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Neonatal Resuscitation Program (NRP) practice Questions with verified solutions
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Neonatal Resuscitation Program (NRP) practice Questions with verified solutions
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Neonatal Resuscitation Program(NRP) practice Questions with
verified solutions
You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. Resuscitation has
been completed and the baby is ready to be transported to the neonatal intensive care unit. Which
of the following is a true statement about the baby's subsequent care? ✔✔Monitor blood glucose
levels because of the risk of hypoglycemia after birth.
Which statement best describes the ethical principle(s) that guide the resuscitation of a newborn?
✔✔The approach to decisions in the newborn should be guided by the same principles used for adults
and older children.
A baby required ventilation and chest compressions. After 60 seconds of chest compressions, the
electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next action?
✔✔Stop chest compressions; continue positive-pressure ventilation.
A newborn requires complex resuscitation. You have intubated and are administering positive-pressure
ventilation and chest compressions. Which 3 signs are used to evaluate the effectiveness of your
actions, and the need to continue one or both of these measures? ✔✔Respirations, heart rate, oxygen
saturation
For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of
intravenous epinephrine is indicated? ✔✔0.1ml
In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a
newborn? ✔✔The newborn's parents
During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing heart
rate. Her heart rate and oxygen saturation suddenly worsen.She has decreased breath sounds on the
left side and transillumination also reveals a bright glow on the left side.What is the most likely cause of
this distress? ✔✔Left-sided pneumothorax
, Which of the following is true about the preparation and resources needed for a very preterm birth?
✔✔Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, and a hat.
A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side
than the left side of the chest. Which of the following is a common cause of asymmetric breath sounds
in an intubated baby? ✔✔Endotracheal tube inserted too deep
When are chest compressions indicated? ✔✔When the heart rate remains less than 60 beats per
minute after 30 seconds of positive-pressure ventilation that moves the chest, preferably through
an alternative airway.
You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5 minutes
old and breathing spontaneously. The baby's heart rate is 120 beats per minute and the oxygen
saturation is 90% in room air. The baby's respirations are labored. Which of the following is an
appropriate action? ✔✔Administer CPAP at 5 cm H20 pressure
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate? ✔✔1 minute
After what duration of time might it be reasonable to consider discontinuing resuscitation
following complete resuscitation efforts with no detectable heart rate? ✔✔10 minutes
What is the ideal depth of chest compressions for a newborn? ✔✔One third the antero-posterior
diameter of the chest
Which of the following statements is true? ✔✔Intravenous administration of epinephrine results
in reliable and effective absorption.
Which of the following is true about a pneumothorax in the newborn? ✔✔Positive-pressure ventilation
increases the risk of pneumothorax
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