NRP Questions-With All Correct Answers
Completion of NRP does not imply? Correct answer -Competence, each
hospital is responsible for determining the level of competence and
qualificaitons required for someone to assume clinical responsibility for
neonatal resucitation.
Mouth to mouth should be avoided and... Correct answer -using a t-piece,
having a resus bag and gloves should be used, also masks and protective
eyewear and face shields should be worn during procedures that are likely to
generate droplets of blood and other bodily fluids. Gowns should be worn
during procedures that proboably will generate splashes of blood or other
bodily fluids.
Pre-ductal SpO2 target Correct answer -1 min 60-65%
2 min 65-70%
3 min 70-75%
4 min 75-80%
5 min 80-85%
10 min 85-95%
After birth approximately 4% to 10% of term and later preterm newborns will
recieve? Correct answer -PPV, while only 1 to 3 per 1,000 will receive
chest compressions or emergency medications.
1. Why do newborns require a different approach to resuscitation than adults?
Correct answer -Most often, adult cariac arrest is a complication of trauma
or existing heart disease. It is caused by a sudden arrhythmia that prevents
the heart from effectively circulating blood. As circulation to the brain
decreases, the adult victim loses consciousness and stops breathing. At the
time of arrest, the oxygen and CO2 content of blood is usually normal. During
adult cardiopulmonary resucitation, chest compressions are used to maintain
circulation until electrical defibrillation or medications restore cardiac
function.
2. Why do newborns require different resuscitation than adults? Correct
answer -In contrast, most newborns requiring resucitation have a healthy
heart. When a newborn requires resucitation, it is usually caused by a
, problem with respiration leading to inadequate gas exchange. Resp. failure
may occur either before or after birth. Before birth, fetal resp. function is
performed by the placenta. If the placenta is functioning normally, oxygen is
transferred from the mother to the fetus and CO2 is removed. When placental
respiration fails, the fetus receives an insufficient supply of oxygen to support
normal cellular functions and CO2 cannot be removed. The blood level of acid
increases as cells attempt to function without oxygen and CO2 accumulates.
Fetal monitoring may show a decrease in activity, loss of HR variability, and
HR decelerations. If placental respiratory failure persists, the fetus will make a
series of gasps followed by apnea and bradycardia. If the fetus is born in the
early phase of respiratory failure, tactile stimulation may be sufficient to
initiate spontaneous breathing and recovery. If the fetus is born in the later
phase of resp. failure, stimulation will not work and the newborn will require
assisted ventilation for recovery.
The most severely affected newborns may require epinephrine and chest
compressions to allow the compromised heart muscle to restore circulation.
At the time of birth, you may not know if the baby is in an early or a late phase
of respiratory failure. After birth, resp. failure occurs if the baby does not
initiate or cannot maintain effective breathing effort. In either situation, the
primary problem is the lack of gas exchange and the focus of neonatal
resuscitation is? Correct answer -Effective ventilation of the baby's lungs!
Blood in the Aorta supplies oxygen and nutrients to the fetal organs and the
most highly oxygenated blood flows to the? Correct answer -Fetal brain
and heart.
Some of the blood in the Aorta returns to the placenta through the 2 umbilical
arteries to deliver? Correct answer -CO2, recieve more oxygen and restart
the circulation path. When blood follows this fetal circulation path and
bypasses the lungs, it is called a right-to-left shunt.
When the baby breaths and the umbilical cord is clamped, the newborn uses
the lungs for gas exchange then: Correct answer -Fluid is absorbed quickly
from the alveoli and the lungs fill with air. The previously constricted
pulmonary blood vessels begin to dilate so that blood can reach the alveoli
where oxygen will be absorbed and CO2 will be removed.
Completion of NRP does not imply? Correct answer -Competence, each
hospital is responsible for determining the level of competence and
qualificaitons required for someone to assume clinical responsibility for
neonatal resucitation.
Mouth to mouth should be avoided and... Correct answer -using a t-piece,
having a resus bag and gloves should be used, also masks and protective
eyewear and face shields should be worn during procedures that are likely to
generate droplets of blood and other bodily fluids. Gowns should be worn
during procedures that proboably will generate splashes of blood or other
bodily fluids.
Pre-ductal SpO2 target Correct answer -1 min 60-65%
2 min 65-70%
3 min 70-75%
4 min 75-80%
5 min 80-85%
10 min 85-95%
After birth approximately 4% to 10% of term and later preterm newborns will
recieve? Correct answer -PPV, while only 1 to 3 per 1,000 will receive
chest compressions or emergency medications.
1. Why do newborns require a different approach to resuscitation than adults?
Correct answer -Most often, adult cariac arrest is a complication of trauma
or existing heart disease. It is caused by a sudden arrhythmia that prevents
the heart from effectively circulating blood. As circulation to the brain
decreases, the adult victim loses consciousness and stops breathing. At the
time of arrest, the oxygen and CO2 content of blood is usually normal. During
adult cardiopulmonary resucitation, chest compressions are used to maintain
circulation until electrical defibrillation or medications restore cardiac
function.
2. Why do newborns require different resuscitation than adults? Correct
answer -In contrast, most newborns requiring resucitation have a healthy
heart. When a newborn requires resucitation, it is usually caused by a
, problem with respiration leading to inadequate gas exchange. Resp. failure
may occur either before or after birth. Before birth, fetal resp. function is
performed by the placenta. If the placenta is functioning normally, oxygen is
transferred from the mother to the fetus and CO2 is removed. When placental
respiration fails, the fetus receives an insufficient supply of oxygen to support
normal cellular functions and CO2 cannot be removed. The blood level of acid
increases as cells attempt to function without oxygen and CO2 accumulates.
Fetal monitoring may show a decrease in activity, loss of HR variability, and
HR decelerations. If placental respiratory failure persists, the fetus will make a
series of gasps followed by apnea and bradycardia. If the fetus is born in the
early phase of respiratory failure, tactile stimulation may be sufficient to
initiate spontaneous breathing and recovery. If the fetus is born in the later
phase of resp. failure, stimulation will not work and the newborn will require
assisted ventilation for recovery.
The most severely affected newborns may require epinephrine and chest
compressions to allow the compromised heart muscle to restore circulation.
At the time of birth, you may not know if the baby is in an early or a late phase
of respiratory failure. After birth, resp. failure occurs if the baby does not
initiate or cannot maintain effective breathing effort. In either situation, the
primary problem is the lack of gas exchange and the focus of neonatal
resuscitation is? Correct answer -Effective ventilation of the baby's lungs!
Blood in the Aorta supplies oxygen and nutrients to the fetal organs and the
most highly oxygenated blood flows to the? Correct answer -Fetal brain
and heart.
Some of the blood in the Aorta returns to the placenta through the 2 umbilical
arteries to deliver? Correct answer -CO2, recieve more oxygen and restart
the circulation path. When blood follows this fetal circulation path and
bypasses the lungs, it is called a right-to-left shunt.
When the baby breaths and the umbilical cord is clamped, the newborn uses
the lungs for gas exchange then: Correct answer -Fluid is absorbed quickly
from the alveoli and the lungs fill with air. The previously constricted
pulmonary blood vessels begin to dilate so that blood can reach the alveoli
where oxygen will be absorbed and CO2 will be removed.
