rate tracing). The baby is limp and not breathing after initial steps. What is the next step in
the resuscitation process? ✔✔Initiate positive-pressure ventilation and check for increasing heart rate.
What is the appropriate technique to stimulate a baby to breathe? ✔✔Gently rub the baby's back
or extremities.
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3 questions
should you ask to evaluate whether the baby can stay with the birther or be moved to the radiant
warmer for further assessment? ✔✔1. Is the baby term?
2. Does the baby have good muscle tone?
3. Is the baby breathing or crying?
, 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.
You have determined a baby needs resuscitation at birth. What are the initial steps of newborn care?
✔✔Within 30 seconds of birth:
1. Provide warmth
2. Dry baby
3. Stimulate w/ gentle tactile stimulation
4. Position head & neck
5. Clear secretions (Mouth 1st, then nose)
The steps of intubation should ideally be completed within which duration? ✔✔Within 30 seconds.
What personnel should be available if emergent care is required? ✔✔Full team of resuscitation
qualified personnel able to perform:
1. Intubation
2. CPR
3. Emergency vascular access
What is the pre-ductal SpO2 range for 1 minute of life? ✔✔60-65%
Effective team functioning is critical in ensuring the best performance. Which of these characteristics is
critical in team leaders? ✔✔They should be able to maintain situational awareness.
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? ✔✔Before
birth, when you have identified the presence of a perinatal risk factor that increases the likelihood of
requiring neonatal resuscitation.
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