NRP 7th Edition Section 1 Exam
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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
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% oxygen
Your hospital is planning Neonatal Resuscitation Program® training and trying to decide who should be
included.
For every delivery, what is the minimum requirement for care of the newborn at birth? ✔✔Someone
capable of initiating neonatal resuscitation should be present at every delivery whose only responsibility
is management of the newborn.
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)? ✔✔2.5 mm
What is the appropriate technique to stimulate a baby to breathe? ✔✔Gently rub the baby's back
or extremities
Four pre-birth questions should be asked to assess perinatal risk and determine who should be
present at the birth. Which is one of the questions? ✔✔What is the gestational age?
, 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
A full-term newborn has a heart rate less than 60 beats per minute despite 30 seconds of positive-
pressure ventilation that moves the chest. Your team plans to intubate. Which of the following is a
true statement regarding the procedure? ✔✔The baby should be positioned on a flat surface with the
neck slightly extended
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? ✔✔Initiative positive-pressure ventilation, place a pulse oximeter
sensor on the right hand or wrist, evaluate heart rate.
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 ✔✔present at the
birth.
what is the recommended way to determine if a baby require supplemental oxygen in the delivery
room? ✔✔Place and oximeter sensor in the baby's right hand or rest and assess oxygen saturation
A premature newborn is born apneic and requires ongoing respiratory support and chest compressions. You
and 3 colleagues provide care immediately following birth. What behavioral skills are critical to ensure
successful and optimal care during resuscitation? ✔✔teamwork, leadership, communication.
The steps of intubation should ideally be completed within which duration? ✔✔30 seconds
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