Neonatal Resuscitate Program
Lesson 1: Overview and Principles of Resuscitation
1. You have determined that a baby needs resuscitation at birth. What are the initial steps of
resuscitation?
A. Provide warmth, positio
...
Neonatal Resuscitate Program
Lesson 1: Overview and Principles of Resuscitation
1. You have determined that a baby needs resuscitation at birth. What are the initial steps of
resuscitation?
A. Provide warmth, position head to open the airway, dry and stimulate
B. Provide warmth, position head to open airway, evaluate heart rate
C. Position to open the airway, dry and stimulate, evaluate heart rate
D. Provide warmth, evaluate color and respiration, evaluate heart rate
2. After the initial steps in resuscitation, a newborn is apneic with the heart less than 100 beats per
minute. What is the most important and effective action to take in resuscitation for this baby?
a. Ventilate the lungs
b. Perform chest compression
c. Give epinephrine
d. Give supplemental oxygen
3. You have called to a newborn at birth which 3 questions should you ask first for the need of
resuscitation?
a. Is the baby warm? Does the baby have good tone? Is the baby full term?
b. Is amniotic fluid clear? Is baby breathing or crying? Is the baby low birth weight?
c. Is the baby of term gestation? Breathing or crying? Good tone?
d. Is the baby pink? Breathing or crying? Amniotic fluid clear?
4. After several hours of labor with failure to progress, baby born via C-section. Cries at birth and
vigorous but slightly dusky appearance at 2-3 minutes of age. How long may take this normal
baby to reach 90% of oxygen saturation?
a. 5 minutes
b. 2 minutes
c. 1 minutes
d. 10 minutes
5. A C-section is performed under General Anesthesia because of prior maternal back surgery after
birth, newborn is making some respiratory effort but heart rate drops below 100 beats per
minute. What difficulty in transition can occurred after birth?
a. Increase blood pressure from the transition of blood from the placenta
b. Inadequate ventilation because of baby poor respiratory effort
c. Constriction of blood vessels in lungs because of excess oxygen administration
d. Less blood flow to the lungs if baby cry vigorously.
6. Your hospital has several people skilled in neonatal resuscitation. Most of them have work away
from delivery room and you alone are there at this time. When should you recruit additional
help?
a. When after birth, you determine that the baby requires intubation or other procedures
b. When you learn it is a birth of multiple gestation to care for the additional baby.
c. When after birth, obstetrician or labour nurse suggest that you need additional help.
d. When you anticipate the likely need for more advanced resuscitation based on present
of any known prenatal risk factor.7. Your hospital is planning NRP training and is trying to decide who should be included. For every
delivery who should be available?
a. Someone capable of initiating resuscitation should be present at every delivery and
available to care for baby
b. Someone capable of initiating resuscitation should be present if risk factor indentified
c. Someone should be identified at every delivery as the person to call for help for the
baby
d. Someone skilled in neonatal resuscitation should be available at the hospital to be called
for deliveries.
8. A newborn requires resuscitation and you have begun positive pressure ventilation and chest
compression. Which 3 signs are used to evaluate the effectiveness of your action and the need
to continue some aspect of support?
a. Respiration, muscle tone and heart rate
b. Blood pressure, assessment of oxygenation and heart rate
c. Respiration, blood pressure , assessment of oxygenation
d. Respiration, heart rate, assessment of oxygenation
9. Baby is born 34 weeks, despite initial steps, baby is apneic and heart rate is 70 beats per minute.
What step should be taken next?
a. Administer C-PAP, place an oximeter probe on right hand/wrist, evaluate color and tone
b. Administer free flow oxygen, place an oximeter probe on right hand/wrist, reevaluate in
30 seconds
c. Provide additional tactile stimulation, evaluate color and tone, reevaluate in 30 seconds
d. Begin positive pressure ventilation, place an oximeter probe on right hand/wrist,
reevaluate in 30 seconds.
10. Full term newborn apneic after birth, fails to respond to tactile stimulation. Newborn in
secondary apnea usually respond with an increase with heart rate after which intervention?
a. Effective positive pressure ventilation
b. Increasingly vigorous tactile stimulation
c. Chest compression rate 30 per minute
d. Administration of free flow 100% oxygen
11. A prenatal class is learning about labor and birth. Approximately what percent of newborn
require some assistance to begin breathing at birth?
a. 5%
b. 30%
c. 10%
d. 1%
12. A caregiver states that he can always predict which baby needs help at birth. You disagree
because you know that ___ percent of newborns require initial assessment to determine
whether resuscitation is required.
a. 100%
b. 50%
c. 10%
d. 1
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