NRP 8TH EDITION TEST WITH COMPLETE
CORRECT SOLUTIONS
A baby is born at 26 weeks gestation. The initial steps of care, including gentle
stimulation, have been completed and the baby is nearly 1-minute old. The baby is not
breathing. What is the most appropriate next step? - ✔✔Begin PPV by mask.
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing
spontaneously while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A
pulse oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is
increasing. What is the most appropriate next step? - ✔✔Decrease the oxygen
concentration.
A baby's heart rate does not increase after intubation and the breath sounds are louder
on the right side than on the left side of the chest. Which of the following is a common
cause of asymmetric breath sounds in an intubated baby? - ✔✔Endotracheal tube
inserted into the right mainstem bronchus
A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for
grunting respirations. The baby is now 15 minutes old, breathing comfortably in room
air, and bonding with their mother. The team plans for the baby to room-in with their
mother. What immediate decision needs to be made regarding post-resuscitation care?
- ✔✔Identify who will continue to monitor the baby in the mother's room.
A term newborn was born via emergency cesarean section in the setting of fetal
bradycardia. The baby was limp and bradycardic at birth and was intubated at 6 minutes
, after birth for persistent apnea. The cord blood gas demonstrates a severe metabolic
acidosis, and the physical examination is consistent with hypoxic-ischemic
encephalopathy (HIE). Which of the following is the most appropriate intervention for
this newborn? - ✔✔Admit the newborn to a center with capability to perform
therapeutic hypothermia.
A woman in labor received opioid medication for pain relief 1 hour before delivery. The
baby does not breathe spontaneously and remains apneic after stimulation. What is
your next intervention? - ✔✔Start PPV.
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's heart
rate? - ✔✔When an alternative airway is inserted
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested
initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ✔✔0.02 mg/kg (equal to
0.2 mL/kg)
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action? - ✔✔Stop chest
compressions and continue PPV.
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, a hat, and a skin temperature sensor
During a delivery, when and where should a person with intubation skills be available? -
✔✔In the hospital and immediately available
CORRECT SOLUTIONS
A baby is born at 26 weeks gestation. The initial steps of care, including gentle
stimulation, have been completed and the baby is nearly 1-minute old. The baby is not
breathing. What is the most appropriate next step? - ✔✔Begin PPV by mask.
A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing
spontaneously while receiving CPAP (at a pressure of 5 cm H2O) and 30% oxygen. A
pulse oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is
increasing. What is the most appropriate next step? - ✔✔Decrease the oxygen
concentration.
A baby's heart rate does not increase after intubation and the breath sounds are louder
on the right side than on the left side of the chest. Which of the following is a common
cause of asymmetric breath sounds in an intubated baby? - ✔✔Endotracheal tube
inserted into the right mainstem bronchus
A term baby was vigorous at birth but receives CPAP for 3 minutes after birth for
grunting respirations. The baby is now 15 minutes old, breathing comfortably in room
air, and bonding with their mother. The team plans for the baby to room-in with their
mother. What immediate decision needs to be made regarding post-resuscitation care?
- ✔✔Identify who will continue to monitor the baby in the mother's room.
A term newborn was born via emergency cesarean section in the setting of fetal
bradycardia. The baby was limp and bradycardic at birth and was intubated at 6 minutes
, after birth for persistent apnea. The cord blood gas demonstrates a severe metabolic
acidosis, and the physical examination is consistent with hypoxic-ischemic
encephalopathy (HIE). Which of the following is the most appropriate intervention for
this newborn? - ✔✔Admit the newborn to a center with capability to perform
therapeutic hypothermia.
A woman in labor received opioid medication for pain relief 1 hour before delivery. The
baby does not breathe spontaneously and remains apneic after stimulation. What is
your next intervention? - ✔✔Start PPV.
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what
point during resuscitation is a cardiac monitor recommended to assess the baby's heart
rate? - ✔✔When an alternative airway is inserted
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested
initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - ✔✔0.02 mg/kg (equal to
0.2 mL/kg)
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor
indicates a heart rate of 70 beats per minute. What is your next action? - ✔✔Stop chest
compressions and continue PPV.
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks
gestation. - ✔✔Prepare the preheated radiant warmer with a thermal mattress, plastic
wrap or bag, a hat, and a skin temperature sensor
During a delivery, when and where should a person with intubation skills be available? -
✔✔In the hospital and immediately available
