2022 NEW UPDATED QUESTIONS AND ANSWERS FOR NRP 7TH EDITION
SECTION 1 AND 2 EXAMS
1. 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?
- CORRECT ANSWER teamwork, leadership, communication.
2. The steps of intubation should ideally be completed within which duration?
- CORRECT ANSWER 30 seconds
3. 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?
- CORRECT ANSWER insert a laryngeal mask
4. You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care?
- CORRECT ANSWER warm
position head
clear secretions
dry
stimulate
5. 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?
- CORRECT ANSWER term?
muscle tone?
breathing or crying?
6. 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?
, - CORRECT ANSWER rising heart rate
7. Which statement describes recommended practice when using a pulse oximeter in the
delivery room?
- CORRECT ANSWER place pulse oximeter on right hand and use minute by minute specific
O2 SAT TARGET
8. 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?
- CORRECT ANSWER 100 BPM
9. Which statement best describes normal transitional physiology at the time of birth?
- CORRECT ANSWER Babies may take as long as 10 minutes after birth to increase their
oxygen saturation to greater than 90%.
10. What is the most effective maneuver to establish spontaneous breathing in a baby that is
apneic after initial steps?
- CORRECT ANSWER POSITIVE PRESSURE VENTILATION
11. What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation?
- CORRECT ANSWER Suction the mouth before the nose.
12. 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?
- CORRECT ANSWER initiate ppv& check for rising heart rate
13. What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room?
- CORRECT ANSWER Determine the color of the baby's chest and abdomen, and monitor for
central cyanosis
SECTION 1 AND 2 EXAMS
1. 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?
- CORRECT ANSWER teamwork, leadership, communication.
2. The steps of intubation should ideally be completed within which duration?
- CORRECT ANSWER 30 seconds
3. 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?
- CORRECT ANSWER insert a laryngeal mask
4. You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care?
- CORRECT ANSWER warm
position head
clear secretions
dry
stimulate
5. 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?
- CORRECT ANSWER term?
muscle tone?
breathing or crying?
6. 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?
, - CORRECT ANSWER rising heart rate
7. Which statement describes recommended practice when using a pulse oximeter in the
delivery room?
- CORRECT ANSWER place pulse oximeter on right hand and use minute by minute specific
O2 SAT TARGET
8. 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?
- CORRECT ANSWER 100 BPM
9. Which statement best describes normal transitional physiology at the time of birth?
- CORRECT ANSWER Babies may take as long as 10 minutes after birth to increase their
oxygen saturation to greater than 90%.
10. What is the most effective maneuver to establish spontaneous breathing in a baby that is
apneic after initial steps?
- CORRECT ANSWER POSITIVE PRESSURE VENTILATION
11. What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation?
- CORRECT ANSWER Suction the mouth before the nose.
12. 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?
- CORRECT ANSWER initiate ppv& check for rising heart rate
13. What is the recommended way to determine if a baby requires supplemental oxygen in
the delivery room?
- CORRECT ANSWER Determine the color of the baby's chest and abdomen, and monitor for
central cyanosis
