NRP Study Questions
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - answer At least 10
minutes
When is the time of birth documented? - answer After the last fetal part emerges from
the birthing person.
What is the preductal SpO2 range for 5 minutes of life? - answer80-85%
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? - answer 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? - answer Provide
positive-pressure ventilation (PPV).
If the newborn has respiratory distress and generalized edema, what condition can you
expect? - answerPleural effusion.
1. What flow rate is used for free-flow O2 administration?
2. What % of O2 do you start at? - answer1. 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? - answerMouth (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)? -
answer2.5 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? - answerStart 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? - answer100
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: - answerPresent 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? - answerThe
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? - answerAdministration of PPV that inflates the lungs
What is the pre-ductal SpO2 range for 3 minutes of life? - answer70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - answer90 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 - answerFlow-inflating bag
What is the pre-ductal SpO2 range for 2 minutes of life? - answer65-70%
1. What is acrocyanosis?
2. Is it normal? - answer1. 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? -
answerThe right is wider and more vertical.
What is the initial PPV O2 concentration for a newborn < 35 weeks? - answer21-30%
What colour will the CO2 detector change to if the lungs are intubated? - answerYellow
If a baby doesn't improve despite resuscitative measures or suddenly develops severe
respiratory distress, what condition might you expect? - answerPneumothorax
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? - answer21-30%
, 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? - answerA 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? - answerMask of self-inflating bag.
Which statement best describes normal transitional physiology at the time of birth?
A. O2 sats via pulse ox is unreliable in the newborn and 100% O2 is recommended
immediately after birth.
B. Visual assessment of cyanosis is a reliable indicator of the baby's O2 sats.
C. Babies may take as long as 10 minutes after birth to increase their oxygen saturation
to greater than 90%.
D. The O2 sat normally rises to at least 90% by 2 minutes of life. - answerC. Babies
may take as long as 10 minutes after birth to increase their oxygen saturation to greater
than 90%.
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? - answer1. Initiative positive-pressure
ventilation
2. Place a pulse oximeter sensor on the right hand or wrist
3. Consider starting cardiac monitoring
If a heart rate is 14 beats in 6 seconds, how fast is the heart rate? - answer140 bpm
What is the pre-ductal SpO2 range for 10 minutes of life? - answer85-95%
What personnel are required for every birth? - answerAt least 1 person:
1. Qualified in newborn care.
2. Able to provide PPV.
3. Who is only responsible for the baby.
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? - answerInitiate positive-
pressure ventilation and check for increasing heart rate.
What is the appropriate technique to stimulate a baby to breathe? - answerGently rub
the baby's back or extremities.
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3
questions should you ask to evaluate whether the baby can stay with the birther or be
moved to the radiant warmer for further assessment? - answer1. Is the baby term?
How long does it take a healthy newborn to have an SpO2 ≥ 90%? - answer At least 10
minutes
When is the time of birth documented? - answer After the last fetal part emerges from
the birthing person.
What is the preductal SpO2 range for 5 minutes of life? - answer80-85%
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? - answer 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? - answer Provide
positive-pressure ventilation (PPV).
If the newborn has respiratory distress and generalized edema, what condition can you
expect? - answerPleural effusion.
1. What flow rate is used for free-flow O2 administration?
2. What % of O2 do you start at? - answer1. 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? - answerMouth (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)? -
answer2.5 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? - answerStart 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? - answer100
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: - answerPresent 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? - answerThe
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? - answerAdministration of PPV that inflates the lungs
What is the pre-ductal SpO2 range for 3 minutes of life? - answer70-75%
If a heart rate is 9 beats in 6 seconds, how fast is the heart rate? - answer90 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 - answerFlow-inflating bag
What is the pre-ductal SpO2 range for 2 minutes of life? - answer65-70%
1. What is acrocyanosis?
2. Is it normal? - answer1. 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? -
answerThe right is wider and more vertical.
What is the initial PPV O2 concentration for a newborn < 35 weeks? - answer21-30%
What colour will the CO2 detector change to if the lungs are intubated? - answerYellow
If a baby doesn't improve despite resuscitative measures or suddenly develops severe
respiratory distress, what condition might you expect? - answerPneumothorax
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? - answer21-30%
, 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? - answerA 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? - answerMask of self-inflating bag.
Which statement best describes normal transitional physiology at the time of birth?
A. O2 sats via pulse ox is unreliable in the newborn and 100% O2 is recommended
immediately after birth.
B. Visual assessment of cyanosis is a reliable indicator of the baby's O2 sats.
C. Babies may take as long as 10 minutes after birth to increase their oxygen saturation
to greater than 90%.
D. The O2 sat normally rises to at least 90% by 2 minutes of life. - answerC. Babies
may take as long as 10 minutes after birth to increase their oxygen saturation to greater
than 90%.
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? - answer1. Initiative positive-pressure
ventilation
2. Place a pulse oximeter sensor on the right hand or wrist
3. Consider starting cardiac monitoring
If a heart rate is 14 beats in 6 seconds, how fast is the heart rate? - answer140 bpm
What is the pre-ductal SpO2 range for 10 minutes of life? - answer85-95%
What personnel are required for every birth? - answerAt least 1 person:
1. Qualified in newborn care.
2. Able to provide PPV.
3. Who is only responsible for the baby.
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? - answerInitiate positive-
pressure ventilation and check for increasing heart rate.
What is the appropriate technique to stimulate a baby to breathe? - answerGently rub
the baby's back or extremities.
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3
questions should you ask to evaluate whether the baby can stay with the birther or be
moved to the radiant warmer for further assessment? - answer1. Is the baby term?
