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NRP Study Questions
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NRP Study QuestionsHow long does it take a healthy newborn to have an SpO2 ≥ 90%? - ANS At least 10 minutes
When is the time of birth documented? - ANS After the last fetal part emerges from the birthing person.
What is the preductal SpO2 range for 5 minutes of life? - ANS 80-85%
A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires
positive-pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and
mask. Which intervention is indicated? - ANS Insert a laryngeal mask.
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per minute.
What is the most important action you can take? - ANS Provide positive-pressure ventilation (PPV).
If the newborn has respiratory distress and generalized edema, what condition can you expect? - ANS
Pleural effusion.
1. What flow rate is used for free-flow O2 administration?
2. What % of O2 do you start at? - ANS 1. 10 L/min
2. Start at 30%, then titrate up to desired SpO2 target range.
When clearing secretions, which do you clear first: mouth or nose? - ANS Mouth (M comes before N)
What size (internal diameter) endotracheal tube should be used to intubate a newborn with an
estimated gestational age of 26 weeks (estimated birth weight of 800 g)? - ANS 2.5 mm
,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? - ANS Start PPV
and check heart rate response after 15 seconds
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over a 6
second period. What heart rate do you report to your team? - ANS 100 bpm
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: - ANS Present at birth.
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the baby is not
vigorous. What steps should be taken immediately after birth? - ANS The baby should be brought to the
radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic after
initial steps? - ANS Administration of PPV that inflates the lungs
What is the pre-ductal SpO2 range for 3 minutes of life? - ANS 70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - ANS 90 bpm
Which O2 PPV resuscitator:
- Requires a compressed gas source
- Must have a tight seal to inflate
- Use a flow-control valve to regulate the PIP and PEEP
- Can deliver free-flow O2 via mask
- Can deliver CPAP to a spontaneously breathing newborn - ANS Flow-inflating bag
, What is the pre-ductal SpO2 range for 2 minutes of life? - ANS 65-70%
1. What is acrocyanosis?
2. Is it normal? - ANS 1. A blue colour in the hands and feet without central cyanosis.
2. It is normal.
Why are you more likely to intubate the right mainstem bronchus than the left? - ANS The right is wider
and more vertical.
What is the initial PPV O2 concentration for a newborn < 35 weeks? - ANS 21-30%
What colour will the CO2 detector change to if the lungs are intubated? - ANS Yellow
If a baby doesn't improve despite resuscitative measures or suddenly develops severe respiratory
distress, what condition might you expect? - ANS 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? - ANS 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? - ANS 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? - ANS Mask of self-inflating bag.
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