2022 NRP EXAM 2 QUESTIONS AND ANSWERS ALL SOLVED SOLUTION
-Category I
correct Ans-Category I: this is a normal tracing and is predictive of a fetal acid-base
status at the time of the observation, and routine follow-up is indicated.
-Category II
correct Ans-This is considered an indeterminate
tracing. There is currently inadequate evidence to classify them as either normal or
abnormal. Further evaluation, continued surveillance, and reevaluation are indicated
-Category III
correct Ans-This is an abnormal tracing and is predictive of abnormal fetal acid-base
status at the time of the observation. A Category III tracing requires prompt evaluation
and intervention
-Evaluate the newborn's respirations and heart rate to determine if the baby is
responding to the initial steps. This should take no more than an additional 30 seconds.
If the baby does not have adequate spontaneous respirations and a heart rate of 100
bpm or higher within 1 minute of birth, you should begin-
correct Ans-you should begin PPV
-What is the most important and effective action during neonatal resuscitation?-
correct Ans-ventilation of the baby's lungs
-Assess if the baby is crying or breathing. If the baby is
not breathing or has gasping respirations, proceed directly to ???-
correct Ans-PPV
-Remember, gasping respirations are ineffective and are treated the same as-
correct Ans-apnea. The baby's heart rate should be assessed while PPV begins
-Pulse oximetry may not function if the baby's heart rate is
low or if the baby has poor perfusion. In this case, monitoring the baby's heart rate with
an ?? is the preferred method.-
correct Ans-ECG monitor
-After the initial steps, what do you do if the baby is not breathing or the heart rate is
low?-
correct Ans-Start PPV if the baby is not breathing (apnea) OR if the baby has gasping
respirations.
Start PPV if the baby appears to be breathing but the heart rate is below 100
Call for immediate additional help if you are the only provider at the warmer.
, -Cyanosis limited to the hands and feet (acrocyanosis) is a common finding in the
newborn and does not indicate?-correct Ans-poor oxygenation
-Is a visual assessment of cyanosis a reliable indicator of baby's oxygenation?If
persistent central cyanosis is suspected, a ??? should be used to evaluate the baby's
oxygenation.-
correct Ans-No.
if persistent central cyanosis is suspected, a pulse oximeter should be used to evaluate
the baby's oxygenation.
-Healthy newborns undergoing normal transition may take ?? minutes to increase their
blood oxygen saturation from approximately ?? which is the normal intrauterine state, to
more than 90%, which is the eventual state of air-breathing healthy newborns.-
correct Ans-several minutes to increase their blood oxygen saturation from
approximately 60%
-To measure the oxygen saturation of the pre-ductal blood that is perfusing the heart
and brain, place the pulse oximeter sensor on the ??-
correct Ans-right hand or wrist
-Target Pre-ductal Spo2
After Birth 1 min ??
2 min ??
3 min ??
4 min ??
5 min ??
10 min ??-
correct Ans-
After Birth 1 min 60%-65%
2 min 65%-70%
3 min 70%-75%
4 min 75%-80%
5 min 80%-85%
10 min 85%-95
-If the baby continues to require supplemental oxygen after the first few minutes, how
should it be given?-
correct Ans-Attempt to gradually decrease the oxygen concentration until the newborn
can maintain saturation within the target range without supplemental oxygen. If the
respirations and heart rate are stable but the newborn continues to require
supplemental oxygen, use pulse oximetry to guide the appropriate oxygen
concentration. Air and oxygen administered directly from a compressed source is cold
and dry.
-Category I
correct Ans-Category I: this is a normal tracing and is predictive of a fetal acid-base
status at the time of the observation, and routine follow-up is indicated.
-Category II
correct Ans-This is considered an indeterminate
tracing. There is currently inadequate evidence to classify them as either normal or
abnormal. Further evaluation, continued surveillance, and reevaluation are indicated
-Category III
correct Ans-This is an abnormal tracing and is predictive of abnormal fetal acid-base
status at the time of the observation. A Category III tracing requires prompt evaluation
and intervention
-Evaluate the newborn's respirations and heart rate to determine if the baby is
responding to the initial steps. This should take no more than an additional 30 seconds.
If the baby does not have adequate spontaneous respirations and a heart rate of 100
bpm or higher within 1 minute of birth, you should begin-
correct Ans-you should begin PPV
-What is the most important and effective action during neonatal resuscitation?-
correct Ans-ventilation of the baby's lungs
-Assess if the baby is crying or breathing. If the baby is
not breathing or has gasping respirations, proceed directly to ???-
correct Ans-PPV
-Remember, gasping respirations are ineffective and are treated the same as-
correct Ans-apnea. The baby's heart rate should be assessed while PPV begins
-Pulse oximetry may not function if the baby's heart rate is
low or if the baby has poor perfusion. In this case, monitoring the baby's heart rate with
an ?? is the preferred method.-
correct Ans-ECG monitor
-After the initial steps, what do you do if the baby is not breathing or the heart rate is
low?-
correct Ans-Start PPV if the baby is not breathing (apnea) OR if the baby has gasping
respirations.
Start PPV if the baby appears to be breathing but the heart rate is below 100
Call for immediate additional help if you are the only provider at the warmer.
, -Cyanosis limited to the hands and feet (acrocyanosis) is a common finding in the
newborn and does not indicate?-correct Ans-poor oxygenation
-Is a visual assessment of cyanosis a reliable indicator of baby's oxygenation?If
persistent central cyanosis is suspected, a ??? should be used to evaluate the baby's
oxygenation.-
correct Ans-No.
if persistent central cyanosis is suspected, a pulse oximeter should be used to evaluate
the baby's oxygenation.
-Healthy newborns undergoing normal transition may take ?? minutes to increase their
blood oxygen saturation from approximately ?? which is the normal intrauterine state, to
more than 90%, which is the eventual state of air-breathing healthy newborns.-
correct Ans-several minutes to increase their blood oxygen saturation from
approximately 60%
-To measure the oxygen saturation of the pre-ductal blood that is perfusing the heart
and brain, place the pulse oximeter sensor on the ??-
correct Ans-right hand or wrist
-Target Pre-ductal Spo2
After Birth 1 min ??
2 min ??
3 min ??
4 min ??
5 min ??
10 min ??-
correct Ans-
After Birth 1 min 60%-65%
2 min 65%-70%
3 min 70%-75%
4 min 75%-80%
5 min 80%-85%
10 min 85%-95
-If the baby continues to require supplemental oxygen after the first few minutes, how
should it be given?-
correct Ans-Attempt to gradually decrease the oxygen concentration until the newborn
can maintain saturation within the target range without supplemental oxygen. If the
respirations and heart rate are stable but the newborn continues to require
supplemental oxygen, use pulse oximetry to guide the appropriate oxygen
concentration. Air and oxygen administered directly from a compressed source is cold
and dry.
