Nrp Questions With All Correct Answers
You are in the delivery room caring for a preterm newborn at 27 weeks'
gestation. The baby is 5 minutes old and breathing spontaneously. The baby's
heart rate is 120 beats per minute and the oxygen saturation is 90% in room
air. The baby's respirations are labored. Which of the following is an
appropriate action?
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of
30 to 35 cm H20
Provide vigorous stimulation on the back, trunk, and extremities
Administer CPAP at 5 cm H20 pressure correct answer -Administer CPAP
at 5 cm H2O pressure
Which of the following is the best indication for volume expansion after
resuscitative efforts that included intubation, chest compressions, and IV
epinephrine?
The baby's heart rate remains 50 beats per minute after resuscitative efforts
and pulses are weak.
The baby's heart rate rapidly increased to 120 beats per minute with
epinephrine, but her pulses seem weak.
The baby's heart rate is 120 beats per minute after resuscitative efforts, but
she is very pale.
The baby's heart rate is 120 beats per minute after resuscitative efforts and
there is a history of extensive vaginal bleeding during labor. correct answer
-The baby's heart rate remains 50 beats per minute after resuscitative efforts
and pulses are weak
, A woman is admitted at 24 weeks' gestation with rupture of membranes,
maternal fever, and premature labor.The care team offers the parents
counseling. What is likely to be helpful? correct answer -Provide parents
with accurate prognostic information using all relevant information affecting
their baby's prognosis.
Which statement best describes the ethical principle(s) that guide the
resuscitation of a newborn?
The approach to decisions in the newborn should be guided by the same
principles used for adults and older children.
All decisions regarding resuscitation are made by the health care providers,
and parents do not participate in decision making.
The baby is a minor and all decisions regarding resuscitation should be made
during an emergency meeting of the hospital ethics committee.
The ethical principles of beneficence, nonmaleficence, autonomy, and justice
are used for adults and older children, but they do not apply to newborns.
correct answer -The approach to decisions in the newborn should be guided
by the same principles used for adults and older children.
(ethical principles of beneficence, nonmaleficence, autonomy, and justice)
What time frame should be used to administer intravenous epinephrine?
correct answer -Rapid push, as quickly as possible
You are in the delivery room caring for a preterm newborn at 27 weeks'
gestation. The baby is 5 minutes old and breathing spontaneously. The baby's
heart rate is 120 beats per minute and the oxygen saturation is 90% in room
air. The baby's respirations are labored. Which of the following is an
appropriate action?
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of
30 to 35 cm H20
You are in the delivery room caring for a preterm newborn at 27 weeks'
gestation. The baby is 5 minutes old and breathing spontaneously. The baby's
heart rate is 120 beats per minute and the oxygen saturation is 90% in room
air. The baby's respirations are labored. Which of the following is an
appropriate action?
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of
30 to 35 cm H20
Provide vigorous stimulation on the back, trunk, and extremities
Administer CPAP at 5 cm H20 pressure correct answer -Administer CPAP
at 5 cm H2O pressure
Which of the following is the best indication for volume expansion after
resuscitative efforts that included intubation, chest compressions, and IV
epinephrine?
The baby's heart rate remains 50 beats per minute after resuscitative efforts
and pulses are weak.
The baby's heart rate rapidly increased to 120 beats per minute with
epinephrine, but her pulses seem weak.
The baby's heart rate is 120 beats per minute after resuscitative efforts, but
she is very pale.
The baby's heart rate is 120 beats per minute after resuscitative efforts and
there is a history of extensive vaginal bleeding during labor. correct answer
-The baby's heart rate remains 50 beats per minute after resuscitative efforts
and pulses are weak
, A woman is admitted at 24 weeks' gestation with rupture of membranes,
maternal fever, and premature labor.The care team offers the parents
counseling. What is likely to be helpful? correct answer -Provide parents
with accurate prognostic information using all relevant information affecting
their baby's prognosis.
Which statement best describes the ethical principle(s) that guide the
resuscitation of a newborn?
The approach to decisions in the newborn should be guided by the same
principles used for adults and older children.
All decisions regarding resuscitation are made by the health care providers,
and parents do not participate in decision making.
The baby is a minor and all decisions regarding resuscitation should be made
during an emergency meeting of the hospital ethics committee.
The ethical principles of beneficence, nonmaleficence, autonomy, and justice
are used for adults and older children, but they do not apply to newborns.
correct answer -The approach to decisions in the newborn should be guided
by the same principles used for adults and older children.
(ethical principles of beneficence, nonmaleficence, autonomy, and justice)
What time frame should be used to administer intravenous epinephrine?
correct answer -Rapid push, as quickly as possible
You are in the delivery room caring for a preterm newborn at 27 weeks'
gestation. The baby is 5 minutes old and breathing spontaneously. The baby's
heart rate is 120 beats per minute and the oxygen saturation is 90% in room
air. The baby's respirations are labored. Which of the following is an
appropriate action?
Provide supplemental oxygen to rapidly increase the baby's oxygen saturation
above 95%
Administer positive-pressure ventilation with an initial inflation pressure of
30 to 35 cm H20
