NRP 7th Edition Part 1
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? –
Insert a laryngeal mask
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 positive-pressure ventilation
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)? –
2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At
delivery, the newborn is term as expected, with very poor tone and he is not breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? –
Start positive-pressure ventilation and check heart rate response after 15
seconds
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? –
100 beats per minute
You are part of a team preparing for the birth of a baby who has meconium-stained fluid
and a category III fetal heart rate tracing. A person skilled in endotracheal intubation
should be –
Present at the birth.
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the
baby is not vigorous. What steps should be taken immediately after birth? –
The baby should be brought to the radiant warmer for initial steps of newborn
care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? –
Administration of positive-pressure ventilation that inflates the lungs
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? –
, 21 - 30% oxygen
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? –
A rising heart rate
A baby requires positive-pressure ventilation because she is not breathing (apneic), but
she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
provide free-flow oxygen. Which of the following devices cannot reliably deliver free-flow
oxygen? –
Mask of self-inflating bag
Which statement best describes normal transitional physiology at the time of birth? –
Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%.
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? –
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right
hand or wrist, evaluate heart rate.
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
What is the appropriate technique to stimulate a baby to breathe? –
Gently rub the baby's back or extremities
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 term? Does the baby have good muscle tone? Is the baby breathing
or crying?
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.
You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care? –
Provide warmth, position head and neck to open the airway, clear secretions from
the airway if needed, dry, stimulate
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? –
Insert a laryngeal mask
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 positive-pressure ventilation
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)? –
2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At
delivery, the newborn is term as expected, with very poor tone and he is not breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? –
Start positive-pressure ventilation and check heart rate response after 15
seconds
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? –
100 beats per minute
You are part of a team preparing for the birth of a baby who has meconium-stained fluid
and a category III fetal heart rate tracing. A person skilled in endotracheal intubation
should be –
Present at the birth.
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the
baby is not vigorous. What steps should be taken immediately after birth? –
The baby should be brought to the radiant warmer for initial steps of newborn
care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? –
Administration of positive-pressure ventilation that inflates the lungs
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? –
, 21 - 30% oxygen
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? –
A rising heart rate
A baby requires positive-pressure ventilation because she is not breathing (apneic), but
she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
provide free-flow oxygen. Which of the following devices cannot reliably deliver free-flow
oxygen? –
Mask of self-inflating bag
Which statement best describes normal transitional physiology at the time of birth? –
Babies may take as long as 10 minutes after birth to increase their oxygen
saturation to greater than 90%.
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? –
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right
hand or wrist, evaluate heart rate.
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
What is the appropriate technique to stimulate a baby to breathe? –
Gently rub the baby's back or extremities
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 term? Does the baby have good muscle tone? Is the baby breathing
or crying?
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.
You have determined a baby needs resuscitation at birth. What are the initial steps of
newborn care? –
Provide warmth, position head and neck to open the airway, clear secretions from
the airway if needed, dry, stimulate
