NRP QUESTIONS
What are the 3 rapid evaluation questions to ask to determine if the baby can stay with
the mother or should be moved to the radiant warmer? - answer Term, tone, and
breathing.
Does the baby had appear to be term?
Does the baby have good muscle tone?
Is the baby breathing or crying?
Based on the 3 questions and the rapid evaluation at birth, when should the child be
moved to the radiant warmer? - answerIf any answer to the rapid evaluation is no, the
baby should be moved to the radiant warmer to perform initial steps. If every answer is
yes, baby can stay with mother.
What is included in the 5 initial steps of newborn care? - answer-Clear secretions from
the airway, if needed
-Position head and neck to open the airway
-Try the baby and remove what linen
-Stimulate by gently rubbing the babies back and extremities
-Provide warmth
At what age should you not dry the baby? - answerIf the baby is less than 32 weeks
gestation
When the baby stays with the mother for initial steps after birth, what should be
monitored to determine if additional interventions are required? - answer-Color
-Breathing
-Tone and activity
-Temperature
What is included in the neonatal resuscitation program quick equipment checklist? -
answer-Bulb syringe
-Endotracheal tube
-Equipment to give FreeFlow oxygen
-Preheat warmer, towels and blankets
According to the neonatal resuscitation program quick equipment checklist, how should
the flowmeter be set to prepare for ventilation? - answer10 L/min
If any of the questions are no in the rapid evaluation, the child should be brought to the
radiant warmer. What are the initial steps once brought to the radiant warmer? -
answer1. Placed the baby uncovered under the warmer so that the radiant heat can
reach the baby.
, 2. Draw the baby (if >32 weeks gestation) and remove what linen.
3. Gently rub the baby's back, trunk, or extremities if the baby is still not breathing.
4. Position the baby's head and neck in sniffing position to facilitate breathing.
4. Suction the mouth, then the nose, in anticipation of PPV.
If the newborn is not breathing after these initial steps, PPV begins immediate
I would you estimate a newborns heart rate? - answerCount the number of beats and 6
seconds and multiplied by 10
If the baby is not vigorous and the heart rate is difficult to auscultate, what should you
do? - answerConnected pulse oximeter or a cardiac monitor.
How high should the oxygen to be set on PPV for babies <35 weeks gestation? -
answer21-30%
How high should the oxygen be sent on PPV for babies >35 weeks gestation? -
answer21%
If the HR is less than 100 BPM, What should you do? - answerStart PPV
What should the FiO2 be and baby 35 weeks of gestation or older when starting PPV? -
answer21%
What should the FiO2 be in a baby that is less than 35 weeks of gestation or older when
starting PPV? - answer21%-30%
The highest pressure delivered with each breath - answerPeak inspiratory pressure
The pressure maintained in the lungs between breaths when the baby is receiving
assisted ventilation is known as what? - answerPeak end expiratory pressure
What is the main idea behind CPAP? - answerCPAP keeps the lung slightly inflated so
that the baby does not have to work as hard to reinflate the lungs with each breath
The duration and seconds of the expiratory phase of each positive pressure of breath is
known as what? - answerInspiratory time
When providing positive pressure ventilation to a newborn, what peak inspiratory
pressure should you start with? - answer20-25 cm H2O
When providing PPV, what is the appropriate rate - answer40-60
Will kind of rhythm she G used to ensure that you are appropriately respirate in the child
with a good rate? - answerUse a wall single rhythm - breathe-2-3
What is the appropriate initial PEEP setting - answer5 cmH2O 21% oxygen.
What are the 3 rapid evaluation questions to ask to determine if the baby can stay with
the mother or should be moved to the radiant warmer? - answer Term, tone, and
breathing.
Does the baby had appear to be term?
Does the baby have good muscle tone?
Is the baby breathing or crying?
Based on the 3 questions and the rapid evaluation at birth, when should the child be
moved to the radiant warmer? - answerIf any answer to the rapid evaluation is no, the
baby should be moved to the radiant warmer to perform initial steps. If every answer is
yes, baby can stay with mother.
What is included in the 5 initial steps of newborn care? - answer-Clear secretions from
the airway, if needed
-Position head and neck to open the airway
-Try the baby and remove what linen
-Stimulate by gently rubbing the babies back and extremities
-Provide warmth
At what age should you not dry the baby? - answerIf the baby is less than 32 weeks
gestation
When the baby stays with the mother for initial steps after birth, what should be
monitored to determine if additional interventions are required? - answer-Color
-Breathing
-Tone and activity
-Temperature
What is included in the neonatal resuscitation program quick equipment checklist? -
answer-Bulb syringe
-Endotracheal tube
-Equipment to give FreeFlow oxygen
-Preheat warmer, towels and blankets
According to the neonatal resuscitation program quick equipment checklist, how should
the flowmeter be set to prepare for ventilation? - answer10 L/min
If any of the questions are no in the rapid evaluation, the child should be brought to the
radiant warmer. What are the initial steps once brought to the radiant warmer? -
answer1. Placed the baby uncovered under the warmer so that the radiant heat can
reach the baby.
, 2. Draw the baby (if >32 weeks gestation) and remove what linen.
3. Gently rub the baby's back, trunk, or extremities if the baby is still not breathing.
4. Position the baby's head and neck in sniffing position to facilitate breathing.
4. Suction the mouth, then the nose, in anticipation of PPV.
If the newborn is not breathing after these initial steps, PPV begins immediate
I would you estimate a newborns heart rate? - answerCount the number of beats and 6
seconds and multiplied by 10
If the baby is not vigorous and the heart rate is difficult to auscultate, what should you
do? - answerConnected pulse oximeter or a cardiac monitor.
How high should the oxygen to be set on PPV for babies <35 weeks gestation? -
answer21-30%
How high should the oxygen be sent on PPV for babies >35 weeks gestation? -
answer21%
If the HR is less than 100 BPM, What should you do? - answerStart PPV
What should the FiO2 be and baby 35 weeks of gestation or older when starting PPV? -
answer21%
What should the FiO2 be in a baby that is less than 35 weeks of gestation or older when
starting PPV? - answer21%-30%
The highest pressure delivered with each breath - answerPeak inspiratory pressure
The pressure maintained in the lungs between breaths when the baby is receiving
assisted ventilation is known as what? - answerPeak end expiratory pressure
What is the main idea behind CPAP? - answerCPAP keeps the lung slightly inflated so
that the baby does not have to work as hard to reinflate the lungs with each breath
The duration and seconds of the expiratory phase of each positive pressure of breath is
known as what? - answerInspiratory time
When providing positive pressure ventilation to a newborn, what peak inspiratory
pressure should you start with? - answer20-25 cm H2O
When providing PPV, what is the appropriate rate - answer40-60
Will kind of rhythm she G used to ensure that you are appropriately respirate in the child
with a good rate? - answerUse a wall single rhythm - breathe-2-3
What is the appropriate initial PEEP setting - answer5 cmH2O 21% oxygen.
