2024
2024 NRP 8TH EDITION TEST EXAM
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 intervention for this newborn? - CORRECT ANSWERS-Admit the newborn to a center with capability to perform therapeutic hypothermia.
A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for grunting respirations. The baby is now 15 minutes old, breathing comfortably in room air, and bonding with their mother. The team plans for the baby to room-in with their mother. What immediate decision needs
to be made regarding post-resuscitation care? - CORRECT ANSWERS-
Identify who will continue to monitor the baby in the mother's room.
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side than on the left side of the chest. Which of the following is a common cause of asymmetric breath sounds in
an intubated baby? - CORRECT ANSWERS-Endotracheal tube inserted into the right mainstem bronchus
During resuscitation, a baby initially responds to PPV with a rapidly increasing heart rate. Subsequently, the baby's heart rate and oxygen saturation suddenly worsen. The baby has decreased breath sounds on the left side and transillumination reveals a bright glow. What is the most likely cause of this distress? - CORRECT ANSWERS-Left-sided pneumothorax
You attend the birth of a baby with prenatally diagnosed severe congenital diaphragmatic hernia. What are the most appropriate steps as you begin your resuscitation? - CORRECT ANSWERS-Intubate the trachea and insert an orogastric tube into the stomach.
A woman in labor received opioid medication for pain relief 1 hour before delivery. The baby does not breathe spontaneously and remains apneic after stimulation. What is your next intervention? - CORRECT ANSWERS-
Start PPV.
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