NRP 7th Edition Practice Questions – Sections 1 & 2
Study Guide | Neonatal Resuscitation Program
Review
COMPLETE ANSWERS.
After the initial steps of newborn care, a baby is apneic. What is the most important and
effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen.
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?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute
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?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
21 - 30% oxygen
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?
Provide chest compressions
Apply CPAP
pg. 1
, Provide positive-pressure ventilation
Provide free-flow oxygen
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps?
Continued rubbing of the back
Administration of free-flow oxygen
Administration of positive-pressure ventilation that inflates the lungs
Application of CPAP
Remembering MR. SOPA helps your team correct problems with ventilation. Which of
the following steps are included in MR. SOPA?
Adjust Mask and Reposition head and neck; Suction mouth then nose and Open the
mouth; increase Pressure; insert Alternative airway.
Mouth opened, Reposition head, Saturation check, Obstruction check, Pulse oximeter
sensor, Apply cardiac monitor leads.
Ensure Mask seal, Repeat stimulation, Suction the airway, Oxygen regulation, Pulse
oximeter sensor, Assess heart rate.
Mouth opened, Repeat stimulation, Saturation check, Occlude pop-off valve, Perfusion
check, Auscultate breath sounds.
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?
Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate.
Administer free-flow oxygen, place a pulse oximeter sensor on the right hand or wrist,
evaluate heart rate.
Administer CPAP, place a pulse oximeter sensor on the right hand or wrist, evaluate
color and tone.
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand
or wrist, evaluate heart rate.
pg. 2
, 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?
Is the baby warm? Does the baby have good tone? Is the baby full-term?
Is the amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth
weight?
Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
Is the baby term? Does the baby have good muscle tone? Is the baby breathing or
crying?
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?
Initiate positive-pressure ventilation and check for increasing heart rate
Continue stimulating the baby for an additional 30 seconds
Initiate chest compressions using the 2-thumb technique
Provide free-flow oxygen, and begin chest compressions.
What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room?
Place an oximeter sensor on the baby's right hand or wrist and assess oxygen
saturation.
Assess the color of the baby's chest and abdomen, and monitor for central cyanosis.
Assess the color of the baby's hands and feet.
Send an arterial blood gas, and evaluate the partial pressure of oxygen.
pg. 3
Study Guide | Neonatal Resuscitation Program
Review
COMPLETE ANSWERS.
After the initial steps of newborn care, a baby is apneic. What is the most important and
effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen.
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?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute
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?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
21 - 30% oxygen
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?
Provide chest compressions
Apply CPAP
pg. 1
, Provide positive-pressure ventilation
Provide free-flow oxygen
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps?
Continued rubbing of the back
Administration of free-flow oxygen
Administration of positive-pressure ventilation that inflates the lungs
Application of CPAP
Remembering MR. SOPA helps your team correct problems with ventilation. Which of
the following steps are included in MR. SOPA?
Adjust Mask and Reposition head and neck; Suction mouth then nose and Open the
mouth; increase Pressure; insert Alternative airway.
Mouth opened, Reposition head, Saturation check, Obstruction check, Pulse oximeter
sensor, Apply cardiac monitor leads.
Ensure Mask seal, Repeat stimulation, Suction the airway, Oxygen regulation, Pulse
oximeter sensor, Assess heart rate.
Mouth opened, Repeat stimulation, Saturation check, Occlude pop-off valve, Perfusion
check, Auscultate breath sounds.
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?
Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate.
Administer free-flow oxygen, place a pulse oximeter sensor on the right hand or wrist,
evaluate heart rate.
Administer CPAP, place a pulse oximeter sensor on the right hand or wrist, evaluate
color and tone.
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand
or wrist, evaluate heart rate.
pg. 2
, 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?
Is the baby warm? Does the baby have good tone? Is the baby full-term?
Is the amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth
weight?
Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
Is the baby term? Does the baby have good muscle tone? Is the baby breathing or
crying?
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?
Initiate positive-pressure ventilation and check for increasing heart rate
Continue stimulating the baby for an additional 30 seconds
Initiate chest compressions using the 2-thumb technique
Provide free-flow oxygen, and begin chest compressions.
What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room?
Place an oximeter sensor on the baby's right hand or wrist and assess oxygen
saturation.
Assess the color of the baby's chest and abdomen, and monitor for central cyanosis.
Assess the color of the baby's hands and feet.
Send an arterial blood gas, and evaluate the partial pressure of oxygen.
pg. 3
