NRP key points/study questions and answers 2022/2023
with complete solution
What is the single most IMPORTANT step in newborn resuscitation?
Ventilation of the newborn's lungs
Before birth, the alveoli in the fetal lungs are (collapsed)/(expanded) and filled
with (fluid)/(air)
expanded; fluid
Before birth, oxygen is supplied to the fetus by the (placenta)/(fetal lungs)
placenta
After birth, air in the alveoli causes vessels in the baby's lungs to
(constrict)/(relax)
relax
(True) or (False): Some newborns without any apparent risk factors will require
resuscitation, including assisted ventilation
True
Unlike adults, who experience cardiac arrest due to trauma or heart disease,
newborn resuscitation is usually the result of ________________
_______________, either before or after birth
respiratory failure
(few)/(many) newborns will require chest compressions or medications
few
Prolonged lack of adequate ____________ and ____________ can lead to organ
damage
perfusion; oxygenation
Members of an effective resuscitation team (share information)/(work quietly and
independently)
share information
What are the 4 pre-birth questions to ask the obstetric provider before birth?
1. What is the expected gestational age?
2. Is the amniotic fluid clear?
3. How many babies are expected?
4. Are there any additional risk factors?
Every delivery should be attended by at least 1 skilled person (whose only
responsibility is the management of the newborn)/ (who shares responsibility for
the mother and newborn's care)
whose responsibility is the management of the newborn
(true)/(false): All babies who will require neonatal resuscitation can be identified
by the presence of perinatal risk factors.
False (Many, but not all)
If a high-risk birth is anticipated, (1 qualified person)/ (a qualified team) should be
present at the birth
a qualified team
, When a high-risk newborn is anticipated because of the presence of risk factors,
resuscitation supplies and equipment (should)/(should not) be unpacked and
ready for use
should
During the pre-resuscitation team briefing, (prepare for a routine delivery because
you do not know what will be needed)/ (anticipate potential complications and
discuss how responsibilities will be delegated)
anticipate potential complications and discuss how responsibilities will be delegated
A qualified nurse or respiratory care practitioner who has been trained in
neonatal resuscitation and has strong leadership skills (can)/(cannot) be the team
leader
can
What does a Category I fetal heart rate indicate?
A NORMAL TRACING and is predictive of normal fetal acid-base status at the time of
the observation, and routine follow-up is indicated
What does a Category II fetal heart rate indicate?
An INDETERMINATE TRACING r/t inadequate evidence to classify them as either
normal or abnormal. Further evaluation, continued surveillance, and reevaluation are
indicated
What does a Category III fetal heart rate indicate?
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.
Who can be the leader of a resuscitation? When might leadership shift?
Any team member who has mastery of the NRP Flow Diagram and effective leadership
skills can be the team leader
Leadership can SHIFT if the leader is involved in a procedure that diverts her attention,
the leader may appoint another qualified person. If the person in the leadership role
changes during the resuscitation, a clear verbal statement should be made so that all
team members know who is leading the team.
What happens during a pre-resuscitation team briefing? (6)
1- Assess perinatal risk factors
2- Identify a team leader
3- Delegate tasks
4- Identify who will document events as they occur
5- Determine what supplies and equipment will be needed
6- Identify how to call for additional help
Every newborn (does)/ (does not) need an initial rapid evaluation of gestational
age, muscle tone, and respiratory effort.
does
List the 3 rapid evaluation questions that determine which newborns should be
brought to the radiant warmer for the initial steps.
1. Is the baby term?
2. Does the baby have good tone?
3. Is the baby breathing or crying?
with complete solution
What is the single most IMPORTANT step in newborn resuscitation?
Ventilation of the newborn's lungs
Before birth, the alveoli in the fetal lungs are (collapsed)/(expanded) and filled
with (fluid)/(air)
expanded; fluid
Before birth, oxygen is supplied to the fetus by the (placenta)/(fetal lungs)
placenta
After birth, air in the alveoli causes vessels in the baby's lungs to
(constrict)/(relax)
relax
(True) or (False): Some newborns without any apparent risk factors will require
resuscitation, including assisted ventilation
True
Unlike adults, who experience cardiac arrest due to trauma or heart disease,
newborn resuscitation is usually the result of ________________
_______________, either before or after birth
respiratory failure
(few)/(many) newborns will require chest compressions or medications
few
Prolonged lack of adequate ____________ and ____________ can lead to organ
damage
perfusion; oxygenation
Members of an effective resuscitation team (share information)/(work quietly and
independently)
share information
What are the 4 pre-birth questions to ask the obstetric provider before birth?
1. What is the expected gestational age?
2. Is the amniotic fluid clear?
3. How many babies are expected?
4. Are there any additional risk factors?
Every delivery should be attended by at least 1 skilled person (whose only
responsibility is the management of the newborn)/ (who shares responsibility for
the mother and newborn's care)
whose responsibility is the management of the newborn
(true)/(false): All babies who will require neonatal resuscitation can be identified
by the presence of perinatal risk factors.
False (Many, but not all)
If a high-risk birth is anticipated, (1 qualified person)/ (a qualified team) should be
present at the birth
a qualified team
, When a high-risk newborn is anticipated because of the presence of risk factors,
resuscitation supplies and equipment (should)/(should not) be unpacked and
ready for use
should
During the pre-resuscitation team briefing, (prepare for a routine delivery because
you do not know what will be needed)/ (anticipate potential complications and
discuss how responsibilities will be delegated)
anticipate potential complications and discuss how responsibilities will be delegated
A qualified nurse or respiratory care practitioner who has been trained in
neonatal resuscitation and has strong leadership skills (can)/(cannot) be the team
leader
can
What does a Category I fetal heart rate indicate?
A NORMAL TRACING and is predictive of normal fetal acid-base status at the time of
the observation, and routine follow-up is indicated
What does a Category II fetal heart rate indicate?
An INDETERMINATE TRACING r/t inadequate evidence to classify them as either
normal or abnormal. Further evaluation, continued surveillance, and reevaluation are
indicated
What does a Category III fetal heart rate indicate?
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.
Who can be the leader of a resuscitation? When might leadership shift?
Any team member who has mastery of the NRP Flow Diagram and effective leadership
skills can be the team leader
Leadership can SHIFT if the leader is involved in a procedure that diverts her attention,
the leader may appoint another qualified person. If the person in the leadership role
changes during the resuscitation, a clear verbal statement should be made so that all
team members know who is leading the team.
What happens during a pre-resuscitation team briefing? (6)
1- Assess perinatal risk factors
2- Identify a team leader
3- Delegate tasks
4- Identify who will document events as they occur
5- Determine what supplies and equipment will be needed
6- Identify how to call for additional help
Every newborn (does)/ (does not) need an initial rapid evaluation of gestational
age, muscle tone, and respiratory effort.
does
List the 3 rapid evaluation questions that determine which newborns should be
brought to the radiant warmer for the initial steps.
1. Is the baby term?
2. Does the baby have good tone?
3. Is the baby breathing or crying?
