2022 NRP 7TH EDITION SECTION 1 EXAM Questions with
Correct Answers
A premature newborn is born apneic and requires ongoing respiratory support and
chest compressions. You and 3 colleagues provide care immediately foll
...
2022 NRP 7TH EDITION SECTION 1 EXAM Questions with
Correct Answers
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? -Answer- teamwork, leadership, communication.
The steps of intubation should ideally be completed within which duration? -Answer- 30
seconds
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 have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care? -Answer- warm
position head
clear secretions
dry
stimulate
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 his mother or be
moved to the radiant warmer for further assessment? -Answer- term?
muscle tone?
breathing or crying?
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? -Answer- rising heart rate
Which statement describes recommended practice when using a pulse oximeter in the
delivery room? -Answer- place pulse oximeter on right hand and use minute by minute
specific O2 SAT TARGET
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? -Answer-
100 BPM
Which statement best describes normal transitional physiology at the time of birth? -
Answer- Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%.What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? -Answer- POSITIVE PRESSURE VENTILATION
What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation? -Answer- Suction the mouth before the nose.
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? -Answer- initiate ppv& check
for rising heart rate
What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room? -Answer- Determine the color of the baby's chest and abdomen, and
monitor for central cyanosis
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? -Answer- Initiate positivepressure 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? -Answer- 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? -
Answer- 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)? -
Answer- 2.5 mm
What is the appropriate technique to stimulate a baby to breathe? -Answer- 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? -Answer- What is the
gestational age?
Effective team functioning is critical in ensuring the best performance. Which of these
characteristics is critical in team leaders? -Answer- They should be able to maintain
situational awareness
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