NRP (NEONATAL RESUSCITATION PROGRAM) – PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
- Preparation and Equipment Check
- Initial Steps of Newborn Care
- Positive-Pressure Ventilation (PPV)
- Alternative Airways: Endotracheal Tubes and Laryngeal Masks
- Chest Compressions
- Medications and Volume Expansion
- Post-Resuscitation Care
- Ethical Considerations and End-of-Life Care
Introduction
This comprehensive assessment is designed to evaluate and reinforce the critical
skills and clinical knowledge required for the Neonatal Resuscitation Program (NRP).
The purpose of this exam is to ensure healthcare providers can effectively manage
neonatal emergencies during the transition from intrauterine to extrauterine life. The
,assessment consists of multiple-choice and scenario-based questions that mirror
real-world clinical challenges. It emphasizes rapid decision-making, team
communication, and the precise application of resuscitation algorithms. By focusing
on evidence-based practices, this exam prepares practitioners to deliver high-quality,
life-saving interventions to newborns in distress, ensuring safety and professional
competence in acute delivery room settings.
SECTION ONE: QUESTIONS 1–100
1. What are the three initial questions you must ask yourself when a baby is born
to determine if they can stay with the mother or should be moved to the radiant
warmer?
A. Is the baby term? Is the baby pink? Is the baby breathing?
B. Is the baby term? Does the baby have good muscle tone? Is the baby breathing or
crying?
C. Is the baby term? Is the water clear? Is the baby crying?
D. Is the baby term? Is the heart rate over 100? Is the baby pink?
🟢 B. Is the baby term? Does the baby have good muscle tone? Is the baby
breathing or crying?
🔴 RATIONALE: These three criteria (term, tone, and breathing/crying) are the rapid
,assessment parameters used immediately at birth to determine if routine care or
initial resuscitation steps are needed.
2. A baby is born limp and apneic. After being moved to the radiant warmer, what
is the correct order of the initial steps of newborn care?
A. Stimulate, dry, position the airway, suction the mouth then nose.
B. Position the airway, suction if necessary, dry, stimulate.
C. Dry, stimulate, suction the nose then mouth, position the airway.
D. Suction the mouth then nose, dry, stimulate, position the airway.
🟢 B. Position the airway, suction if necessary, dry, stimulate.
🔴 RATIONALE: The NRP algorithm prioritizes opening the airway ("sniffing"
position) and clearing secretions before tactile stimulation to ensure the airway is
patent during the first breaths.
3. When suctioning a newborn’s airway with a bulb syringe, which area should be
suctioned first?
A. The nose
B. The oropharynx
, C. The mouth
D. The trachea
🟢 C. The mouth
🔴 RATIONALE: Suctioning the mouth before the nose ensures that there is nothing
for the newborn to aspirate if they gasp when their nose is suctioned.
4. At what point during the resuscitation of a term newborn should you consider
using supplemental oxygen?
A. Whenever the baby is cyanotic.
B. If the heart rate is below 100 beats per minute.
C. If the oxygen saturation remains below the target range for the baby’s age in
minutes.
D. Immediately upon birth if the baby is not breathing.
🟢 C. If the oxygen saturation remains below the target range for the baby’s age in
minutes.
🔴 RATIONALE: Supplemental oxygen should be titrated based on the pre-ductal
oxygen saturation targets defined by the NRP for the specific minutes of life to avoid
oxidative stress.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
- Preparation and Equipment Check
- Initial Steps of Newborn Care
- Positive-Pressure Ventilation (PPV)
- Alternative Airways: Endotracheal Tubes and Laryngeal Masks
- Chest Compressions
- Medications and Volume Expansion
- Post-Resuscitation Care
- Ethical Considerations and End-of-Life Care
Introduction
This comprehensive assessment is designed to evaluate and reinforce the critical
skills and clinical knowledge required for the Neonatal Resuscitation Program (NRP).
The purpose of this exam is to ensure healthcare providers can effectively manage
neonatal emergencies during the transition from intrauterine to extrauterine life. The
,assessment consists of multiple-choice and scenario-based questions that mirror
real-world clinical challenges. It emphasizes rapid decision-making, team
communication, and the precise application of resuscitation algorithms. By focusing
on evidence-based practices, this exam prepares practitioners to deliver high-quality,
life-saving interventions to newborns in distress, ensuring safety and professional
competence in acute delivery room settings.
SECTION ONE: QUESTIONS 1–100
1. What are the three initial questions you must ask yourself when a baby is born
to determine if they can stay with the mother or should be moved to the radiant
warmer?
A. Is the baby term? Is the baby pink? Is the baby breathing?
B. Is the baby term? Does the baby have good muscle tone? Is the baby breathing or
crying?
C. Is the baby term? Is the water clear? Is the baby crying?
D. Is the baby term? Is the heart rate over 100? Is the baby pink?
🟢 B. Is the baby term? Does the baby have good muscle tone? Is the baby
breathing or crying?
🔴 RATIONALE: These three criteria (term, tone, and breathing/crying) are the rapid
,assessment parameters used immediately at birth to determine if routine care or
initial resuscitation steps are needed.
2. A baby is born limp and apneic. After being moved to the radiant warmer, what
is the correct order of the initial steps of newborn care?
A. Stimulate, dry, position the airway, suction the mouth then nose.
B. Position the airway, suction if necessary, dry, stimulate.
C. Dry, stimulate, suction the nose then mouth, position the airway.
D. Suction the mouth then nose, dry, stimulate, position the airway.
🟢 B. Position the airway, suction if necessary, dry, stimulate.
🔴 RATIONALE: The NRP algorithm prioritizes opening the airway ("sniffing"
position) and clearing secretions before tactile stimulation to ensure the airway is
patent during the first breaths.
3. When suctioning a newborn’s airway with a bulb syringe, which area should be
suctioned first?
A. The nose
B. The oropharynx
, C. The mouth
D. The trachea
🟢 C. The mouth
🔴 RATIONALE: Suctioning the mouth before the nose ensures that there is nothing
for the newborn to aspirate if they gasp when their nose is suctioned.
4. At what point during the resuscitation of a term newborn should you consider
using supplemental oxygen?
A. Whenever the baby is cyanotic.
B. If the heart rate is below 100 beats per minute.
C. If the oxygen saturation remains below the target range for the baby’s age in
minutes.
D. Immediately upon birth if the baby is not breathing.
🟢 C. If the oxygen saturation remains below the target range for the baby’s age in
minutes.
🔴 RATIONALE: Supplemental oxygen should be titrated based on the pre-ductal
oxygen saturation targets defined by the NRP for the specific minutes of life to avoid
oxidative stress.
